scholarly journals Muscle-Sparing ADM-Assisted Breast Reconstruction Technique Using Complete Breast Implant Coverage: A Dual-Institute UK-Based Experience

Breast Care ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. 251-254 ◽  
Author(s):  
Raghavan Vidya ◽  
Simon J. Cawthorn
Keyword(s):  
Breast Reconstruction ◽  
Breast Implant ◽  
Wound Dehiscence ◽  
Acellular Dermal Matrix ◽  
Early Experience ◽  
Reconstruction Technique ◽  
The Novel ◽  
Dermal Matrix ◽  
Superficial Wound ◽  
Muscle Sparing

Background: We report our early experience of a novel muscle-sparing breast (prepectoral) reconstruction technique using a pre-shaped Braxon® mesh (acellular dermal matrix) which completely wraps around the breast implant. Methods: All patients who underwent prepectoral implant-based breast reconstruction between April 2014 and September 2015 were included in the analysis. The dermal matrix Braxon® used is a pre-shaped matrix which forms a complete implant mesh wrap. The new breast created is placed over the chest wall without disturbing the pectoralis musculature. Results: A total of 51 (42 unilateral and 9 bilateral) muscle-sparing breast reconstructions were carried out. Complications included implant loss (n = 1; 1.7%) secondary to wound infection, seroma (n = 4; 6.7%), and superficial wound dehiscence (n = 1; 1.7%) which was re-sutured without further complication. The median follow-up period was 16.4 (range 8-25) months. Conclusion: The early experience appears highly satisfactory with good clinical outcome. The novel prepectoral implant-based breast reconstruction using the mesh wrap provides an effective alternative to the more traditional submuscular implant-based technique.

Prosthetic-Based Breast Reconstruction

2020 ◽  
Author(s):  
Jonathan Nguyen ◽  
Justin Williams ◽  
Albert Losken
Keyword(s):  
Breast Reconstruction ◽  
Breast Implant ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Large Cell ◽  
Fat Grafting ◽  
Immediate Reconstruction ◽  
Dermal Matrix ◽  
Prosthetic Reconstruction ◽  
Acellular Dermal

Prosthetic reconstruction is the most popular option for breast reconstruction after mastectomy. There are several different techniques, such as prepectoral versus subpectoral placement, and delayed versus immediate reconstruction, each with their own sets of risks and benefits. With the advent of improved implant technology, acellular dermal matrix, and fat grafting, prepectoral direct to implant has become an accepted and increasingly popular method of reconstruction, with similar to improved complication rates and outcomes as traditional staged tissue expander reconstruction. Prosthetic reconstruction has had some recent controversies, including breast implant associated anaplastic large cell lymphoma and breast implant illness, and many future studies are being directed towards these topics. This review contains 5 figures, and 53 references. Keywords: breast reconstruction, breast implant, acellular dermal matrix, prepectoral reconstruction, tissue expander, fat grafting, capsular contracture, immediate reconstruction, breast implant associated anaplastic large cell lymphoma, breast implant illness

scholarly journals Local reaction to FlexHD® acellular dermal matrix in breast reconstruction: A case report and review of the literature

2018 ◽  
Vol 1 (1) ◽  
pp. 142-148
Author(s):  
Robert Phan ◽  
Frank Lin ◽  
Dean White
Keyword(s):  
Breast Reconstruction ◽  
Medical Literature ◽  
Local Reaction ◽  
Breast Implant ◽  
Acellular Dermal Matrix ◽  
Abdominal Wall Defects ◽  
Review Of The Literature ◽  
Dermal Matrix ◽  
Thoracic And Abdominal ◽  
Acellular Dermal

Since its first reported use for the treatment of burns victims, acellular dermal matrix (ADM) use has expanded to surgeries including repairing thoracic and abdominal wall defects, and breast reconstruction. FlexHD® is a brand of ADM prepared from human cadaveric dermis that has been processed to remove antigenic components and is used to reinforce the subpectoral pocket created during submuscular breast implant surgery. Recent documentation of a phenomenon termed ‘red breast syndrome’ (RBS) has emerged in the medical literature, with little known about its aetiology and treatment. This paper presents a case of blistering cutaneous erythema from FlexHD® ADM.

Combining muscle-sparing serratus flap with acellular dermal matrix in immediate breast reconstruction

2013 ◽  
Vol 36 (6) ◽  
pp. 353-358
Author(s):  
Smita Ramanadham ◽  
Chrisovalantis Lakhiani ◽  
Menyoli Malafa ◽  
Michael Lee ◽  
Angela Cheng ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Immediate Breast Reconstruction ◽  
Dermal Matrix ◽  
Muscle Sparing ◽  
Acellular Dermal

scholarly journals Outcome of complete acellular dermal matrix wrap with polyurethane implant in immediate prepectoral breast reconstruction

2020 ◽  
Vol 47 (6) ◽  
pp. 567-573
Author(s):  
Foteini Naemonitou ◽  
Senthurun Mylvaganam ◽  
Fathi Salem ◽  
Raghavan Vidya
Keyword(s):  
Breast Reconstruction ◽  
Wound Dehiscence ◽  
Acellular Dermal Matrix ◽  
Late Complications ◽  
Long Term Results ◽  
Complication Rates ◽  
Dermal Matrix ◽  
Satisfactory Outcome ◽  
Observational Series ◽  
Acellular Dermal

Background Polyurethane implants have been used on and off in breast reconstruction since 1991 while prepectoral breast reconstruction has gained popularity in recent times. In this study, we present our outcomes from the use of acellular dermal matrix (ADM) complete wrap with polyurethane implants in prepectoral breast reconstruction.Methods This is a retrospective review of prospectively maintained database from 41 patients receiving complete ADM wrap with prepectoral polyurethane implants over a 3-year period. Selection criteria were adapted from a previous study (4135 Trust Clinical Audit Database) evaluating prepectoral reconstruction with Braxon matrices. Patient demographics, operative data, surgical complications, and outcomes were collected and analyzed.Results A total of 52 implant reconstructions were performed in 41 patients with a mean follow-up of 14.3 months (range, 6–36 months). The overall reported complication rates including early (less than 6 weeks) and late complications. Early complications included two patients (4.9%) with wound dehiscence. One of which had an implant loss that was salvageable. Another patient (2%) developed red-breast syndrome and two women (4.9%) developed with seroma treated conservatively. Late complications included one patient (2%) with grade II capsular contraction, 12 patients with grade I-II rippling and two patients (4.9%) with grade III rippling.Conclusions We present our experience of prepectoral polyurethane implant using complete ADM wrap. This is one of the few papers to report on the outcome of the prepectoral use of polyurethane in immediate implant-based breast reconstruction. Our early observational series show satisfactory outcome and long-term results are warranted by a large multicenter study.

scholarly journals Local reaction to FlexHD® acellular dermal matrix in breast reconstruction: A case report and review of the literature

2018 ◽  
Vol 1 (1) ◽  
pp. 140-146
Author(s):  
Robert Phan ◽  
Frank Lin ◽  
Dean White
Keyword(s):  
Breast Reconstruction ◽  
Medical Literature ◽  
Local Reaction ◽  
Breast Implant ◽  
Acellular Dermal Matrix ◽  
Abdominal Wall Defects ◽  
Review Of The Literature ◽  
Dermal Matrix ◽  
Thoracic And Abdominal ◽  
Acellular Dermal

Since its first reported use for the treatment of burns victims, acellular dermal matrix (ADM) use has expanded to surgeries including repairing thoracic and abdominal wall defects, and breast reconstruction. FlexHD® is a brand of ADM prepared from human cadaveric dermis that has been processed to remove antigenic components and is used to reinforce the subpectoral pocket created during submuscular breast implant surgery. Recent documentation of a phenomenon termed ‘red breast syndrome’ (RBS) has emerged in the medical literature, with little known about its aetiology and treatment. This paper presents a case of blistering cutaneous erythema from FlexHD® ADM.

Sign in / Sign up

Export Citation Format

Share Document