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Journal ArticleDOI

Retrospective review of 331 consecutive immediate single-stage implant reconstructions with acellular dermal matrix: indications, complications, trends, and costs.

TLDR
Immediate single-stage implant reconstruction using acellular dermal matrix offers a cost-effective reconstruction with a low complication rate and may be the procedure of choice in select patients.
Abstract
Background:Immediate single-stage direct-to-implant breast reconstruction with acellular dermal matrix optimizes aesthetics by preserving the mastectomy skin envelope. The authors report trends, early complications, and costs.Methods:A retrospective review of three surgeons' experience was performed

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Citations
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Journal ArticleDOI

Breast reconstruction following nipple-sparing mastectomy: predictors of complications, reconstruction outcomes, and 5-year trends.

TL;DR: Nipple-sparing mastectomy reconstructions have a low number of complications and smoking, body mass index, preoperative irradiation, and incision type were predictors of complications.
Journal ArticleDOI

Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy.

TL;DR: This technique is now considered for all patients who are safe oncologic candidates and are undergoing nipple-sparing mastectomy and prosthetic reconstruction, that yields comparable aesthetic results with less operative morbidity.
Journal ArticleDOI

Breast reconstruction following nipple-sparing mastectomy: a systematic review of the literature with pooled analysis.

TL;DR: Nipple-sparing mastectomy appears to be an oncologically safe option for properly selected patients, with low rates of locoregional and distant metastasis, and overall complication and nipple necrosis rates are affected by incision location and reconstruction method.
Journal ArticleDOI

Breast cancer version 2.2015: Clinical practice guidelines in oncology

TL;DR: This portion of the NCCN Guidelines discusses recommendations specific to the locoregional management of clinical stage I, II, and IIIA (T3N1M0) tumors.
Journal ArticleDOI

A Comparative Translational Study: The Combined Use of Enhanced Stromal Vascular Fraction and Platelet-Rich Plasma Improves Fat Grafting Maintenance in Breast Reconstruction

TL;DR: Evaluating the effects related to the use of enhanced stromal vascular fraction and fat grafting with platelet‐rich plasma in the maintenance of fat volume in breast reconstruction produced an improvement in maintenance of breast volume in patients affected by breast soft tissue defect.
References
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Journal ArticleDOI

Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings.

TL;DR: An acellular cryopreserved dermal matrix (AlloDerm) sling is used to reestablish the lower pole of the pectoralis major muscle to shorten the reconstructive process, improve results, and provide additional options for women seeking mastectomy.
Journal ArticleDOI

Implant-based breast reconstruction using acellular dermal matrix and the risk of postoperative complications

TL;DR: Acellular dermal matrix has enhanced implant-based reconstruction and remains useful in immediate prosthetic breast reconstruction, however, it is associated with higher rates of postoperative seroma and infection.
Journal ArticleDOI

Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm).

TL;DR: In this population, 49 patients (76 breasts) successfully underwent the acellular tissue matrix-based immediate reconstruction, resulting in durable breast reconstruction with good symmetry, and it is predicted that acellULAR tissue matrix–supplemented immediate breast reconstruction will become a new technique for the immediate reconstruction of the postmastectomy breast.
Journal ArticleDOI

Radiation therapy and breast reconstruction: a critical review of the literature.

TL;DR: In patients for whom postmastectomy radiation therapy appears likely but may not be required, “delayed-immediate reconstruction,” in which tissue expanders are placed at mastectomy, avoids the difficulties associated with radiation delivery after immediate reconstruction and preserves the opportunity for the aesthetic benefits of skin-sparing mastectomy.
Journal ArticleDOI

Staged breast reconstruction with saline-filled implants in the irradiated breast: recent trends and therapeutic implications.

TL;DR: A retrospective review was performed of one surgeon’s experience with 40 consecutive patients who had undergone two-stage saline-filled implant breast reconstruction and radiation during the period from 1990 through 1997, finding the possibility for radiation should be thoroughly investigated and anticipated preoperatively before immediate breast reconstruction.
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