Observational studyPlastic and reconstructive surgery2020
The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review.
Observational study in Plastic and reconstructive surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Absorbable Synthetic Meshes in Implant-Based Breast Reconstruction After Subcutaneous Mastectomy: A Systematic Review with Clinical and Economic Considerations.Medicina (Kaunas, Lithuania) · 2026Pooled it
- The Use of Poly-4-Hydroxybutyrate (P4HB) Scaffold in Cosmetic Breast Surgery: A Systematic Review and Meta-Analysis.Aesthetic plastic surgery · 2026Pooled it
- Ptosis and Bottoming out Following Mastopexy and Reduction Mammoplasty. Is Synthetic Mesh Internal Breast Support the Solution? A Systematic Review of the Literature.Aesthetic plastic surgery · 2022Pooled it
- Comparative in vitro and in vivo assessment of three experimental extracellular matrix meshes for soft tissue remodeling.Scientific reports · 2026Article
- Soft Tissue Scaffolds in Breast Reconstruction: Evolution from Acellular Dermal Matrices to Synthetic Polymers.Journal of clinical medicine · 2026Review
- Early Use and Outcomes of Polydioxanone Mesh in Implant-based Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2026Article
- Patient-reported outcomes following various incision techniques in breast reconstruction: an observational cohort study in China.Journal of cancer research and clinical oncology · 2025Observational
- Early Outcomes Using TIGR Mesh in Direct-to-Implant Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2025Article
- Poly-4-Hydroxybutyrate as a Novel Biomaterial in Personalized Breast Surgery: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2025Review
- Revisiting low complications of VICRYL mesh in breast reconstruction: Insights from an updated systematic review.JPRAS open · 2025Review
- Use of TIGR Synthetic Reabsorable Mesh in Primary Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2025Article
- Polypropylene Mesh in Nipple-Sparing Mastectomy and Immediate Implant-based Breast Reconstruction in Vietnamese Early Breast Cancer Patients: Safe and Feasible.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Efficacy of Mesh Use in Breast Surgery: A Comprehensive Review of Complications and Aesthetic Outcomes.Plastic and reconstructive surgery. Global open · 2025Article
- Prepectoral Prosthetic Breast Reconstruction Without ADM Using a Subfascial Approach.Aesthetic plastic surgery · 2024Article
- A Systematic Review and Meta-Analysis of Synthetic Mesh Outcomes in Alloplastic Breast Reconstruction.Aesthetic surgery journal. Open forum · 2024Review
- Safety and aesthetic outcomes of SERASYNTHJPRAS open · 2023Article
- Evaluation of Xenograft Efficacy in Immediate Prosthesis-based Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2022Article
- Bioabsorbable Polydioxanone Mesh for Soft Tissue Reinforcement in Revisional Breast Surgery.Aesthetic surgery journal. Open forum · 2022Article
- Early Clinical Outcomes of Polydioxanone Mesh for Prepectoral Prosthetic Breast Reconstruction.Plastic and reconstructive surgery. Global open · 2022Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreast reconstruction is most frequently performed using implants or expanders. Adjunctive materials such as acellular dermal matrix and synthetic meshes are used to support the implant or expander. A paucity of large studies exist on the use of synthetic mesh for breast reconstruction.
methodsA retrospective chart review of all patients over the past 7 years who had implant reconstruction with synthetic absorbable mesh at the Massachusetts General Hospital was performed. Data were collected on demographic and surgical outcomes. Statistical analysis was performed.
resultsA total of 227 patients (376 mastectomies) were treated with direct-to-implant subpectoral reconstruction with absorbable mesh from 2011 to 2017. The infection rate was 2.1 percent. The rate of capsular contracture was 4.8 percent. Patients who had radiation therapy either preoperatively or postoperatively had a higher rate of complications, including capsular contracture. Cost savings for using mesh instead of acellular dermal matrix surpassed $1.2 million.
conclusionSynthetic absorbable mesh is a safe alternative to acellular dermal matrix in prosthetic breast reconstruction and provides stable results along with significant cost savings. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.