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Complications Following Expander/Implant-Based Breast Reconstruction Utilizing Acellular Dermal Matrix

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Breast Reconstruction

Abstract

Background: The recent increase in popularity of acellular dermal matrix (ADM) assistance in immediate expander/implant breast reconstruction has led to variety of viewpoints. Many studies are published indicating an increase in complications with the use of ADM, while others indicate there is no increase in complications.

Methods: This meta-analysis utilizes information from all available studies that directly compare ADM with traditional methods of immediate expander/implant breast reconstruction. There was over a twofold increase in the number of infections and explanations in the ADM group compared to the control. There was a threefold increase in seroma formation in the ADM group compared to the control. There was a significant difference of intraoperative fill volumes between the ADM group compared to the control. This study illustrates that after pooling all available date regarding the use of ADM in immediate expander/implant breast reconstruction there appears to be an increased rate of complications. However, the increased intraoperative fill volume may lead to ultimately greater patient satisfaction.

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Authors and Affiliations

  1. Division of Plastic Surgery, Department of Surgery, Rutgers – The State University of New Jersey, New Jersey Medical School, Ambulatory Care Center, Suite E1620, 140 Bergen St, Newark, NJ, 07103, USA

    Ian C. Hoppe M.D.

  2. Division of Plastic Surgery, Department of Surgery, Rutgers, The State University of New Jersey, New Jersey Medical School, 140 Bergen Street, ACC E – 1620, Newark, NJ, 07103, USA

    Naveen K. Ahuja M.D. & Ramazi O. Datiashvili M.D., Ph.D.

Authors
  1. Ian C. Hoppe M.D.
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  2. Naveen K. Ahuja M.D.
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  3. Ramazi O. Datiashvili M.D., Ph.D.
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Correspondence to Ian C. Hoppe M.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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© 2016 Springer International Publishing Switzerland

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Hoppe, I.C., Ahuja, N.K., Datiashvili, R.O. (2016). Complications Following Expander/Implant-Based Breast Reconstruction Utilizing Acellular Dermal Matrix. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_148

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_148

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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