Abstract: Adipofascial Flap Versus ADM: An Intraoperative Selection Algorithm for Implant Coverage in Immediate Breast Reconstruction
نویسندگان
چکیده
PurPoSe: Acellular dermal matrix (ADM) has gained popularity to enhance lower pole coverage in immediate implant or expander reconstruction. Advantages of ADM include improved rapid reconstruction, postoperative expander filling and lower capsular contracture. Potential trade-offs include higher seroma, infection and cost. Alternatives for implant coverage include local fascial flaps and inferior dermal flaps as autologous options in select patients. Given the controversy about the use of ADM, this study provides an intraoperative algorithm for its selective use and review of clinical outcomes in two-stage immediate breast reconstruction.
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PurPoSe: Acellular dermal matrix (ADM) has gained popularity to enhance lower pole coverage in immediate implant or expander reconstruction. Advantages of ADM include improved rapid reconstruction, postoperative expander filling and lower capsular contracture. Potential trade-offs include higher seroma, infection and cost. Alternatives for implant coverage include local fascial flaps and inferi...
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