Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study
Background The advantages of using an acellular dermal matrix (ADM) for implantbased breast reconstruction in breast cancer patients are well-documented across multiple studies. However, there have been no previous instances of using multilayered ADM for reconstruction following breast-conserving su...
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Korean Society for Aesthetic Plastic Surgery
2025-01-01
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| Series: | Archives of Aesthetic Plastic Surgery |
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| Online Access: | http://e-aaps.org/upload/pdf/aaps-2023-01018.pdf |
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| author | Jung Yeol Seo Kwang Sik Seo Jae Woo Lee Won Seok Oh Seong Hwan Bae Youn Joo Jung Su Bong Nam |
| author_facet | Jung Yeol Seo Kwang Sik Seo Jae Woo Lee Won Seok Oh Seong Hwan Bae Youn Joo Jung Su Bong Nam |
| author_sort | Jung Yeol Seo |
| collection | DOAJ |
| description | Background The advantages of using an acellular dermal matrix (ADM) for implantbased breast reconstruction in breast cancer patients are well-documented across multiple studies. However, there have been no previous instances of using multilayered ADM for reconstruction following breast-conserving surgery (BCS). This study evaluated the outcomes of breast reconstruction employing multilayered ADM for volume replacement using a local glandular flap post-BCS, and aims to underscore the advantages of this surgical approach. Methods Breast cancer patients who underwent BCS using several layers of ADM from August 2016 to December 2019 were retrospectively reviewed. Only patients with at least 3 years of follow-up were included in this study. The anticipated postoperative complications were breast deformity, seroma, hematoma, and infection. Results Seventy-four patients were included in this study. Most patients experienced symptoms of hard palpation at the reconstruction site, which indicated the surface of the ADM inserted into the breast. Ten patients developed breast deformities, accounting for 13.5% of the cases, and required surgical correction. Other complications were less frequent: four patients (5.3%) had a confirmed seroma for 6 months or longer, two patients (2.6%) experienced fat necrosis, and one patient (1.3%) underwent re-operation to remove the ADM. Conclusions Reconstruction with a glandular flap and ADM following BCS is generally simpler and requires less surgical time compared to using a latissimus dorsi flap or other local flaps. Additionally, it avoids complications at the donor site, presenting a feasible surgical alternative for BCS in breasts with small defects. |
| format | Article |
| id | doaj-art-1a53b58d9a0241be88c3873d4297f41f |
| institution | Kabale University |
| issn | 2234-0831 2288-9337 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj-art-1a53b58d9a0241be88c3873d4297f41f2025-08-20T03:54:01ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372025-01-01311101610.14730/aaps.2023.01018860Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective studyJung Yeol Seo0Kwang Sik Seo1Jae Woo Lee2Won Seok Oh3Seong Hwan Bae4Youn Joo Jung5Su Bong Nam6 Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Korea Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, KoreaBackground The advantages of using an acellular dermal matrix (ADM) for implantbased breast reconstruction in breast cancer patients are well-documented across multiple studies. However, there have been no previous instances of using multilayered ADM for reconstruction following breast-conserving surgery (BCS). This study evaluated the outcomes of breast reconstruction employing multilayered ADM for volume replacement using a local glandular flap post-BCS, and aims to underscore the advantages of this surgical approach. Methods Breast cancer patients who underwent BCS using several layers of ADM from August 2016 to December 2019 were retrospectively reviewed. Only patients with at least 3 years of follow-up were included in this study. The anticipated postoperative complications were breast deformity, seroma, hematoma, and infection. Results Seventy-four patients were included in this study. Most patients experienced symptoms of hard palpation at the reconstruction site, which indicated the surface of the ADM inserted into the breast. Ten patients developed breast deformities, accounting for 13.5% of the cases, and required surgical correction. Other complications were less frequent: four patients (5.3%) had a confirmed seroma for 6 months or longer, two patients (2.6%) experienced fat necrosis, and one patient (1.3%) underwent re-operation to remove the ADM. Conclusions Reconstruction with a glandular flap and ADM following BCS is generally simpler and requires less surgical time compared to using a latissimus dorsi flap or other local flaps. Additionally, it avoids complications at the donor site, presenting a feasible surgical alternative for BCS in breasts with small defects.http://e-aaps.org/upload/pdf/aaps-2023-01018.pdfmastectomy, segmentalacellular dermismammaplasty |
| spellingShingle | Jung Yeol Seo Kwang Sik Seo Jae Woo Lee Won Seok Oh Seong Hwan Bae Youn Joo Jung Su Bong Nam Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study Archives of Aesthetic Plastic Surgery mastectomy, segmental acellular dermis mammaplasty |
| title | Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study |
| title_full | Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study |
| title_fullStr | Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study |
| title_full_unstemmed | Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study |
| title_short | Long-term follow-up results and complications of breast-conserving surgery using multilayer acellular dermal matrix: a retrospective study |
| title_sort | long term follow up results and complications of breast conserving surgery using multilayer acellular dermal matrix a retrospective study |
| topic | mastectomy, segmental acellular dermis mammaplasty |
| url | http://e-aaps.org/upload/pdf/aaps-2023-01018.pdf |
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