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OviTex Reinforced Tissue Matrix Use in Implant-Based Breast Reconstruction
Ethan D. Paliwoda
*, Hanaa Shihadeh, Amanda Awad, Malcolm Z. Roth
Division of Plastic Surgery, Department of Surgery, Albany Medical Center, Albany, NY
Background: This study examines clinical outcomes of Ovine-Reinforced Hybrid Mesh (OviTex) in alloplastic breast reconstruction by a single surgeon. There are limited published studies regarding OviTex use in breast reconstruction.
Methods: A retrospective chart review was conducted on patients who underwent immediate or delayed breast reconstruction with OviTex between 2019 and 2023. Outcomes analyzed included reconstructive failure, implant exposure, infection, seroma, and hematoma.
Results: Seventy-nine patients (134 breasts) were included. The majority of reconstructions involved direct-to-implant procedures (65% vs. 35% tissue expander), with a predominance of immediate reconstructions (97% vs. 3% delayed) and pre-pectoral placement (72% vs. 28% dual-plane). Reconstructive failure occurred in 29 breasts (22%), all in immediate reconstructions, primarily due to exposure (20%), infection (10%), or a combination of both (8%). Four breasts (3%) developed a seroma, two of which also required surgical intervention for exposure. No hematomas were observed. Among breasts requiring reoperation, 21% had prior radiation, 90% involved the cancer side, and 7% were current smokers, 28% were former smokers, and 65% were nonsmokers. Reconstructive failure was significantly higher following direct-to-implant compared to tissue expanders (p<0.001) and on the cancer side compared to prophylactic reconstructions (p<0.001). No significant differences in reconstructive failure were noted regarding placement location (pre-pectoral vs. dual-plane) or radiation treatment.
Conclusion: This study provides clinical outcomes on OviTex use in breast reconstruction. Continued adherence to evidence-based surgical practices is crucial for optimizing patient outcomes.
Complication Profile of Breasts That Experienced a Related Return to the Operating Room Following Alloplastic Reconstruction with OviTex After Mastectomy.
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