Direct to implant breast reconstruction with biological acellular dermal matrices

Breast cancer is the most commonly diagnosed female cancer in the UK, with one in eight women receiving a cancer diagnosis during their lifetime. Forty per cent of women diagnosed with breast cancer undergo mastectomy as their primary therapeutic procedure. While a full range of choices is offered, breast reconstruction using implants is the patient-preferred method of reconstruction following mastectomy. This review discusses the evolution of implant-based reconstruction, focusing on the recent trend towards prepectoral breast reconstruction. Key quality indicators in the current literature are considered, including oncological outcomes, aesthetics and patient-related outcome measures, as are the health-care economics of this emerging surgical technique.

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Acellular dermal matrices as an adjunct to implant breast reconstruction: Analysis of outcomes and complications

European Journal of Surgical Oncology ◽

10.1016/j.ejso.2019.10.042 ◽

2020 ◽

Vol 46 (4) ◽

pp. 511-515 ◽

Cited By ~ 3

Author(s):

Marios-Konstantinos Tasoulis ◽

Victoria Teoh ◽

Ayesha Khan ◽

Catherine Montgomery ◽

Kabir Mohammed ◽

...

Keyword(s):

Breast Reconstruction ◽

Dermal Matrices ◽

Acellular Dermal ◽

Implant Breast Reconstruction

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Submuscular and Pre-pectoral ADM Assisted Immediate Breast Reconstruction: A Literature Review

Medicina ◽

10.3390/medicina56060256 ◽

2020 ◽

Vol 56 (6) ◽

pp. 256 ◽

Cited By ~ 5

Author(s):

Roberto Cuomo

Keyword(s):

Breast Cancer ◽

Literature Review ◽

Breast Reconstruction ◽

Breast Cancer Treatment ◽

Immediate Breast Reconstruction ◽

Current Data ◽

Dermal Matrices ◽

Complications Rate ◽

Acellular Dermal ◽

Positive Results

Background and objectives: Breast cancer treatment has deeply changed in the last fifty years. Acellular dermal matrices (ADMs) were introduced for breast reconstruction, with encouraging results, but with conflicting reports too. The present paper aims to summarize the current data on breast reconstruction using acellular dermal matrices. Materials and Methods: We reviewed the literature regarding the use of ADM-assisted implant-based breast reconstruction. Results: The main techniques were analyzed and described. Conclusions: Several authors have recently reported positive results. Nevertheless, an increased complications’ rate has been reported by other authors. Higher cost compared to not-ADM-assisted breast reconstruction is another concern.

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Trends in post-mastectomy breast reconstruction types at a breast cancer tertiary referral centre before and after introduction of acellular dermal matrices

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2017.08.016 ◽

2018 ◽

Vol 71 (1) ◽

pp. 21-27 ◽

Cited By ~ 4

Author(s):

Hadyn K.N. Kankam ◽

George J.M. Hourston ◽

Laura J. Fopp ◽

John R. Benson ◽

Sarah L. Benyon ◽

...

Keyword(s):

Breast Cancer ◽

Breast Reconstruction ◽

Referral Centre ◽

Tertiary Referral ◽

Tertiary Referral Centre ◽

Before And After ◽

Dermal Matrices ◽

Acellular Dermal

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Lessons Learned from Three Different Acellular Dermal Matrices in Direct-to-Implant Breast Reconstruction

Modern Plastic Surgery ◽

10.4236/mps.2021.111004 ◽

2021 ◽

Vol 11 (01) ◽

pp. 22-35

Author(s):

Claas Spengler ◽

Roland Mett ◽

Frank Masberg ◽

Peter M. Vogt ◽

Tobias R. Mett

Keyword(s):

Breast Reconstruction ◽

Lessons Learned ◽

Dermal Matrices ◽

Acellular Dermal ◽

Implant Breast Reconstruction

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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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