Trends in post-mastectomy breast reconstruction types at a breast cancer tertiary referral centre before and after introduction of acellular dermal matrices

Reconstructive breast surgery has continued to evolve over the last decade with a key change being the adoption of acellular dermal matrices (ADMs) as an adjunct for implant-based procedures. This retrospective observational study assesses the effect of ADMs on post-mastectomy reconstructive practic...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2018-01, Vol.71 (1), p.21-27
Main Authors: Kankam, Hadyn K.N., Hourston, George J.M., Fopp, Laura J., Benson, John R., Benyon, Sarah L., Irwin, Michael S., Agrawal, Amit, Forouhi, Parto, Malata, Charles M.
Format: Article
Language:English
Subjects:
Acellular dermal matrix
Immediate breast reconstruction
Outcomes
Trends
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Summary:Reconstructive breast surgery has continued to evolve over the last decade with a key change being the adoption of acellular dermal matrices (ADMs) as an adjunct for implant-based procedures. This retrospective observational study assesses the effect of ADMs on post-mastectomy reconstructive practice performed in a single institution. We conducted a review of all patients undergoing breast reconstruction at a University Teaching Hospital for an 18-month period before and after adopting ADMs. Demographic, procedural and complication data for these two cohorts were compared (χ2 and Student's t-tests). A total of 264 women (336 breasts), mean age 47.5 years, were identified: 137 before and 127 after the introduction of ADM. Implant-only reconstructions increased from 16% to 52% following the adoption of ADM (p 
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2017.08.016