Acellular Dermis-Assisted Breast Reconstruction

Spear, Scott L.; Parikh, Pranay M.; Reisin, Elan; Menon, Nathan G.

doi:10.1007/s00266-008-9128-8

Cited by 379 publications

(242 citation statements)

References 12 publications

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“…For example, Spear et al reported a 45.5% complication rate in irradiated breasts compared to 4.3% in nonirradiated breasts reconstructed with AlloDerm ® [2]. In the present study, it is noticeable that the frequency of implant/ TE losses was higher in irradiated Surgisis ® patients than in non-irradiated Surgisis ® patients (40% vs. 11%).…”

Section: Discussionsupporting

confidence: 44%

“…Often stated advantages [1] with the use of matrix are a better aesthetic result, with a better control and definition of the implant pocket and inframammary fold, and the possibility to use a dual-plane technique and less muscle dissection [2][3][4]. However, it is difficult to evaluate the aesthetic result after breast reconstruction, as there are no validated instruments available and no consensus on how the evaluation should be performed [11].…”

Section: Discussionmentioning

confidence: 99%

“…Often stated advantages [1] include a better control and definition of the implant pocket and inframammary fold and the possibility to use a dual-plane technique and less muscle dissection [2][3][4]. Moreover, capsule formation may be less pronounced when matrices are used [2,5]. Possible drawbacks are an increased risk of complications, such as infection, skin necrosis, loss of implant and seroma formation [6,7] and a non-negligible cost [8].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up

et al. 2018

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Background Matrices are now commonly used in breast reconstruction, but the scientific evidence is still scares. The main aim was to compare complications and the need for corrections in immediate breast reconstruction with the porcine-derived Surgisis ® with the traditional muscle-covered technique. The secondary aim was to compare long-term quality of life and satisfaction. Methods All consecutive patients who had their breast reconstructed with a Surgisis ® or muscle-covered tissue expander/implant were included. Patients were followed clinically and with BREAST-Q. Results During the study period, 116 reconstructions (71 patients) were operated in the Surgisis ® group and 132 reconstructions (90 patients) in the control group. The median follow-up time was 74 months (min 43-max 162). The total early complication rate was 37% in the Surgisis ® group and 27% in the control group. There were no differences in implant loss (p = 0.68) or total number of complications (p = 0.24) between the two groups. Risk factors for complications were mainly patient characteristics and the use of a tissue expander. There was a slightly higher capsular contracture frequency in the Surgisis ® patients (4.2% vs. 2.5%). The need for corrections and patient satisfaction and quality of life were similar in the two groups. Conclusions The use of Surgisis ® in implant-based reconstruction seems to result in an acceptable total early complication rate. The rate might be higher in tissue expander-based reconstruction. Risk factors are mainly patient characteristics. The capsular contracture rate and need for corrections, as well as patient satisfaction and quality of life, are similar in the Surgisis ® patients and muscle-covered controls. Level of evidence: III

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Section: Discussionsupporting

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up

et al. 2018

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“…Most of them still involve implant-based procedures. This is due to the fact that implant-based reconstruction is a less invasive option when compared to autologous approaches as there is generally a decrease in morbidity but also it being the most costeffective method (1)(2)(3). Current available literature shows that implant-based reconstruction is used in 37% of breast cancer patients (4,5).…”

Section: Complications Requiring Revision Surgery Did Not Differ Signmentioning

confidence: 99%

A Head to Head Comparison Between SurgiMend® – Fetal Bovine Acellular Dermal Matrix and Tutomesh® – A Bovine Pericardium Collagen Membrane in Breast Reconstruction in 45 Cases

2017

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Breast reconstruction

Blondeel

and

Tromaropoulos

2015

Plastic and Reconstructive Surgery

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The presence of breasts is a defining feature of adult mammalian gender. It must therefore be considered an essential element of human femininity, and the role it plays in female psychology cannot be understated. 1,2 The requirement for reconstruction of the female breast is almost exclusively consequent on breast surgery for breast cancer.Providers are becoming legally bound to educate and prepare patients who require mastectomy for reconstruction, such that informed choices can be made. They are obliged to offer a mul tidisciplinary setting as part of a care pathway, in particular allowing for cross-specialty engagement to allow for immediate reconstruction. The surgery of reconstruction has become a recognized specialist area, which by virtue of its appreciation of three-dimensional form, and its possible call on microsurgical skills, naturally falls within the domain and skill set of the plastic surgeon.In this chapter the techniques of breast reconstruction and the principles behind them are reviewed, and it is hoped this will offer the practitioner a ready reference for what we trust will be a meticulously if not passionately executed endeavour. reconstructive aimsAny attempt at reconstruction should appreciate the nuances of breast form, volume and its complex three dimensionality. Its position on the chest wall is determined by its footprint, 3-5 a fixed entity that does not change with age, and that is set by the inframammary fold (IMF) at the 6-7th rib inferiorly, the 2nd rib superiorly, 1-2 cm behind the anterior axillary line laterally, and the lateral border of the sternum medially. The footprint sets the basic breast position on the chest, and by complementing the opposite side creates the necessary foundation for symmetry.The breast conus represents the tissue that projects from the chest wall, a complex of skin envelope with its glandular and fatty content that falls inferiorly to a variable extent over the IMF in a manner termed ptosis. Unlike the footprint, the conus is variable with age. Creating, therefore, a symmetrical ptotic conus precisely positioned on the breast footprint embodies the art of breast reconstructive sculpture. The skin envelope aids in determining shape and any damage or removal of skin will influence its final shape. The ultimate goal of breast reconstruc tion is to create symmetrical, natural-looking breasts and not necessarily a specific shape or volume. aesthetic and functional considerationsBreast ideals have changed over time, as depicted in art and reflecting past and existing cultural differences. There is also a potential variation between what the surgeon and the patient perceives as aesthetic. For this reason it is critical to be attentive to the patient's wishes, appreciating that simple breast symmetry rather than an idealized form may well be their preference.However, insofar as it is possible to specify what an ideal breast should be, the following can be stated: 6 • Breast size relates to the size and shape of the torso.• Nipple placement is critical -ideall...

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Acellular Dermis-Assisted Breast Reconstruction

Abstract: Acellular dermis appears to be a useful adjunct in immediate prosthetic breast reconstruction. Acellular dermis-assisted breast reconstruction has a low complication rate, helps to reconstruct an aesthetically pleasing breast, and facilitates expeditious completion of the reconstruction.

Cited by 379 publications

References 12 publications

Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up

Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up

A Head to Head Comparison Between SurgiMend® – Fetal Bovine Acellular Dermal Matrix and Tutomesh® – A Bovine Pericardium Collagen Membrane in Breast Reconstruction in 45 Cases

Breast reconstruction

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