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The use of porcine acellular dermal matrix in silicone implant-based breast reconstruction.

Identifieur interne : 000C46 ( PubMed/Corpus ); précédent : 000C45; suivant : 000C47

The use of porcine acellular dermal matrix in silicone implant-based breast reconstruction.

Auteurs : I. Himsl ; V. Drinovac ; M. Lenhard ; D. Stöckl ; T. Weissenbacher ; D. Dian

Source :

RBID : pubmed:22382372

English descriptors

Abstract

The most frequently occurring long-term complication in implant-based breast reconstruction is fibrotic capsule formation at the recipient site, with concurrent dysesthesia and poor aesthetic results. Using porcine acellular dermal matrix (PADM) as a connective tissue graft material is supposed to improve the quality and quantity of soft tissue in implant-based breast reconstruction. This study investigates the indications for and the results and the costs of using PADM for the correction or prevention of implant-associated breast deformities.

DOI: 10.1007/s00404-012-2266-x
PubMed: 22382372

Links to Exploration step

pubmed:22382372

Le document en format XML

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<title xml:lang="en">The use of porcine acellular dermal matrix in silicone implant-based breast reconstruction.</title>
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<name sortKey="Himsl, I" sort="Himsl, I" uniqKey="Himsl I" first="I" last="Himsl">I. Himsl</name>
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<nlm:affiliation>Department of Obstetrics and Gynaecology, Ludwig-Maximillians-University Hospital, Munich, Germany. Isabelle.himsl@med.uni-muenchen.de</nlm:affiliation>
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<name sortKey="Drinovac, V" sort="Drinovac, V" uniqKey="Drinovac V" first="V" last="Drinovac">V. Drinovac</name>
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<name sortKey="Lenhard, M" sort="Lenhard, M" uniqKey="Lenhard M" first="M" last="Lenhard">M. Lenhard</name>
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<name sortKey="Stockl, D" sort="Stockl, D" uniqKey="Stockl D" first="D" last="Stöckl">D. Stöckl</name>
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<name sortKey="Weissenbacher, T" sort="Weissenbacher, T" uniqKey="Weissenbacher T" first="T" last="Weissenbacher">T. Weissenbacher</name>
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<name sortKey="Dian, D" sort="Dian, D" uniqKey="Dian D" first="D" last="Dian">D. Dian</name>
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<title xml:lang="en">The use of porcine acellular dermal matrix in silicone implant-based breast reconstruction.</title>
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<term>Breast Implants (adverse effects)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Esthetics</term>
<term>Female</term>
<term>Humans</term>
<term>Mammaplasty (adverse effects)</term>
<term>Mammaplasty (methods)</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Silicones</term>
<term>Skin, Artificial</term>
<term>Swine</term>
<term>Tissue Scaffolds</term>
<term>Touch</term>
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<term>Biocompatible Materials</term>
<term>Silicones</term>
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<term>Breast Implants</term>
<term>Mammaplasty</term>
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<term>Mammaplasty</term>
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<term>Adult</term>
<term>Aged</term>
<term>Animals</term>
<term>Esthetics</term>
<term>Female</term>
<term>Humans</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
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<div type="abstract" xml:lang="en">The most frequently occurring long-term complication in implant-based breast reconstruction is fibrotic capsule formation at the recipient site, with concurrent dysesthesia and poor aesthetic results. Using porcine acellular dermal matrix (PADM) as a connective tissue graft material is supposed to improve the quality and quantity of soft tissue in implant-based breast reconstruction. This study investigates the indications for and the results and the costs of using PADM for the correction or prevention of implant-associated breast deformities.</div>
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<Title>Archives of gynecology and obstetrics</Title>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The most frequently occurring long-term complication in implant-based breast reconstruction is fibrotic capsule formation at the recipient site, with concurrent dysesthesia and poor aesthetic results. Using porcine acellular dermal matrix (PADM) as a connective tissue graft material is supposed to improve the quality and quantity of soft tissue in implant-based breast reconstruction. This study investigates the indications for and the results and the costs of using PADM for the correction or prevention of implant-associated breast deformities.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This study reviewed a single surgeon's experience in the correction or prevention of implant-associated breast deformities with PADM in breast cancer-related breast reconstruction from 2009 to 2011. A total of 23 patients (27 breasts) were included in the study. The aesthetic outcome, the incidence and the type of complication were analysed. Twenty-three women underwent breast cancer-related breast reconstruction: 19 women underwent single-breast reconstruction and four women underwent bilateral reconstruction.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 23 patients who underwent breast reconstruction, 18 (78%) were "satisfied" with the aesthetic and haptic outcome after implant-based reconstruction with PADM. One patient (one breast) required another breast operation because of ipsilateral breast cancer recurrence during the follow-up period. PADM-assisted implant-based breast reconstruction has a satisfactory safety profile.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The use of PADM as an interface matrix for implant-based breast reconstruction yielded predictable and acceptable aesthetic and haptic results by preventing capsular contracture, rippling, implant malposition, soft-tissue thinning and failure of the silicone implant-based breast augmentation.</AbstractText>
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