Article
Health Care Sciences & Services
Gianluca Franceschini, Lorenzo Scardina, Alba Di Leone, Daniela Andreina Terribile, Alejandro Martin Sanchez, Stefano Magno, Sabatino D'Archi, Antonio Franco, Elena Jane Mason, Beatrice Carnassale, Federica Murando, Armando Orlandi, Liliana Barone Adesi, Giuseppe Visconti, Marzia Salgarello, Riccardo Masetti
Summary: Compared to traditional submuscular placement, using micropolyurethane-foam-coated implants for immediate prosthetic breast reconstruction showed significant advantages in aesthetic results, chronic pain, shoulder dysfunction, and skin sensibility, as well as shorter operative time and lower cost.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Chemistry, Multidisciplinary
Young-Joo Lee, Suhail K. Kanchwala, Hyesung Cho, Jason Christopher Jolly, Eric Jablonka, Michael Tanis, Randall D. Kamien, Shu Yang
Summary: To achieve successful and aesthetic breast reconstruction for breast cancer survivors, acellular dermal matrices (ADMs) are commonly used. However, traditional ADM sheets cannot fully cover breast implants without wrinkles. In this study, a kirigami strategy is proposed to cut ADM sheets with controlled stretchability, curvature, and elasticity. This approach allows for better conformity and support for reconstructed breasts, offering potential benefits in terms of outcomes and cost efficiency.
ADVANCED MATERIALS
(2023)
Article
Oncology
Julie Kalstrup, Cecilie Balslev Willert, Marie Brinch-Moller Weitemeyer, Annette Hougaard Chakera, Lisbet Rosenkrantz Holmich
Summary: Immediate direct-to-implant breast reconstruction with acellular dermal matrix (ADM) is a popular method, but the use of ADM remains controversial. This study investigated complications and risk factors in this procedure, finding a 34% complication rate within 6 months and a 13% explantation rate. Proper patient selection is crucial in minimizing complications.
Article
Oncology
Basilio Duenas-Rodriguez, Joaquin Navarro-Cecilia, Carolina Luque-Lopez, Belen Sanchez-Andujar, Juan Arsenio Garcelan-Trigo, Maria Jesus Ramirez-Exposito, Jose Manuel Martinez-Martos
Summary: This study evaluated postoperative complications, aesthetic results, and satisfaction outcomes in patients with breast cancer who underwent skin-sparing or nipple-sparing mastectomy with immediate prosthetic reconstruction. The use of a biological mesh during reconstruction resulted in lower implant loss and higher satisfaction rates.
Article
Surgery
Nishant Ganesh Kumar, Nicholas L. Berlin, Hyungjin M. Kim, Jennifer B. Hamill, Jeffrey H. Kozlow, Edwin G. Wilkins
Summary: This study aimed to identify patient subgroups where acellular dermal matrix (ADM) improved clinical outcomes and patient-reported outcomes (PROs) in expander-implant-based breast reconstruction. Results showed that ADM was associated with a greater risk of major complications, particularly in high-BMI patients, and no significant improvement in patient satisfaction, psychosocial well-being, sexual well-being, and physical well-being. This suggests a more critical approach to the use of ADM in expander-implant reconstruction may be necessary.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2021)
Article
Oncology
Angel Arnaout, Jing Zhang, Simon Frank, Moein Momtazi, Erin Cordeiro, Amanda Roberts, Ammara Ghumman, Dean Fergusson, Carol Stober, Gregory Pond, Ahwon Jeong, Lisa Vandermeer, Brian Hutton, Mark Clemons
Summary: The prospective randomized clinical trial comparing DermACELL and Alloderm-RTU for immediate implant-based breast reconstruction following mastectomy found no significant difference in drain duration, minor, or major complications between the two materials.
Article
Surgery
Rachel E. Aliotta, Eliana F. R. Duraes, Isis Scomacao, Megan Morisada, Susan Orra, Andrea Moreira, Steven Bernard, Graham Schwarz, Risal Djohan
Summary: This study demonstrates that using acellular dermal matrix for breast reconstruction can lead to favorable clinical and aesthetic outcomes while reducing the number of surgeries and postoperative visits. Despite the higher cost, it has a positive impact on patient quality of life and appearance.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2021)
Article
Surgery
Woo Yeon Han, Seong John Han, Eun Key Kim, Hyun Ho Han, Jin Sup Eom
Summary: This study compared the clinical outcomes of acellular dermal matrix (ADM) products that had undergone radiation sterilization with those that had not. The results showed no significant differences in overall rates of complications between the two groups, but the salvage rate from infection was higher in the group without sterilization.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Oncology
Eleonora O. F. Dimovska, Courtney Chen, Hsu-Huan Chou, Yi-Ling Lin, Ming-Huei Cheng
Summary: This study compared clinical and patient-reported outcomes in one-stage and two-stage implant-based breast reconstructions without acellular dermal matrix (ADM), finding that one-stage reconstruction provides comparable outcomes to two-stage procedures with minimal complications, shorter reconstructive journey, and satisfactory quality of life.
JOURNAL OF SURGICAL ONCOLOGY
(2021)
Article
Oncology
Rebecca L. Wilson, Cliona C. Kirwan, Joe M. O'Donoghue, Richard A. Linforth, Richard K. Johnson, James R. Harvey
Summary: The study compared the long-term outcomes of breast reconstructions using ADM and submuscular techniques, showing improved aesthetic outcomes and reduced capsular contracture in the ADM group.
Article
Surgery
F. A. K. Mazari, G. M. Wattoo, N. H. Kazzazi, K. M. Kolar, O. O. Olubowale, C. E. Rogers, I. A. Azmy
Summary: This study found no significant difference in outcomes between different prophylactic antibiotic regimens in acellular dermal matrix-assisted implant-based breast reconstructions, including implant loss, wound infection, therapeutic antibiotic prescription, and seroma rates.
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
(2021)
Article
Surgery
Ahmad Kaviani, Amir Ashraf-Ganjouei, Mahtab Vasigh, Sanaz Zand, Erica Patocskai
Summary: This study presents a novel technique for nipple-sparing mastectomy and immediate breast reconstruction in patients with large ptotic breasts. The technique involves using the pectoral muscle and an autologous dermal flap to cover the implant/tissue expander, eliminating the use of acellular dermal matrix. The results showed successful outcomes with no major complications and only minor complications that were managed conservatively.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Surgery
Hyun Jeong Ha, Seong Heum Jeong, Jun Young Yang, Chan Woo Kim, Euna Hwang
Summary: Utilizing an acellular dermal matrix garter belt in combination with capsuloplasty can effectively prevent smooth implant displacement in patients with a higher risk, reducing lateral or superior displacement after implant-based breast reconstruction.
AESTHETIC PLASTIC SURGERY
(2022)
Article
Surgery
Samyd S. Bustos, Minh-Doan Nguyen, Christin A. Harless, Nho Tran, Jorys Martinez-Jorge, Jason Lin, Antonio J. Forte, William J. Casey, Judy C. Boughey, Sarah A. McLaughlin, Richard Gray, Oscar J. Manrique
Summary: The study analyzed outcomes of obese patients undergoing breast reconstruction using the Goldilocks procedure, finding that performing only the Goldilocks procedure had fewer complications compared to immediate breast reconstruction, with no significant difference in patient satisfaction.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Obstetrics & Gynecology
N. Heine, V Hoesl, S. Seitz, L. Prantl, V Brebant
Summary: The study compared the effectiveness of using a caudal deepithelialized dermis flap for complete coverage of implants after prophylactic mastectomy with using a synthetic mesh or acellular dermal matrix. The caudal dermis flap can protect the implant from the consequences of skin necrosis after prophylactic mastectomy.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2022)