Decreased Length of Postoperative Drain Use, Parenteral Opioids, Length of Stay, and Complication Rates in Patients Receiving Meshed versus Unmeshed Acellular Dermal Matrix in 194 Submuscular Tissue Expander–Based Breast Reconstructions

2020 ◽  
Vol 145 (4) ◽  
pp. 889-897 ◽  
Author(s):  
Sarah E. Hagarty ◽  
Lawrence L. Yen ◽  
Jessica Luo ◽  
Christopher R. Fosco ◽  
Kayeromi Gomez ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Complication Rates ◽  
Dermal Matrix ◽  
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.

The Effect of Acellular Dermal Matrix Use on Complication Rates in Tissue Expander/Implant Breast Reconstruction

2010 ◽  
Vol 64 (5) ◽  
pp. 674-678 ◽  
Author(s):  
Steven T. Lanier ◽  
Eric D. Wang ◽  
John J. Chen ◽  
Balvant P. Arora ◽  
Steven M. Katz ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Complication Rates ◽  
Dermal Matrix ◽  
Acellular Dermal ◽  
Implant Breast Reconstruction

Histologic Analysis of Fetal Bovine Derived Acellular Dermal Matrix in Tissue Expander Breast Reconstruction

2013 ◽  
Vol 70 (4) ◽  
pp. 447-453 ◽  
Author(s):  
Richard S. Gaster ◽  
Aaron J. Berger ◽  
Stefanie D. Monica ◽  
Robert T. Sweeney ◽  
Ryan Endress ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Histologic Analysis ◽  
Fetal Bovine ◽  
Acellular Dermal

Prosthetic-Based Breast Reconstruction

2020 ◽  
Author(s):  
Jonathan Nguyen ◽  
Justin Williams ◽  
Albert Losken
Keyword(s):  
Breast Reconstruction ◽  
Breast Implant ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Large Cell ◽  
Fat Grafting ◽  
Immediate Reconstruction ◽  
Dermal Matrix ◽  
Prosthetic Reconstruction ◽  
Acellular Dermal

Prosthetic reconstruction is the most popular option for breast reconstruction after mastectomy. There are several different techniques, such as prepectoral versus subpectoral placement, and delayed versus immediate reconstruction, each with their own sets of risks and benefits. With the advent of improved implant technology, acellular dermal matrix, and fat grafting, prepectoral direct to implant has become an accepted and increasingly popular method of reconstruction, with similar to improved complication rates and outcomes as traditional staged tissue expander reconstruction. Prosthetic reconstruction has had some recent controversies, including breast implant associated anaplastic large cell lymphoma and breast implant illness, and many future studies are being directed towards these topics. This review contains 5 figures, and 53 references. Keywords: breast reconstruction, breast implant, acellular dermal matrix, prepectoral reconstruction, tissue expander, fat grafting, capsular contracture, immediate reconstruction, breast implant associated anaplastic large cell lymphoma, breast implant illness

Systematic Review of the Impact of Acellular Dermal Matrix on Aesthetics and Patient Satisfaction in Tissue Expander-to-Implant Breast Reconstructions

2019 ◽  
Vol 144 (6) ◽  
pp. 967e-974e ◽  
Author(s):  
Michael R. DeLong ◽  
Vickram J. Tandon ◽  
Matthew Farajzadeh ◽  
Nicholas L. Berlin ◽  
Mark P. MacEachern ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
The Impact ◽  
Acellular Dermal

scholarly journals Immediate Implant-based Breast Reconstruction with Acellular Dermal Matrix Compared with Tissue-expander Breast Reconstruction

2018 ◽  
Vol 6 (12) ◽  
pp. e1949 ◽  
Author(s):  
Marcello Carminati ◽  
Darja Sempf ◽  
Pier Paolo Bonfirraro ◽  
Luca Devalle ◽  
Maurizio Verga ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Immediate Implant ◽  
Acellular Dermal

scholarly journals Tissue Expansion after Non-Skin-Sparing Mastectomy: A Comparative Study of Expansion Courses of Prepectoral and Subpectoral Tissue Expander Placement with Acellular Dermal Matrix

2021 ◽  
Vol 10 (19) ◽  
pp. 4502
Author(s):  
Daiwon Jun ◽  
Jin Kwan Kim ◽  
Byung Yeun Kwon ◽  
Young Jin Kim ◽  
Ji Young Rhu ◽  
...  
Keyword(s):  
Tissue Expander ◽  
Tissue Expansion ◽  
Acellular Dermal Matrix ◽  
Radical Excision ◽  
Dermal Matrix ◽  
Final Volume ◽  
Fill Volume ◽  
The Mean ◽  
Number Of Visits ◽  
Acellular Dermal

Although skin- or nipple-sparing mastectomy has been popular in the treatment of breast cancer, the radical excision of breast tissue is unavoidable in certain circumstances. However, the ability of an acellular dermal matrix (ADM) to expand remains questionable, and this situation may further hinder tissue expansion. From October 2017 to January 2020, patients who underwent immediate breast reconstruction with tissue expander placement using ADM whose initial fill volume was less than 50 mL were retrospectively reviewed. The primary outcomes were the number of visits and number of days required to complete the expansion, and the secondary outcomes were the amount of postoperative expansions, expander fill ratio and expander volume. Between the prepectoral group (n = 26) and subpectoral group (n = 39), the mean number of days (81.46 days versus 88.64 days, p = 0.365) and mean number of visits (5.08 versus 5.69, p = 0.91) required to complete expansion exhibited no significant differences. Additionally, there were no significant differences in the mean amount of postoperative expansion (314.23 mL versus 315.38 mL, p = 0.950), the mean final volume (353.08 mL versus 339.62 mL, p = 0.481) or the mean final volume ratio (0.89 versus 0.86, p = 0.35) between the two groups. Therefore, we suggest that prepectoral tissue expander placement after conventional mastectomy can be a valid option.

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