Comparative clinical outcomes of using three-dimensional and TIGR mesh in immediate breast reconstruction surgery for breast cancer patients

Introduction Breast reconstruction (BR) surgery is a widely utilized approach for women who have undergone mastectomy. Using synthetic mesh can offer advantages over other materials providing long-lasting support and natural-looking results. This study aims to compare the effectiveness of 3DMax™ mesh to TIGR mesh in breast reconstruction surgery to provide clear information about the non-inferiority of 3D mesh to TIGR. Methods This retrospective cohort study evaluates postoperative complications in breast cancer patients who underwent subcutaneous mastectomy with direct-to-implant immediate breast reconstruction using silicone implants and either 3DMax™ mesh or TIGR® Matrix Surgical Mesh. Results This study involved BR surgeries in 82 patients, including 57 surgeries in the 3D mesh group and 49 surgeries in the TIGR mesh group. The two groups had no significant differences regarding age, body mass index, cancer stage, or surgical complications. However, patients with neoadjuvant chemotherapy or radiotherapy had higher incidence rates of long-term complications than other patients. Patients with infection or partial necrosis had a heightened risk of implant loss. Conclusion The clinical results obtained in this study suggest that among synthetic meshes used in immediate breast reconstruction, 3DMax™ is not inferior to TIGR Matrix Surgical Mesh regarding complications.