Comparison of Implant-Based Immediate Breast Reconstruction with and without Acellular Dermal Matrix

Abstract

Therapeutic, III.

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

“…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].…”

“…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].…”

Glyaderm® dermal substitute: Clinical application and long-term results in 55 patients

“…Dermal substitution is becoming more and more a standard procedure in surgical burn reconstruction. Dermal substitutes are also being used for bi-layered skin resurfacing after trauma or (oncological) resections and in the field of breast reconstruction and hernia repair [13,14]. Elastin is historically underrepresented in commercial dermal substitutes, yet it serves a fundamental role in skin structure and function.…”

Breast reconstruction following prophylactic or therapeutic mastectomy for breast cancer: Recommendations from an evidence-based provincial guideline

“…Aesthetic advantages of HADM-assisted techniques include better definition and control of the implant pocket, better infra-and lateral mammary fold definition, more natural ptosis and reduced rates of capsular contracture (107)(108)(109). Data from meta-analyses have revealed slightly higher rates of seroma, infection and flap necrosis for HADM-assisted reconstructions compared with traditional, non-HADM-assisted techniques (110,111), although pooling of early results from multiple surgeons' initial experiences with the product may have biased the results (112).…”