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Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

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 reconstructi...

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Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045524/
https://www.ncbi.nlm.nih.gov/pubmed/35832670
http://dx.doi.org/10.1055/s-0042-1744404
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author 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.
author_facet 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.
author_sort Mata Ribeiro, Luís
collection PubMed
description 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.
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spelling pubmed-90455242022-04-28 Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap 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. Arch Plast Surg 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. Thieme Medical Publishers, Inc. 2022-04-06 /pmc/articles/PMC9045524/ /pubmed/35832670 http://dx.doi.org/10.1055/s-0042-1744404 Text en The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle 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.
Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap
title Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap
title_full Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap
title_fullStr Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap
title_full_unstemmed Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap
title_short Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap
title_sort comparison of outcomes in immediate implant-based breast reconstruction: acellular dermal matrix versus inferior dermal flap
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045524/
https://www.ncbi.nlm.nih.gov/pubmed/35832670
http://dx.doi.org/10.1055/s-0042-1744404
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