The Prospects of Using Meshes in Imediate Implant - Based Breast Reconstructions

Breast reconstruction involves two major conditions: to be oncologically safe and to respect the aesthetic of the reconstructed breast. Moreover, every healthcare system in the world manifests a keen tendency to cut back on medical costs, which influences our surgical techniques and breast reconstruction procedures. The use of biological matrices like the acellular dermal matrix has become an acknowledged alternative in implant-based breast reconstruction, in spite of the many impediments and controversies that surround it. However, these matrices are costly and less attainable as compared to synthetic meshes that are conservative with resources and unyielding to the formation of biofilm bacteria. Accordingly, we decided to research the impact of synthetic meshes in implant-based breast reconstruction.

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Breast Reconstruction with Implants and Tissue Expanders

Operative Plastic Surgery ◽

10.1093/med/9780190499075.003.0064 ◽

2019 ◽

pp. 669-676

Author(s):

Ruth J. Barta ◽

Omotinuwe Adepoju ◽

Bruce Cunningham

Keyword(s):

Breast Reconstruction ◽

Acellular Dermal Matrix ◽

Fat Grafting ◽

Implant Design ◽

Patient Specific ◽

Dermal Matrix ◽

Tissue Expanders ◽

Aesthetic Results ◽

The Aesthetic ◽

Acellular Dermal

This chapter details breast reconstruction following breast surgery. Over the past decade the number of women choosing reconstruction with tissue expanders and implants has steadily increased, while the percentage of women having autologous reconstruction has plateaued or fallen off. The authors explain the use of tissue expanders and implants and detail the advancements made in the ability to evaluate tissue in real-time intervals. Additional advances in technique, implant design, acellular dermal matrix, and fat grafting have improved the aesthetic results of breast reconstruction even further, and these techniques are discussed in detail. The authors address patient-specific indications and contraindications, the use of acellular dermal matrix, the assessment of the defect and perfusion, patient markings, room setup, and operative technique.

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The Impact of Acellular Dermal Matrix on Tissue Expander/Implant Loss in Breast Reconstruction

Plastic & Reconstructive Surgery ◽

10.1097/prs.0b013e318290f917 ◽

2013 ◽

Vol 132 (1) ◽

pp. 1-10 ◽

Cited By ~ 39

Author(s):

Christopher J. Pannucci ◽

Anuja K. Antony ◽

Edwin G. Wilkins

Keyword(s):

Breast Reconstruction ◽

Tissue Expander ◽

Acellular Dermal Matrix ◽

Dermal Matrix ◽

The Impact ◽

Acellular Dermal

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Systematic review and critical appraisal of the impact of acellular dermal matrix use on the outcomes of implant-based breast reconstruction

British Journal of Surgery ◽

10.1002/bjs.9804 ◽

2015 ◽

Vol 102 (9) ◽

pp. 1010-1025 ◽

Cited By ~ 42

Author(s):

S. Potter ◽

D. Browning ◽

J. Savović ◽

C. Holcombe ◽

J. M. Blazeby

Keyword(s):

Systematic Review ◽

Breast Reconstruction ◽

Critical Appraisal ◽

Acellular Dermal Matrix ◽

Dermal Matrix ◽

The Impact ◽

Acellular Dermal

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Clinical experience with Surgimend in breast reconstruction: an overview

British Journal of Hospital Medicine ◽

10.12968/hmed.2018.0428c ◽

2020 ◽

Vol 81 (3) ◽

pp. 1-18

Author(s):

F Bassetto ◽

L Pandis

Keyword(s):

Breast Reconstruction ◽

Clinical Outcomes ◽

Clinical Experience ◽

Surgical Techniques ◽

Acellular Dermal Matrix ◽

Dermal Matrix ◽

Quality Outcomes ◽

Fetal Bovine ◽

Acellular Dermal

In the field of breast reconstruction, products and techniques are continuing to evolve to ensure good clinical and quality outcomes. This article reviews the published literature regarding the use of fetal bovine-derived acellular dermal matrix (SurgiMend, SurgiMend PRS and SurgiMend PRS meshed), focusing on safety, clinical outcomes and surgical techniques.

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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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