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Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

  • Ribeiro, Luis Mata (Plastic and Reconstructive Surgery Department, Centro Hospitalar Universitario Lisboa Central, Hospital Sao Jose) ;
  • Meireles, Rita P. (Plastic and Reconstructive Surgery Department, Centro Hospitalar e Universitario de Coimbra) ;
  • Brito, Iris M. (Plastic and Reconstructive Surgery Department, Centro Hospitalar e Universitario de Coimbra) ;
  • Costa, Patricia M. (Plastic and Reconstructive Surgery Department, Centro Hospitalar Universitario Lisboa Central, Hospital Sao Jose) ;
  • Rebelo, Marco A. (Plastic and Reconstructive Surgery Department, Instituto Portugues de Oncologia do Porto) ;
  • Barbosa, Rui F. (Plastic and Reconstructive Surgery Department, Instituto Portugues de Oncologia do Porto) ;
  • Choupina, Miguel P. (Plastic and Reconstructive Surgery Department, Instituto Portugues de Oncologia do Porto) ;
  • Pinho, Carlos J. (Plastic and Reconstructive Surgery Department, Instituto Portugues de Oncologia do Porto) ;
  • Ribeiro, Matilde P. (Plastic and Reconstructive Surgery Department, Instituto Portugues de Oncologia do Porto)
  • Published : 2022.03.15
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Abstract

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.

Keywords

Acknowledgement

We would like to thank Edgar Mesquita for helping with the statistical analyses included in the article.

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