The Use of Acellular Dermal Matrix in Immediate Two-Stage Tissue Expander Breast Reconstruction

Abstract

Therapeutic, III.

Evolving options for breast reconstruction

“…These include high-riding implants secondary to limited control over IMF positioning, difficulty creating breast ptosis, and overall diminished esthetic outcome. 35 …”

Biological and Synthetic Mesh Use in Reconstructive Surgery in Patients With Breast Cancer

“…Similarly, Parks reported a 29,9% seromas in ADM group and 15,7% in the group without ADM [40]. However, there are many studies that show no statistically significant difference in the development of seromas caused by ADM [37,41,45,52,54,56]. Thus, according to Liu et al, seroma frequency was 7.1% in the ADM group versus 3,9% in the group without ADM, while according to Lanier et al, it was 13, 4% versus 6, 7%, respectively, the data did not reach the statistical significance.…”

“…There are many reports that demonstrate increase in the number of infectious complications in patients with ADM [36,37,44,45,[57][58][59]. Timely antibiotic therapy is important.…”

“…However, there are indications in medical articles about an increase in the number of postoperative infectious complications, seromas, and explantations [37,39,[43][44][45].…”

“…The combination of ablasticity and surgery reconstructive techniques is necessary to achieve the best results. All cuts must be pre-marked, submammary fold must be marked and, if possible, preserved during the mastectomy, skin flaps should be thick enough to preserve adequate circulation and to prevent possible loss of the skin graft [37,44,45].…”