Peer-reviewed veterinary case report
Comparing PTFE mesh and dura mater in breast implant surgery outcomes
By Kartasheva A et al.Ā·2026Ā·Department of Plastic and Aesthetic SurgeryĀ·View original on Europe PMC ā
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Original publication title: A Comparative Analysis of Complications and Patient-Reported Outcomes in Implant-Based Breast Reconstruction with Polytetrafluoroethylene (PTFE) versus Allogeneic Dura Mater (DM).
Plain-English summary
This study looked at two different materials used in breast reconstruction after mastectomy for breast cancer: polytetrafluoroethylene (PTFE) mesh and allogeneic dura mater (DM), which is a type of tissue graft. Researchers followed 116 patients who had surgery and randomly assigned them to receive either PTFE or DM for support of the breast implant. They found that the PTFE group had fewer major complications compared to the DM group, although minor complications were similar for both. Additionally, the PTFE mesh provided better support for the breast implant and the area beneath it after surgery. Overall, using PTFE mesh resulted in fewer serious issues and maintained a good quality of life for patients.
Abstract
<h4>Objective</h4>Mastectomy with immediate reconstruction is a primary surgical treatment for breast cancer. While both synthetic meshes and biological grafts are used in these procedures, their comparative effectiveness requires further investigation. This study evaluates the use of polytetrafluoroethylene (PTFE) mesh versus allogeneic dura mater (DM) in direct-to-implant breast reconstruction for reinforcing the inframammary fold (IMF) and stabilizing the implant.<h4>Materials and methods</h4>A prospective, randomized, open-label trial enrolled 116 patients (192 breasts) who underwent subcutaneous or skin-sparing mastectomies or subtotal radical resections, all followed by immediate subpectoral implant-based reconstruction. Participants were randomized to receive either a PTFE mesh (60 patients; 96 breasts) or a DM graft (56 patients; 96 breasts) for implant support. Outcomes were assessed through radiological imaging for complications, anthropometric measurements for IMF and implant stability, and the breast evaluation questionnaire version 2.0<sup>Ā©</sup> (reconstruction module) for quality of life.<h4>Results</h4>The PTFE group demonstrated a lower rate of major complications (3 vs. 7, respectively), while minor complications were comparable (23 vs. 28, respectively). Anthropometric analysis demonstrated that PTFE mesh provided superior stabilization of the IMF and the implant position postoperatively. Quality of life scores were comparable between the two groups.<h4>Conclusion</h4>The use of PTFE mesh in immediate subpectoral breast reconstruction provides reliable anti-gravitational stabilization of the IMF and implant, and is associated with a favorable complication profile and high patient-reported quality of life.
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Search related cases āOriginal publication on Europe PMC: https://europepmc.org/article/MED/41874197