Implant-Based Breast Reconstruction Using Acellular Dermal Matrix and the Risk of Postoperative Complications

• DOI: 10.1097/prs.0b013e3181c82d90
• Publication Date: 2010-01-23T09:07:15Z
• Authors: Yoon S. Chun; Kapil Verma; Heather Rosen; Stuart Lipsitz; Donald Morris; Pardon Kenney; Elof Eriksson
• Keywords: Seroma; Acellular Dermis

Background: Acellular dermal matrix has been popularized as an adjunct to tissue expander or implant breast reconstruction given its utility in providing additional coverage and support for the inferior pole. This study was performed assess risk of postoperative complications associated with use acellular matrix–assisted implant-based reconstruction. Methods: The authors a retrospective analysis consecutive immediate reconstructions over 6-year period. A total 415 were divided into two groups: without matrix. Demographic information, comorbidities, oncologic data, adjuvant therapy, collected comparison. Results: 283 patients underwent (151 unilateral 132 bilateral); 269 using implants matrix, 146 seroma infection rates higher group (14.1 versus 2.7 percent, p = 0.0003, seroma; 8.9 2.1 0.0328, infection). Multiple logistic regression showed that body mass index statistically significant factors developing infection. increased odds by 4.24 times (p 0.018) 5.37 0.006). Conclusions: enhanced remains useful prosthetic It is associated, however, Careful patient selection, choice expander/implant volume, management are warranted optimize overall reconstructive outcome.