Impact of Acellular Dermal Matrix (ADM) Use Under Mastectomy Flap Necrosis on Perioperative Outcomes of Prosthetic Breast Reconstruction

Kim, So Young; Bang, Sa Ik

doi:10.1007/s00266-017-0794-2

Cited by 17 publications

(19 citation statements)

References 21 publications

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“… 10 , 24 Previous studies, however, have shown a high variance in complication rate with this technique, ranging from only 5% up till 50%. 4 , 7 – 9 It can be expected that patient-reported satisfaction rates vary analogously; however, this has not been clearly established.…”

Section: Discussionmentioning

confidence: 99%

“…Data regarding the safety of ADM use in IBBR vary widely, with complication rates ranging from below 5% to more than 50%. 4 , 7 – 9 Recent results indicate that expertise with both the technique and the careful selection of eligible patients are important factors for optimal clinical outcomes. 9 , 10 However, to assess to what extent the eventual goal of breast reconstructive surgery is reached, that is, to enhance the quality of life, measurement of patient-reported outcomes (PROs) is essential.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction: A Cross-sectional Study

Negenborn

Dikmans

Bouman

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction: A Cross-sectional Study

Negenborn

Dikmans

Bouman

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…In 2017, Kim and Bang linked the use of ADM and the mastectomy flap necrosis [ 28 ]. Powell-Brett and Goh [ 113 ] reported 10.4% cases of skin necrosis in a study with ADM-assisted immediate breast reconstruction.…”

Section: Resultsmentioning

confidence: 99%

“…Immediate breast reconstruction (IBR) received an important boost in popularity as a consequence of the advent of ADMs [ 2 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. The use of ADMs showed encouraging results but conflicting reports as well [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ]. ADMs-assisted breast reconstruction can be divided into pre-pectoral and submuscular.…”

Section: Introductionmentioning

confidence: 99%

Submuscular and Pre-pectoral ADM Assisted Immediate Breast Reconstruction: A Literature Review

Cuomo

2020

Medicina

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Background and objectives: Breast cancer treatment has deeply changed in the last fifty years. Acellular dermal matrices (ADMs) were introduced for breast reconstruction, with encouraging results, but with conflicting reports too. The present paper aims to summarize the current data on breast reconstruction using acellular dermal matrices. Materials and Methods: We reviewed the literature regarding the use of ADM-assisted implant-based breast reconstruction. Results: The main techniques were analyzed and described. Conclusions: Several authors have recently reported positive results. Nevertheless, an increased complications’ rate has been reported by other authors. Higher cost compared to not-ADM-assisted breast reconstruction is another concern.

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“…fused mastectomy flaps, which ultimately leads to matrix disintegration and possible complications[17] [18] [19] [20]. Rapid integration of ADM is important to avoid complications such as seroma or infection[21]. A study by Kim et al showed that the use of ADM in case of necrotic mastectomy flap led to higher explantation rates, although only with borderline statistical significance[21].C.…”

mentioning

confidence: 99%

Lessons Learned from Three Different Acellular Dermal Matrices in Direct-to-Implant Breast Reconstruction

Spengler¹,

Mett²,

Masberg³

et al. 2021

MPS

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The aim of the study was to show significant differences regarding postoperative complications and outcomes using three different Acellular Dermal Matrices (ADM), namely Epiflex®, Strattice® and Braxon®, in immediate implant-based subpectoral breast reconstruction cases. Background: The use of Acellular Dermal Matrices for implant-based breast reconstruction cases continues to evolve. There is a wide variety of products which differ significantly in their biological features. It remains unclear if and how these differences manifest in clinical practice. Methods: 82 cases of primary breast reconstruction in the Department of Plastic and Aesthetic Surgery of HELIOS Clinics Schwerin, Germany between 2010 and 2018 were analyzed. 25 patients received Strattice® acellular dermal matrix (SADM), 22 cases Epiflex® acellular dermal matrix (EADM) and the remaining 35 cases Braxon® acellular dermal matrix (BADM). The mean follow-up was 1.8 years. Cases were analyzed regarding minor or major complications and rate of capsular contracture grade III or IV (Baker Classification). Results: The overall complication rate was 34.1% for all groups (SADM = 40%, EADM = 50%, BADM = 20%, p-value = 0.051). Of all cases, 6 patients underwent implant exchange or secondary autologous reconstruction due to capsular contracture (7.3%). The mean time between revision due to capsular contracture and reconstruction was 35.8 ± 14.4 months. 50% of patients, who developed capsular contracture, received postoperative radiation. Mean hospitalization time was 8.2 ± 3 days (SADM = 8 ± 3.2 days, EADM = 10 ± 2.8 days, BADM = 6 ± 1.3 days). There were no significant differences between all three groups for demographics, overall complication rate or capsular contracture. However, patients receiving Brax-on® matrix showed significantly fewer minor complications (p-value = 0.01). Moreover, patients receiving Braxon® ADM showed a significantly lower time

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Impact of Acellular Dermal Matrix (ADM) Use Under Mastectomy Flap Necrosis on Perioperative Outcomes of Prosthetic Breast Reconstruction

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 17 publications

References 21 publications

Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction: A Cross-sectional Study

Patient-reported Outcomes after ADM-assisted Implant-based Breast Reconstruction: A Cross-sectional Study

Submuscular and Pre-pectoral ADM Assisted Immediate Breast Reconstruction: A Literature Review

Lessons Learned from Three Different Acellular Dermal Matrices in Direct-to-Implant Breast Reconstruction

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