Complication rates of acellular dermal matrix in immediate breast reconstruction with radiation: A single-institution retrospective comparison study

2020 ◽  
Vol 73 (12) ◽  
pp. 2156-2163
Author(s):  
Michael J. Stein ◽  
Amy Chung ◽  
Angel Arnaout ◽  
Bahareh Ghaedi ◽  
Ammara Ghumman ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Immediate Breast Reconstruction ◽  
Complication Rates ◽  
Comparison Study ◽  
Single Institution ◽  
Dermal Matrix ◽  
Retrospective Comparison ◽  
Acellular Dermal

Learning curve in immediate breast reconstruction with Strattice acellular dermal matrix

2013 ◽  
Vol 39 (5) ◽  
pp. 464
Author(s):  
Geeta Shetty ◽  
Richard Salisbury ◽  
Ashu Gandhi ◽  
Asid Zeiton ◽  
Richard Johnson ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Learning Curve ◽  
Acellular Dermal Matrix ◽  
Immediate Breast Reconstruction ◽  
Dermal Matrix ◽  
Acellular Dermal

A Comparison of Acellular Dermal Matrix to Autologous Dermal Flaps in Single-Stage, Implant-Based Immediate Breast Reconstruction

2013 ◽  
Vol 131 (5) ◽  
pp. 953-961 ◽  
Author(s):  
Naveen M. Krishnan ◽  
Abhishek Chatterjee ◽  
Michael M. Van Vliet ◽  
Stephen G. Powell ◽  
Joseph M. Rosen ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Immediate Breast Reconstruction ◽  
Single Stage ◽  
Dermal Matrix ◽  
Dermal Flaps ◽  
Acellular Dermal

scholarly journals Does Acellular Dermal Matrix Thickness Affect Complication Rate in Tissue Expander Based Breast Reconstruction?

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Jessica F. Rose ◽  
Sarosh N. Zafar ◽  
Warren A. Ellsworth IV
Keyword(s):  
Breast Reconstruction ◽  
Skin Necrosis ◽  
Tissue Expander ◽  
Retrospective Chart Review ◽  
Acellular Dermal Matrix ◽  
Complication Rates ◽  
Dermal Matrix ◽  
Drain Removal ◽  
Dermal Matrices ◽  
Acellular Dermal

Background. While the benefits of using acellular dermal matrices (ADMs) in breast reconstruction are well described, their use has been associated with additional complications. The purpose of this study was to determine if ADM thickness affects complications in breast reconstruction. Methods. A retrospective chart review was performed including all tissue expander based breast reconstructions with AlloDerm (LifeCell, Branchburg, NJ) over 4 years. We evaluated preoperative characteristics and assessed postoperative complications including seroma, hematoma, infection, skin necrosis, and need for reintervention. We reviewed ADM thickness and time to Jackson-Pratt (JP) drain removal. Results. Fifty-five patients underwent 77 ADM-associated tissue expander based breast reconstructions, with average age of 48.1 years and average BMI of 25.9. Average ADM thickness was 1.21 mm. We found higher complication rates in the thick ADM group. Significant associations were found between smokers and skin necrosis (p<0.0001) and seroma and prolonged JP drainage (p=0.0004); radiated reconstructed breasts were more likely to suffer infections (p=0.0085), and elevated BMI is a significant predictor for increased infection rate (p=0.0037). Conclusion. We found a trend toward increased complication rates with thicker ADMs. In the future, larger prospective studies evaluating thickness may provide more information.

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