One of the basic principles of plastic surgery is "to replace like with like." [17,18] Autologous tissue
has still been accepted as the most ideal reconstruction materials.
Citation: Reuven Edri et al., Personalized Hydrogels for Engineering Diverse Fully Autologous Tissue
Implants, Advanced Materials, 8 November 2018, DOI: 10.1002/adma.201803895
A total of 2,013 women (1,490 implant and 523 autologous tissue
reconstruction) were included; all patients had two years of follow-up.
To prevent failure of the surgery due to Prolene net or bone cement leakage after a skin necrosis around the incision or after an infection, reliable autologous tissue
(e.g., a muscle flap or the greater omentum) needed to separate the skin and the Prolene net.
However, in the presence of colonic contamination, the abdomen should be copiously irrigated, and an autologous tissue
flap (omentum or latissimus dorsi flap) can be considered .
Current evidence is supportive of the fact that autologous tissue
, in such, autologous chondrocytes, may result in the highest possible repair tissue within the defective region.
They also address problems in reconstruction with prosthetic devices, including capsular contracture, implant and expander malposition, and failed expander/implant reconstruction; problems in reconstruction with autologous tissue
, such as failed tissue transfer and persistent volume deficiencies; deformities associated with lumpectomy, partial mastectomies, and radiation; cancer recurrence after reconstruction; and problems associated with the nipple-areola complex.
An article  in this edition, however, describes a randomised trial performed in India of mesh and autologous tissue
repair for vaginal prolapse, and recommends the reconsideration of autologous repair.
After the completion of the mastectomy and appropriate axillary clearance, all patients underwent immediate breast reconstruction with either (i) autologous tissue
: the transverse rectus abdominis myocutaneous (TRAM) flap or the latissimus dorsi myocutaneous flap, or (ii) by the placement of a permanent silicone gel implant.
The first choice to make is whether to have implants or make the new breast from muscle, fat and skin taken from elsewhere, called autologous tissue
Suborethral sling materials: best outcome with autologous tissue
. Am J Obstet Gynecol.