Abstract | INTRODUCTION:
Mastectomy for breast cancer may bring the patient to develop long term issues concerning the psychological and physical status. Immediate breast reconstruction (IBR) should be considered and proposed by physicians as an integrated procedure in the surgical approach to breast cancer to reduce further surgery. Acellular dermal matrix (ADM) has been used in revision breast reconstruction for fold malposition, capsular contracture and rippling also, showing good outcomes with low risk of complications. Aim of this study was to verify if the known advantages in using ADM for IBR would led to lower rates of seroma formation, infection, skin flap necrosis and overall complication related to the implant. METHODS: We performed a prospective study, including all consecutive patients undergone to IBR with biological graft with ADM between January 2012 and January 2013 at our Institution. Data on major issues of the patients and complications were recorded. All patients underwent to IBR with ADM (Tutomesh) implant with or without fibrin sealant positioning. RESULTS: CONCLUSIONS: The use of Tutomesh(®) bovine pericardium for immediate breast is safe and technically useful. Complications rate is not high, except for seroma formation that can be reduced by the contemporary use of fibrin sealant.
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Authors | A Gubitosi, G Docimo, D Parmeggiani, R Pirozzi, C Vitiello, P Schettino, M Avellino, G Casalino, M Amato, R Ruggiero, L Docimo |
Journal | International journal of surgery (London, England)
(Int J Surg)
Vol. 12 Suppl 1
Pg. S205-8
( 2014)
ISSN: 1743-9159 [Electronic] England |
PMID | 24859403
(Publication Type: Journal Article)
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Copyright | Copyright © 2014. Published by Elsevier Ltd. |
Topics |
- Acellular Dermis
- Adult
- Aged
- Animals
- Breast Neoplasms
(surgery)
- Cattle
- Female
- Follow-Up Studies
- Humans
- Mammaplasty
(methods)
- Middle Aged
- Pericardium
(transplantation)
- Prospective Studies
- Retrospective Studies
- Skin Transplantation
(methods)
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