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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2014, Number 1

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An Med Asoc Med Hosp ABC 2014; 59 (1)

Immediate breast reconstruction using acellular dermal matrix or autologous dermis

Haddad TJL, Rincón LR, Hesiquio SR

Language: Spanish
References: 13
Page: 48-53
PDF size: 306.67 Kb.


ABSTRACT

Introduction: The use of dermis (acellular/autologous) has proven useful in the immediate and delayed breast reconstruction because it reduces the operative time and allows a first-time breast reconstruction with an inframammary fold with greater definition to achieve a pleasing cosmetic result. Methods: In this article, we report the use of dermis (acellular/autologous) and our own personal technique with the use of autologous dermis obtained from a usual design mastectomy. Results: Dermis (acellular/autologous) use has allowed us the placement of a pre-filled breast expander; this technique has also proven to be useful, in selected cases, performing breast reconstruction in a single stage with direct breast implant placement, providing an adequate coverage of the lower implant pole, which decreases the likelihood of implant exposure. Complication rates showed no significant difference between them, displaying a behavior similar to what is reported in the literature. Conclusion: The acellular dermal matrix is a valuable resource when you do not have adequate coverage for an expander and/or implant, using the patient’s own dermis is a useful resource when you do not have the acellular dermal matrix.


REFERENCES

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