Breast Mesh Used in Two-staged Breast Reconstruction

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-70
SponsorTianjin Medical University Cancer Institute and Hospital

About this trial

This is the first prospective randomized and controlled study on the efficacy and safety of TiLOOP® Bra mesh in patients with expander-implant breast reconstruction. The investigators hypothesize that incoporating TiLOOP Bra mesh with tissue expanders will reduce the rates of capsular contraction, improve the efficiency of expansion and provide better aesthetic result.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with breast cancer

More than 18 years old

Karnofsky Performance Status (KPS) larger than 80

No clinical or imaging evidence of distant metastasis

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • TiLoop Bra mesh in expander-implant breast reconstrution

    Procedure/Surgery

    The tissue expander is inserted with TiLoop Bra mesh in the first stage of reconstruction immediately after nipple/skin-sparing mastectomy. The tissue expander is placed sub-pectoral.

  • sub-pectoral expander-implant breast reconstruction

    Procedure/Surgery

    The tissue expander is inserted without TiLoop Bra mesh in the first stage of reconstruction immediately after nipple/skin-sparing mastectomy. The tissue expander is placed sub-pectoral and covered by muscle/fascia.

Treatment groups

300 Participants
are divided into 2 treatment groups
Group A: Breast Reconstruction with breast meshExperimental treatment 1 intervention
Group B: Breast Reconstruction without breast meshActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Complication Rates

complications related to the reconstructed breast, including flap complications, capsular contracture, surgical site infection, prosthetic malposition/extrusion, reconstruction failure, etc.

Time frame
up to 24 months after surgery
2

Expansion Efficiency

percentage of average injected saline volume to total volume (E=average volume/ total volume)through study completion, an average of 1 year

Time frame
through study completion, an average of 1 year

Secondary outcomes

1

number of revision surgery

To record the rate of surgical revision events on the breast including but not limited to fat tranplantation, reduction mammoplasty/mastompexy, contralateral augmentation,

Time frame
from the completion of expander exchange up to 24 months after surgery
2

aesthetic outcome graded by Harris evaluation score and Breast-Q questionaire

Harris evaluation score was used to evaluate the aesthetic outcome of patients' reconstructed breasts, which was scored as "excellent," "good," "fair," "poor". Breast-Q questionaire was also used to evaluate the aesthetic outcome of patients' reconstructed breast.

Time frame
from the completion of expander exchange up to 24 months after surgery
3

psychological evaluation by Breast-Q questionnaire

We use the Breast-Q questionnaire to evaluate patients' satisfaction via the reconstruction module of BREAST-Q.

Time frame
from the completion of expander exchange up to 24 months after surgery
4

total cost

total cost in RMB per captia

Time frame
from expander implation up to the completion of expander exchange,through study completion, an average of 1 year

Other outcomes

Sponsors and contacts

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