PT - JOURNAL ARTICLE AU - KATHARINA SCHÜLER AU - STEFAN PAEPKE AU - THOMAS KOHLMANN AU - ZAHER ALWAFAI AU - FLORIAN NAWROTH AU - MAREK ZYGMUNT AU - RALF OHLINGER TI - Postoperative Complications in Breast Reconstruction With Porcine Acellular Dermis and Polypropylene Meshes in Subpectoral Implant Placement AID - 10.21873/invivo.12558 DP - 2021 Sep 01 TA - In Vivo PG - 2739--2746 VI - 35 IP - 5 4099 - http://iv.iiarjournals.org/content/35/5/2739.short 4100 - http://iv.iiarjournals.org/content/35/5/2739.full SO - In Vivo2021 Sep 01; 35 AB - Aim: This research compares postoperative complication rates with Strattice™, SERAGYN® BR, and TiLOOP® Bra interposition devices for subpectoral implant placement after skin or nipple sparing mastectomy. Patients and Methods: 188 breast reconstructions in 157 patients after primary (n=96), secondary (n=71), or prophylactic (n=21) surgery were analyzed regarding major and minor complications. Results: With acellular dermal matrix (ADM) Strattice™, 27.5% major and 27.5% minor complications occurred. Implant loss rates were 27.3% in primary and 30.8% in secondary reconstructions. With SERAGYN® BR, 11.1% major and 13,0% minor complications occurred. Implant losses (6.1%) occurred exclusively in primary reconstructions. With TiLOOP® Bra, 14.9% major and 9.6% minor complications occurred. Implant loss rates were 7.7% in primary and 7.1% in secondary reconstructions. Conclusion: ADM was associated with high complication rates in primary and secondary reconstructions. Low complication rates were seen with mesh interposition devices in primary, secondary, and prophylactic reconstructions.