Breast reconstruction with silicone prosthesis and acellular dermal matrix of porcine origin: Retrospective study of 84 cases

• Published in: Annales de chirurgie plastique et esthétique 2022-06, Vol.67 (3), p.133-139
• Main Authors: Pouzet, L., Hotton, J., François, C., Wehbe, K., Dabiri, C., Ceccato, V.
• Format: Article
• Language: English
• Subjects: Acellular dermal matrix; Breast cancer; Breast reconstruction; Cancer du sein; Complications chirurgicales; Implant prothétique; Matrice dermique acellulaire; Prosthetic implant; Reconstruction mammaire; Surgical complications
• ISSN: 0294-1260; 1768-319X
• DOI: 10.1016/j.anplas.2022.03.001

Breast reconstruction (BR) using a prosthesis implant (PI) associated with an acellular dermal matrix (ADM) is a known method that has been the subject of discussion in recent years. The objective of this study was to quantify the rate of PI removal after BR using prosthesis combined with ADM, and to identify the risk factors in the event of removal. This was a retrospective study conducted between 2010 and 2015. Inclusion criteria were patients who had undergone immediate (IBR) or delayed (DBR) breast reconstruction with placement of a PI associated with porcine ADM. The primary endpoint was the postoperative removal of the PI. In all, 84 reconstructions were performed. The mean age of the population was 57.5 years. 25.9% of the patients were active smokers at the time of surgery. 89.5% of patients had previously benefited from ipsilateral breast radiation therapy (IBRT) in DBR, 10.5% in IBR. The PI deposition rate, all BR combined, was 21.4%. It was 52.17% in smokers and 9.84% in non-smokers (P