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Robot-Assisted Nipple-Sparing Mastectomy and Immediate Reconstruction with Prepectoral Tiloop-Enveloped Implant: A Case Report
2021 - Mariotti Carlo, Raffaeli Eugenia, Liverotti Sara, Lenti Enrico, Braccioni Francesco, Gentili Marco, Carrara Maria Cristina and Cardinali Chiara


This paper describes the first experience our centre had with robot-assisted nipple-sparing mastectomy, which was performed for prophylactic purposes using the Da Vinci Si robotic Surgical System. 

Study results

This preliminary experience was very positive as to the accuracy of surgical manoeuvres thanks to the high quality of the 3D image; the demolition and reconstruction operations (carried out using a prepectoral implant covered with a Tiloop Bra synthetic mesh) were performed through a single axillary incision of just a few centimeters.


The technical difficulties are undeniable, but the learning curves described in the literature are promising

Prepectoral breast reconstruction with TiLoop® Bra Pocket: a single center prospective study


The aim of this paper is to describe our case series in IBR with prepectoral implant placement and complete cover- age of it with the TiLoop® Bra titanium-coated poly- propylene mesh (TCPM), pre-shaped as a pocket. 

Study results

This preliminary study showed meaningful results in prepectoral IBR with TiLoop® Bra Pocket covering the implants, we observed a reduction of implant’s exposure time and risk of bacterial contamination. Of the 18 pa- tients that underwent this procedure, only three presented complications that resolved in a maximum of four weeks.


A considering reduction of surgical time in implant positioning was achieved, lowering exposure time and risk of complications as infection.

Veritas in Immediate Implant-based Breast Reconstruction Is Associated with Higher Complications Compared with TiLOOP BRA
2020 - Gaik Si Quah, James R. French, Annelise Cocco, Jeremy Hsu, Farid Meybodi, Elisabeth Elder

Background: Biologic and synthetic meshes are used in immediate implant-based breast reconstruction for coverage of the lower pole of the implant. This study aimed to compare outcomes of Veritas with TiLOOP bra 

Study results

Comparison of the Veritas group with the TiLOOP® Bra Group:
- Overall higher complication rate in the Veritas group: 54% vs. 14% of breasts

- Higher seroma rate/ non-integration in the Veritas group: 51.4% vs. 1.6% of breasts

- More implant rotations in the Veritas group: 16.2% vs. 1.1% of breasts

- Higher infection rate in the Veritas group: 18.9% vs. 2.1% of breasts

- More wound dehiscence in the Veritas group: 10.8% vs. 0.5% of breasts

Laparoscopic Lateral Suspension: Benefits of a Cross-shaped Mesh to Treat Difficult Vaginal Vault Prolapse
2020 - Jean Dubuisson, Nikolaus Veit-Rubin, Jean Bouquet de Joliniere, and Jean-Bernard Dubuisson

Laparoscopic Lateral Suspension: Benefits of a Cross-shaped Mesh to Treat Difficult Vaginal Vault Prolapse

Supplementary data related to this article can be found at

Laparoscopic lateral suspension with mesh for apical and anterior pelvic organ prolapse: A prospective double center study
2020 - Liliana Mereu, Saverio Tateo, Maurizio Nicola D’Alterio, Eleonora Russo, Andrea Giannini, Paolo Mannella, Riccardo Pertile, Tommaso Cai, Tommaso Simoncini

The present study analyzed long-term outcomes and complications of laparoscopic lateral suspension (LLS) with mesh to treat apical and anterior pelvic organ prolapse

A prospective cohort study on 125 patients with vaginal bulge and apical +/ anterior prolapse scheduled for LLS who consecutively underwent LLS between April 2013 and January 2017 in Gynecologic Department of Santa Chiara Hospital in Trento and University of Pisa.

Results: 120 patients were included in the study. At 2 years 89 % of patients were asymptomatic and anatomic success rate was 94.2 % for the anterior compartment, 94.9 % for the apical compartment

Medium-term outcomes after robotic-assisted lateral suspension with mesh for advanced multi-compartmental prolapse
2019 - Eleonora Russo, Andrea Giannini, Magdalena Montt Guevara, Paolo Mannella, Giulia Misasi, Maria Falcone, Tommaso Simoncini

Medium-term outcomes after robotic-assisted lateral suspension with mesh for advanced multi-compartmental prolapse

This study completed a prospective case series of 115 RALS to treat apical and anterior prolapse stage III or IV, with no or minimal (stage I) posterior defect. Mean follow-up was 28 ± 4 months. Primary outcomes were objective and subjective cure; secondary outcomes were reoperation rate for recurrence, erosion rate and complications. 

Results There was a significant improvement in POP-Q score in all treated compartments with an objective cure rate of 88.7% for the anterior and 93.1% for the apical compartment (p < 0.0001)

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