Details

Autor(en) / Beteiligte

• Mata Ribeiro Luís
• Meireles Rita P.
• Brito Irís M.
• Costa Patrícia M.
• Rebelo Marco A.
• Barbosa Rui F.
• Choupina Miguel P.
• Pinho Carlos J.
• Ribeiro Matilde P.

Titel

Comparison of Outcomes in Immediate ImplantBased Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

Ist Teil von

• Archives of Plastic Surgery, 2022, 49(2), , pp.158-165

Ort / Verlag

대한성형외과학회

Erscheinungsjahr

2022

Link zum Volltext

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• 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. KCI Citation Count: 0