Our Summary

This research paper discusses the use of bovine pericardium mesh, specifically Tutopatch®, in breast reconstruction surgery. It is based on a study of 103 patients who underwent breast reconstruction using this material. The study found that the rates of complications were relatively low, with early complications occurring in 9.7% of cases and late complications in 14.5% of cases. The most common issue was fluid build-up, which was resolved without surgery in most cases. The paper concludes that Tutopatch® is a good option for breast reconstruction as it adds an extra layer over the silicone implant, reducing complications and exposure. Additionally, it is 85% cheaper than comparable mesh materials. The findings are based on evidence from medical research.

FAQs

  1. What is Tutopatch® and how is it used in breast reconstruction surgery?
  2. What were the complication rates when using Tutopatch® in breast reconstruction surgeries, according to the study?
  3. How does using Tutopatch® in breast reconstruction compare in cost to other mesh materials?

Doctor’s Tip

A doctor might tell a patient considering breast reconstruction that using Tutopatch® as a mesh material can help reduce complications and provide added support for the silicone implant. It is a cost-effective option that has been shown to have relatively low rates of complications in studies.

Suitable For

Patients who are typically recommended breast reconstruction include those who have undergone a mastectomy due to breast cancer or other medical conditions, those who have a high risk of developing breast cancer due to genetic factors, and those who have undergone a lumpectomy and want to restore the shape and appearance of their breast. Additionally, patients who have significant breast asymmetry or deformities may also be recommended for breast reconstruction. Ultimately, the decision to undergo breast reconstruction is a personal one and should be made in consultation with a healthcare provider.

Timeline

Before breast reconstruction:

  1. Patient receives a breast cancer diagnosis and discusses treatment options with their healthcare provider.
  2. Patient undergoes mastectomy surgery to remove the affected breast tissue.
  3. Patient discusses reconstruction options with their healthcare provider and decides on a plan for reconstruction.
  4. Patient may undergo tissue expansion to prepare the skin for the implant or flap reconstruction.
  5. Patient undergoes breast reconstruction surgery, which may involve the use of a silicone implant or tissue flap.

After breast reconstruction:

  1. Patient experiences some pain and discomfort following surgery, which is managed with pain medication.
  2. Patient may need to stay in the hospital for a few days to recover.
  3. Patient follows post-operative care instructions, including wearing a compression garment and avoiding strenuous activities.
  4. Patient attends follow-up appointments with their healthcare provider to monitor healing and address any complications.
  5. Patient may undergo additional procedures to adjust and refine the reconstructed breast, such as nipple reconstruction or fat grafting.
  6. Patient continues to monitor their reconstructed breast for any changes or complications and follows up with their healthcare provider as needed.

What to Ask Your Doctor

  1. What are the benefits of using bovine pericardium mesh, specifically Tutopatch®, in breast reconstruction surgery compared to other materials?
  2. What are the potential risks or complications associated with using Tutopatch® in breast reconstruction surgery?
  3. How long does the recovery process typically take when using Tutopatch® in breast reconstruction surgery?
  4. How does the cost of using Tutopatch® compare to other mesh materials commonly used in breast reconstruction surgery?
  5. Are there any specific factors that make a patient a good candidate for using Tutopatch® in breast reconstruction surgery?
  6. How long has Tutopatch® been used in breast reconstruction surgery, and what is the long-term success rate of using this material?
  7. Will using Tutopatch® in breast reconstruction surgery affect the appearance or feel of the reconstructed breast compared to other materials?
  8. Are there any additional precautions or post-operative care instructions that should be followed when using Tutopatch® in breast reconstruction surgery?
  9. How often will follow-up appointments be necessary after undergoing breast reconstruction using Tutopatch®?
  10. Are there any ongoing studies or research being conducted on the use of Tutopatch® in breast reconstruction surgery, and are there any new developments or advancements in this area that I should be aware of?

Reference

Authors: Eyuboglu AA, Akdemir O, Aydogan F, Isken MT. Journal: Aesthetic Plast Surg. 2024 Feb;48(3):285-296. doi: 10.1007/s00266-023-03732-1. Epub 2023 Nov 16. PMID: 37973674