Novel devices for implant-based breast reconstruction: is the use of meshes to support the lower pole justified in terms of benefits? A review of the evidence

摘要

The use of novel devices such as acellular dermal matrices (ADMs) to support the lower pole in implant-based breast reconstructions(IBBRs) has been described as one of the most important advances in breast reconstructive surgery following mastectomy. However, themajority of outcomes studies focus primarily on providing evidence for the rates of short-term complications associated with their use, asopposed to their reported benefits. Given the high costs associated with using ADMs, together with an increasing number of alternative,cheaper synthetic products entering the market, it is important to clarify whether their use is actually justified and whether the alternativeproducts offer equivalent or superior outcomes. The purpose of this article is to present a comprehensive and updated review of the evidencefor the benefits of using different products for lower pole support (LPS) in IBBR compared to reconstructions without. A secondaryaim was to determine if there is any evidence to support the use of one product over another.