Analysis of Clinically Significant Seroma Formation in Breast Reconstruction Using Acellular Dermal Grafts

• DOI: 10.1097/sap.0b013e3182923dc9
• Publication Date: 2013-06-20T15:57:37Z
• Authors: Brett F. Michelotti; Sebastian Brooke; John Mesa; Matthew Z. Wilson; Kurtis Moyer; Donald R. Mackay; Rogerio I. Neves; John Potochny
• Keywords: Seroma

With a rise in tissue expander-based breast reconstructions (TEBRs) using acellular dermal matrix (ADM), we have seen an increase ADM-specific complications. In this study, aimed to evaluate clinically significant seroma (CSS) formation-defined by the need for drainage procedure-to determine if there was difference incidence between product types: AlloDerm (AL), DermaMatrix (DM), and FlexHD (FHD). This retrospective review of consecutive patients who underwent TEBR at single institution. The total number reconstructed breasts separated into following 4 groups according type: AL, DM, FHD, or no ADM. We identified CSSs compared these data types. A logistic regression performed attempt identify independent risk factors associated with formation. total, 284 TEBRs. Overall, were 17 (7.7%) seromas 220 which ADM used. When comparing CSS groups-AL (n = 2, 4.0%), DM 6, 5.4%), FHD 9, 14.75%), 1, 1.5%)-we found types (P 0.016). Multivariate analysis strong trend toward as predictor formation 0.061). Our suggests that is use other