Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions
Acellular dermal matrix (ADM) implant-based reconstructions have transformed direct-to-implant breast reconstruction (DTI). But like all surgery, it is not deplete of complications such as seroma, infections and wound healing problems. These are cited with varying frequencies in the literature. With...
| Main Authors: | , , |
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| Format: | Article |
| Language: | deu |
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German Medical Science GMS Publishing House
2016-01-01
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| Series: | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| Subjects: | |
| Online Access: | http://www.egms.de/static/en/journals/iprs/2016-5/iprs000085.shtml |
| _version_ | 1828315180392513536 |
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| author | Citron, Isabelle Dower, Rory Ho-Asjoe, Mark |
| author_facet | Citron, Isabelle Dower, Rory Ho-Asjoe, Mark |
| author_sort | Citron, Isabelle |
| collection | DOAJ |
| description | Acellular dermal matrix (ADM) implant-based reconstructions have transformed direct-to-implant breast reconstruction (DTI). But like all surgery, it is not deplete of complications such as seroma, infections and wound healing problems. These are cited with varying frequencies in the literature. With increased experience and through a series of measures instituted to minimize complications, we have been able to improve outcomes for our patients. We report our technical refinements for prevention of ADM reconstruction associated complications including patient selection, implant selection, drains, dressing and our post operative antibiotic regime. We also outline our protocol for the management of ADM associated complications including seroma, simple and complex infection and red breast syndrome, such that the sequelae of complications are minimized and patients achieve a better long-term outcome. |
| first_indexed | 2024-04-13T16:56:31Z |
| format | Article |
| id | doaj.art-169030e9824c46f2aa86302651217a24 |
| institution | Directory Open Access Journal |
| issn | 2193-8091 |
| language | deu |
| last_indexed | 2024-04-13T16:56:31Z |
| publishDate | 2016-01-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
| spelling | doaj.art-169030e9824c46f2aa86302651217a242022-12-22T02:38:48ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912016-01-015Doc0610.3205/iprs000085Protocol for the prevention and management of complications related to ADM implant-based breast reconstructionsCitron, Isabelle0Dower, Rory1Ho-Asjoe, Mark2Department of Plastic Surgery, Guy’s and St Thomas’ Hospital, London, United KingdomDepartment of Plastic Surgery, Guy’s and St Thomas’ Hospital, London, United KingdomDepartment of Plastic Surgery, Guy’s and St Thomas’ Hospital, London, United KingdomAcellular dermal matrix (ADM) implant-based reconstructions have transformed direct-to-implant breast reconstruction (DTI). But like all surgery, it is not deplete of complications such as seroma, infections and wound healing problems. These are cited with varying frequencies in the literature. With increased experience and through a series of measures instituted to minimize complications, we have been able to improve outcomes for our patients. We report our technical refinements for prevention of ADM reconstruction associated complications including patient selection, implant selection, drains, dressing and our post operative antibiotic regime. We also outline our protocol for the management of ADM associated complications including seroma, simple and complex infection and red breast syndrome, such that the sequelae of complications are minimized and patients achieve a better long-term outcome.http://www.egms.de/static/en/journals/iprs/2016-5/iprs000085.shtmlStratticeacellular dermisbreast reconstructionimplant-basedcomplicationslearning curve |
| spellingShingle | Citron, Isabelle Dower, Rory Ho-Asjoe, Mark Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW Strattice acellular dermis breast reconstruction implant-based complications learning curve |
| title | Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions |
| title_full | Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions |
| title_fullStr | Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions |
| title_full_unstemmed | Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions |
| title_short | Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions |
| title_sort | protocol for the prevention and management of complications related to adm implant based breast reconstructions |
| topic | Strattice acellular dermis breast reconstruction implant-based complications learning curve |
| url | http://www.egms.de/static/en/journals/iprs/2016-5/iprs000085.shtml |
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