Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap.

Autor: Mata Ribeiro L; Plastic and Reconstructive Surgery Department, Centro Hospitalar Universitário Lisboa Central, Hospital São José, Lisbon, Portugal., Meireles RP; Plastic and Reconstructive Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Brito IM; Plastic and Reconstructive Surgery Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Costa PM; Plastic and Reconstructive Surgery Department, Centro Hospitalar Universitário Lisboa Central, Hospital São José, Lisbon, Portugal., Rebelo MA; Plastic and Reconstructive Surgery Department, Instituto Português de Oncologia do Porto, Porto, Portugal., Barbosa RF; Plastic and Reconstructive Surgery Department, Instituto Português de Oncologia do Porto, Porto, Portugal., Choupina MP; Plastic and Reconstructive Surgery Department, Instituto Português de Oncologia do Porto, Porto, Portugal., Pinho CJ; Plastic and Reconstructive Surgery Department, Instituto Português de Oncologia do Porto, Porto, Portugal., Ribeiro MP; Plastic and Reconstructive Surgery Department, Instituto Português de Oncologia do Porto, Porto, Portugal.
Jazyk: angličtina
Zdroj: Archives of plastic surgery [Arch Plast Surg] 2022 Apr 06; Vol. 49 (2), pp. 158-165. Date of Electronic Publication: 2022 Apr 06 (Print Publication: 2022).
DOI: 10.1055/s-0042-1744404
Abstrakt: Background  Implant-based breast reconstruction has evolved tremendously in the last decades, mainly due to the development of new products and techniques that make the procedure safer and more reliable. The purpose of this study was to compare the outcomes in immediate one-stage breast reconstruction between acellular dermal matrix (ADM) and inferior dermal flap (IDF). Methods  We conducted a retrospective comparative study of patients submitted to immediate breast reconstructions with an anatomical implant and ADM or IDF in a single center between 2016 and 2018. Outcomes evaluated included major complications, early complications, reinterventions, readmissions, and reconstruction failure. Simple descriptive statistics and univariate analysis were performed. Results  A total of 118 breast reconstructions (85 patients) were included in the analysis. Patients in the IDF group had a higher body mass index (median = 27.0) than patients in the ADM group (median = 24). There were no statistically significant differences among both groups regarding immediate major complication, early complications, readmissions, and reinterventions. Conclusion  There are no significant differences in complications between the ADM and IDF approach to immediate implant breast reconstruction. In patients with higher body mass index and large, ptotic breasts, we recommend an immediate implant reconstruction with IDF.
Competing Interests: Conflict of Interest None declared.
(The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
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