Background: 

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.

Conclusion: 

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

Background: 

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.

Conclusion: 

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

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

Mesh versus acellular dermal matrix in immediate implantbased breast reconstruction. A prospective randomized trial

This prospective, randomized, controlled, multicenter pilot study was performed at four Austrian breast cancer centers. Fifty patients with oncologic or prophylactic indication for mastectomy and IBBR were randomized to immediate IBBR with either an ADM(Protexa) or a titanized mesh (TiLOOPBra).

Da evidenziare sia il 30% di perdita di impianto nel gruppo di Protexa(contro il 7 % di tiloop),sia il miglior outcome estetico e grado di soddisfazione del gruppo Tiloop BRA.

Subcutaneous Direct-to-Implant Breast Reconstruction: Surgical, Functional, and Aesthetic Results after Long-Term Follow-Up

Aim of this study is to analyze the long-term results, both objective and subjective, of a previous nonrandomized trial comparing pre- pectoral (subcutaneous) and retropectoral breast reconstructions using Titanized Mesh

Despite advancements in surgical techniques, suture pull-though and rupture continue to limit the early range of motion and functional rehabilitation after flexor tendon repairs. The aim of this study was to evaluate a suturable mesh compared with a commonly used braided suture in an in vivo rabbit intrasynovial tendon model.