scholarly journals Capsular contracture in implant based breast reconstruction—the effect of porcine acellular dermal matrix

Gland Surgery ◽  
2017 ◽  
Vol 6 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Alessia M. Lardi ◽  
Mark Ho-Asjoe ◽  
Klaus Junge ◽  
Jian Farhadi
Keyword(s):  
Breast Reconstruction ◽  
Capsular Contracture ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Porcine Acellular Dermal Matrix ◽  
Acellular Dermal

Ancillary considerations in breast surgery

2021 ◽  
pp. 1145-1150
Author(s):  
Emily G. Clark ◽  
Melissa A. Mueller ◽  
Gregory R.D. Evans
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Capsular Contracture ◽  
Acellular Dermal Matrix ◽  
Fat Grafting ◽  
Dermal Matrix ◽  
Oncological Safety ◽  
Acellular Dermal ◽  
Radiographic Changes ◽  
Suspicious Lesions

Debated topics and new and evolving techniques in breast surgery are discussed in this chapter. Antibiotics and the use of closed-suction drains vary among surgeons, but the existing evidence favours discontinuation of antibiotics within 24 hours in most cases, and the indications for drains are limited but include breast reconstruction with acellular dermal matrix (ADM). ADM is a biological tissue substitute with many applications in breast surgery. The product selected and surgical technique used are often case specific; cost and patient anatomy play major roles. Although not suitable for all patients, ADM is an asset to prosthetic breast reconstruction. In addition, ADM is useful in the correction of breast surgery complications, including malpositioning and capsular contracture. It may be combined with fat grafting to mask rippling. Fat grafting, or lipomodelling, is an evolving science with promising results. Technique is critical for good results, and is described in this chapter. Radiographic changes after fat grafting are usually discernible from suspicious lesions, and growing evidence supports the oncological safety of this procedure

scholarly journals Evidence for the Use of Acellular Dermal Matrix in Implant-Based Breast Reconstruction

2019 ◽  
Vol 33 (04) ◽  
pp. 229-235 ◽  
Author(s):  
Paula R. Gravina ◽  
Rowland W. Pettit ◽  
Matthew J. Davis ◽  
Sebastian J. Winocour ◽  
Jesse C. Selber
Keyword(s):  
Breast Reconstruction ◽  
Capsular Contracture ◽  
Acellular Dermal Matrix ◽  
Patient Specific ◽  
Dermal Matrix ◽  
Biological Scaffolds ◽  
Dermal Matrices ◽  
Tissue Grafts ◽  
Cellular Components ◽  
Acellular Dermal

AbstractAcellular dermal matrices (ADMs) are tissue grafts that have been specially processed to remove all cellular components. These machined biological scaffolds have become popular in a variety of surgical settings due to their rapid incorporation into living tissue. As ADMs are highly malleable and cause minimal inflammation, they have come to serve as a useful tool in implant-based breast reconstruction procedures. The major benefits of using an ADM in this setting include superior initial breast contouring, decreased risk of capsular contracture after implant insertion, and consistent sustained positioning of the reconstructed breast. Despite these advantages, these tissue grafts are foreign to the host, and postoperative complications following ADM insertion, including infection and seroma, have been well documented. When considering using ADMs in this setting, it is important to first consider patient-specific factors that could preclude their use, such as low body mass index, small breasts, or a history of radiation exposure to the breast tissue. ADM grafts are also expensive, which may present another barrier to their use. Review of the literature ultimately suggests a continued role for ADMs in implant-based breast reconstruction, and continued research in this field is warranted.

Prepectoral breast reconstruction using the Braxon® porcine acellular dermal matrix: a retrospective study

2018 ◽  
Vol 42 (2) ◽  
pp. 145-154 ◽  
Author(s):  
Marco Gardani ◽  
Francesco Simonacci ◽  
Giuseppina De Sario ◽  
Francesca Cattadori ◽  
Edoardo Raposio ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Porcine Acellular Dermal Matrix ◽  
Acellular Dermal
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