Dual Coverage of the Inferior Pole with Conjoined Fascial Flap and Acellular Dermal Matrix for Immediate One-Stage Breast Reconstruction with a Prosthetic Implant

Acellular dermal matrix and similar meshes are used in breast reconstruction to cover the inferior implant pocket. We considered whether using a modified dual-plane technique in immediate breast reconstruction could improve the outcome when compared with mesh reconstruction. The paper presents a case of a patient who underwent one-stage bilateral immediate breast reconstruction (IBR) with 470 g implants, using alloplastic mesh in one side and the composed dual-plane pocket in the other. In the case described, the composed dual plane technique gave a better result in terms of absence of rippling and smoother surface at the palpation; the mesh coverage gave a better inframammary contour. Our case suggests that the modified dual-plane technique gives a satisfactory cosmetic outcome. It also reduces costs and avoids mesh-related complications. This technique should therefore be considered as an option to the mesh in implant-based breast reconstruction.

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Immediate one-stage implant-based breast reconstruction without the use of acellular dermal matrix in Japanese breast cancer patients

Breast Cancer ◽

10.1007/s12282-020-01073-4 ◽

2020 ◽

Vol 27 (4) ◽

pp. 759-764

Author(s):

Seiko Okumura ◽

Ikuo Hyodo ◽

HIroji Iwata ◽

Yuzuru Kamei

Keyword(s):

Breast Cancer ◽

Breast Reconstruction ◽

Cancer Patients ◽

Acellular Dermal Matrix ◽

Breast Cancer Patients ◽

Dermal Matrix ◽

One Stage ◽

Acellular Dermal

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Abstract P4-13-12: Immediate one-stage implant-based breast reconstruction without an acellular dermal matrix in Japanese breast cancer patients

10.1158/1538-7445.sabcs17-p4-13-12 ◽

2018 ◽

Author(s):

S Okumura ◽

S Tatibana ◽

C Narita ◽

I Hyodo ◽

M Sawaki ◽

...

Keyword(s):

Breast Cancer ◽

Breast Reconstruction ◽

Cancer Patients ◽

Acellular Dermal Matrix ◽

Breast Cancer Patients ◽

Dermal Matrix ◽

One Stage ◽

Acellular Dermal

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Comparison of one-stage direct-to-implant with acellular dermal matrix and two-stage immediate implant-based breast reconstruction—a cohort study

Gland Surgery ◽

10.21037/gs-20-581 ◽

2021 ◽

Vol 10 (1) ◽

pp. 207-218

Author(s):

Mette Eline Brunbjerg ◽

Thomas Bo Jensen ◽

Jens Overgaard ◽

Peer Christiansen ◽

Tine Engberg Damsgaard

Keyword(s):

Cohort Study ◽

Breast Reconstruction ◽

Acellular Dermal Matrix ◽

Two Stage ◽

Dermal Matrix ◽

One Stage ◽

Immediate Implant ◽

Acellular Dermal

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The Comparison of Breast Reconstruction Using Two Types of Acellular Dermal Matrix after Breast-Conserving Surgery

Journal of Clinical Medicine ◽

10.3390/jcm10153430 ◽

2021 ◽

Vol 10 (15) ◽

pp. 3430

Author(s):

Jeongshin An ◽

Hyungju Kwon ◽

Woosung Lim ◽

Byung-In Moon ◽

Nam Sun Paik

Keyword(s):

Breast Cancer ◽

Breast Reconstruction ◽

Acellular Dermal Matrix ◽

Breast Conserving Surgery ◽

The Body ◽

Surgical Time ◽

Dermal Matrix ◽

Specimen Weight ◽

Breast Shape ◽

Acellular Dermal

Breast reconstruction during breast-conserving surgery (BCS) can improve the breast shape. This study introduces breast reconstruction in BCS with two types of acellular dermal matrix (ADM). The study included 134 patients who underwent BCS due to breast cancer from February 2018 to May 2021. This study was conducted by one surgeon, and is the result of a three-year study. The patient group who underwent BCS using ADM was mainly targeted at patients with minor to severe defects after the operation. The average age of the patients was 51.8 years, and the body mass index (BMI) was 23.8 kg/m. The specimen weight was 30–120 g. The average surgical time, including reconstruction, was 100.4 min, combined with reconstruction. There were minor complications in six patients. The advantage of using ADM is that it can quickly correct the shape of the breast after conventional BCS surgery. Pellet-type ADM, rather than sheet-type, can create a breast shape similar to that before surgery. Breast reconstruction using ADM can be an easy and convenient method for making a better shape from BCS.

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