Acellular dermal matrix in implant-based immediate breast reconstructions: a comparison of prepectoral and subpectoral approach

Gland Surgery
Mihir ChandaranaSankaran Narayanan

Abstract

Implant-based immediate breast reconstruction (IBR) is the most common technique for post-mastectomy reconstructions in the United Kingdom (UK). Subpectoral implant placement is the conventional method of reconstruction. Placement of implant in the subcutaneous pocket covered by an acellular dermal matrix (ADM) is a relatively recent approach. We report a comparative analysis of prepectoral versus subpectoral approach for implant-based IBR from a single institution in the UK. Retrospective analysis from a prospectively maintained data was conducted from January 2015 to May 2017 including all patients who underwent a mastectomy with immediate implant-based IBR in a single breast unit. The demographic details, operative details, immediate and delayed complications were recorded. Specific complications recorded were infection, seroma, unplanned readmission and loss of implant. Factors affecting complication rates and implant loss were analyzed. One hundred and fifty-four reconstructions were included in the analysis with a median follow-up of 11.8 months. Mean age of the cohort was 50 years with a mean BMI of 26.09 kg/m2. Major implant-related complication rate was 12.3% with an implant loss rate of 7.8%. Age more than 50 years (P...Continue Reading

Citations

Jan 9, 2020·Annals of Plastic Surgery·Yunzhu LiXiao Long
May 27, 2020·The Breast Journal·Carmen LeserChristian Singer
Nov 28, 2019·Archives of Plastic Surgery·Diana Lydia DyrbergJørn Bo Thomsen
Feb 6, 2020·BJS Open·M ChandaranaUNKNOWN National Braxon Audit Study Group
Jun 10, 2020·Breast Cancer Research and Treatment·Olivia AbbateEric C Liao
Nov 13, 2020·Plastic and Reconstructive Surgery·Michael R DeLongEdwin G Wilkins
Sep 29, 2021·Journal of Plastic Surgery and Hand Surgery·Jiaheng XieJingping Shi

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