Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction
Background Acellular dermal matrix (ADM) is widely used for prosthetic breast reconstruction. Although many studies have investigated the efficacy and complications of ADM in prosthetic breast reconstruction, studies on drainage and seroma formation according to the size of ADM manufactured using th...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2022-10-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2022-00535.pdf |
| _version_ | 1811317381265358848 |
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| author | Tae Hyun Kong Taegon Kim Jun-Ho Lee |
| author_facet | Tae Hyun Kong Taegon Kim Jun-Ho Lee |
| author_sort | Tae Hyun Kong |
| collection | DOAJ |
| description | Background Acellular dermal matrix (ADM) is widely used for prosthetic breast reconstruction. Although many studies have investigated the efficacy and complications of ADM in prosthetic breast reconstruction, studies on drainage and seroma formation according to the size of ADM manufactured using the same process are lacking. This study analyzed drainage and seroma formation according to the size of sterile ADM. Methods From January 2011 to June 2018, the authors retrospectively reviewed the medical charts of patients who underwent direct-to-implant breast reconstruction using MegaDerm at a single institution. The ADMs used were classified as small or large groups. The two groups were compared in terms of the volume and duration time of two closed-suction drains (supramuscular and submuscular drains). Seroma and infection risk were also analyzed. Results Of 344 patients, 69 were included. Among them, 22 patients were in the small-ADM group and 47 patients were in the large-ADM group. The supramuscular drain volume (P=0.295) and time (P=0.365) were not significantly different between the two groups. However, the submuscular (P=0.001) and total drain volume (P=0.004) were higher in the large-ADM group. In addition, seroma occurred significantly more frequently in the large-ADM group (P=0.048), but there was no significant difference in minor infections (P=0.088). Conclusions The size of sterile ADM affected drainage and seroma formation, with a larger size increasing drain volume and seroma risk. This study could provide a clinical basis for the safe usage of large sterile ADM. |
| first_indexed | 2024-04-13T12:05:57Z |
| format | Article |
| id | doaj.art-48bd67559b204909aca1025151cda336 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-04-13T12:05:57Z |
| publishDate | 2022-10-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-48bd67559b204909aca1025151cda3362022-12-22T02:47:38ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372022-10-0128413013410.14730/aaps.2022.00535777Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstructionTae Hyun Kong0Taegon Kim1Jun-Ho Lee2 Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, KoreaBackground Acellular dermal matrix (ADM) is widely used for prosthetic breast reconstruction. Although many studies have investigated the efficacy and complications of ADM in prosthetic breast reconstruction, studies on drainage and seroma formation according to the size of ADM manufactured using the same process are lacking. This study analyzed drainage and seroma formation according to the size of sterile ADM. Methods From January 2011 to June 2018, the authors retrospectively reviewed the medical charts of patients who underwent direct-to-implant breast reconstruction using MegaDerm at a single institution. The ADMs used were classified as small or large groups. The two groups were compared in terms of the volume and duration time of two closed-suction drains (supramuscular and submuscular drains). Seroma and infection risk were also analyzed. Results Of 344 patients, 69 were included. Among them, 22 patients were in the small-ADM group and 47 patients were in the large-ADM group. The supramuscular drain volume (P=0.295) and time (P=0.365) were not significantly different between the two groups. However, the submuscular (P=0.001) and total drain volume (P=0.004) were higher in the large-ADM group. In addition, seroma occurred significantly more frequently in the large-ADM group (P=0.048), but there was no significant difference in minor infections (P=0.088). Conclusions The size of sterile ADM affected drainage and seroma formation, with a larger size increasing drain volume and seroma risk. This study could provide a clinical basis for the safe usage of large sterile ADM.http://e-aaps.org/upload/pdf/aaps-2022-00535.pdfmammaplastyacellular dermisseroma |
| spellingShingle | Tae Hyun Kong Taegon Kim Jun-Ho Lee Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction Archives of Aesthetic Plastic Surgery mammaplasty acellular dermis seroma |
| title | Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction |
| title_full | Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction |
| title_fullStr | Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction |
| title_full_unstemmed | Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction |
| title_short | Drainage and seroma formation according to the size of sterile acellular dermal matrix in direct-to-implant breast reconstruction |
| title_sort | drainage and seroma formation according to the size of sterile acellular dermal matrix in direct to implant breast reconstruction |
| topic | mammaplasty acellular dermis seroma |
| url | http://e-aaps.org/upload/pdf/aaps-2022-00535.pdf |
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