Infectious Complications Associated With the Use of Acellular Dermal Matrix in Implant-Based Bilateral Breast Reconstruction

被引：46

作者：

Hill, Joseph L. ^{[1
]}

Wong, Lesley ^{[1
]}

Kemper, Pamela ^{[1
]}

Buseman, Jason ^{[1
]}

Davenport, Daniel L. ^{[1
]}

Vasconez, Henry C. ^{[1
]}

机构：

[1] Univ Kentucky, Coll Med, Div Plast Surg, Lexington, KY 40536 USA

来源：

ANNALS OF PLASTIC SURGERY | 2012年 / 68卷 / 05期

关键词：

acellular dermal matrix; bilateral implant-based breast reconstruction; PATIENT SATISFACTION;

D O I：

10.1097/SAP.0b013e31823b6ac6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The use of acellular dermal matrix (ADM) has become a routine practice in implant-based breast reconstruction. Bilateral mastectomy is becoming more popular in cases of unilateral breast cancer. ADM has been associated with an increased incidence of complications. Methods: We identified cases of bilateral implant-based breast reconstruction over a 5-year period. Data collection included medical comorbities, details of operative management, and details of postoperative cancer treatment. Results: On univariate analysis, the use of ADM (31% vs. 7%, P = 0.018), smoking (37% vs. 13%, P = 0.045), and open wound (55% vs. 13%, P = 0.006) were significantly associated with increased risk of infection. Multivariate analysis revealed open wound as the strongest predictor of infection. Conclusions: The use of ADM is associated with an increased risk of infection in bilateral implant-based breast reconstruction. However, it does not appear to be an independent risk factor by itself.

引用

页码：432 / 434

页数：3

共 10 条

[1] Trends in the treatment of ductal carcinoma in situ of the breast [J].

Baxter, NN ;

Virnig, BA ;

Durham, SB ;

Tuttle, TM .

JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2004, 96 (06) :443-448

[2] Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings [J].

Breuing, KH ;

Warren, SM .

ANNALS OF PLASTIC SURGERY, 2005, 55 (03) :232-239

[3] Implant-Based Breast Reconstruction Using Acellular Dermal Matrix and the Risk of Postoperative Complications [J].

Chun, Yoon S. ;

Verma, Kapil ;

Rosen, Heather ;

Lipsitz, Stuart ;

Morris, Donald ;

Kenney, Pardon ;

Eriksson, Elof .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2010, 125 (02) :429-436

[4] Patient Satisfaction in Unilateral and Bilateral Breast Reconstruction [J].

Craft, Randall O. ;

Colakoglu, Salih ;

Curtis, Michael S. ;

Yueh, Janet H. ;

Lee, Britt S. ;

Tobias, Adam M. ;

Lee, Bernard T. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 127 (04) :1417-1424

[5] Comparison Study of Two Types of Expander-Based Breast Reconstruction Acellular Dermal Matrix-Assisted Versus Total Submuscular Placement [J].

Hanna, Kasandra R. ;

DeGeorge, Brent R., Jr. ;

Mericli, Alexander F. ;

Lin, Kant Y. ;

Drake, David B. .

ANNALS OF PLASTIC SURGERY, 2013, 70 (01) :10-15

[6] Intraoperative Perfusion Mapping with Laser-Assisted Indocyanine Green Imaging Can Predict and Prevent Complications in Immediate Breast Reconstruction [J].

Komorowska-Timek, Ewa ;

Gurtner, Geoffrey C. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2010, 125 (04) :1065-1073

[7] Postoperative Complications in Prosthesis-Based Breast Reconstruction Using Acellular Dermal Matrix [J].

Liu, Allen S. ;

Kao, Huang-Kai ;

Reish, Richard G. ;

Hergrueter, Charles A. ;

May, James W., Jr. ;

Guo, Lifei .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 127 (05) :1755-1762

[8] AlloDerm Performance in the Setting of Prosthetic Breast Surgery, Infection, and Irradiation [J].

Nahabedian, Maurice Y. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2009, 124 (06) :1743-1753

[9] Prophylactic mastectomy and reconstruction: Clinical outcomes and patient satisfaction [J].

Spear, Scott L. ;

Schwarz, Karl A. ;

Ventuui, Mark L. ;

Barbosa, Todd ;

Al-Attar, Ali .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2008, 122 (01) :1-9

[10]

Thorne C., 2007, Grabb and Smith's plastic surgery

← 1 →