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Acellular Dermal Matrices in Breast Surgery, An Issue of Clinics in Plastic Surgery - E-Book

Acellular Dermal Matrices in Breast Surgery, An Issue of Clinics in Plastic Surgery - E-Book

Richard E. Baxter

(2012)

Additional Information

Book Details

Abstract

Topics include: Defining the problem/proof of concept; The reconstructive model; Do ADM’s change the rationale for immediate vs. delayed?; Direct to implant reconstruction; Capsular contracture and ADM’s; Pocket reinforcement/bottoming out; ADM’s in the irradiated breast; Emerging applications; Comparison of different ADM materials; Tips and pearls; Economic considerations

Table of Contents

Section Title Page Action Price
Front Cover Cover
Acellular Dermal Matrices in Breast Surgery i
Copyright Page ii
Table of Contents v
Contributors iii
Current State of the Art for Acellular Dermal Matrices in Breast Surgery ix
Erratum: January 2012 Issue. Skin Tissue Engineering xi
Chapter 1. Acellular Dermal Matrices in Breast Implant Surgery: Defining the Problem and Proof of Concept 103
OVERVIEW OF BREAST AUGMENTATION AND BREAST RECONSTRUCTION 103
CLINICAL EXPERIENCE WITH ADMs 104
RESULTS: HISTOLOGY AND PROOF OF CONCEPT 104
DISCUSSION OF ADMs IN BREAST SURGERY 109
REFERENCES 111
Chapter 2. Do Acellularized Dermal Matrices Change the Rationale for Immediate Versus Delayed Breast Reconstruction? 113
OVERVIEW OF IMMEDIATE VERSUS DELAYED BREAST RECONSTRUCTION 113
SUMMARY 117
REFERENCES 117
Chapter 3.\rDirect-to-Implant Breast Reconstruction 119
OVERVIEW 119
DIRECT-TO-IMPLANT TECHNIQUE 121
SUGGESTED READINGS 126
Chapter 4.\rThe Role of Acellular Dermal Matrix in the Treatment of Capsular Contracture 127
ETIOLOGY OF CAPSULAR CONTRACTURE 128
PATIENT EXAMPLES 129
SUMMARY 135
REFERENCES 136
Chapter 5. Pocket Reinforcement Using Acellular Dermal Matrices in Revisionary Breast Augmentation 137
ANATOMIC CONSIDERATIONS OF SECONDARY BREAST AUGMENTATION 138
PREVENTION OF DEFORMITY FOLLOWING PRIMARY AUGMENTATION 139
CURRENT TREATMENT OPTIONS WITHOUT THE USE OF ADM 140
LESSONS LEARNED FROM THE USE OF ADM IN BREAST RECONSTRUCTION 141
CURRENTLY AVAILABLE ADM 141
TREATMENT OF INFERIOR AND/OR LATERAL IMPLANT DISPLACEMENT (BOTTOMING OUT) WITH ADM 142
TREATMENT OF MEDIAL IMPLANT DISPLACEMENT (SYNMASTIA) WITH ADM 143
POSTOPERATIVE CARE 144
COMPLICATIONS WITH ADM 146
ADM FOR REVISION BREAST AUGMENTATION: SUMMARY 148
REFERENCES 148
Chapter 6.\rThe Use of Human Acellular Dermal Matrices in Irradiated Breast Reconstruction 149
IONIZING RADIATION 149
EXTERNAL BEAM RADIATION 150
DOSING SCHEDULE FOR RADIATION 150
RADIATION EFFECTS ON SKIN AND WOUND HEALING 150
EFFECTS OF RADIATION ON EXPANDED SKIN IN THE ANIMAL MODEL 150
EFFECTS OF RADIATION ON PROSTHETIC BREAST RECONSTRUCTION BEFORE THE USE OF ACELLULAR DERMAL MATRICES 151
BRIEF REVIEW OF ADM AND IMPLANT RECONSTRUCTION 151
EXPERIMENTAL EVIDENCE FOR PROTECTIVE EFFECT OF ADM IN IRRADIATED PROSTHETIC RECONSTRUCTION 152
EFFECTS OF RADIATION ON ADM/TISSUE EXPANDER OR IMPLANT BREAST RECONSTRUCTIONS 152
THE USE OF FAT GRAFT IN RADIATED TISSUE 153
THE AUTHOR’S APPROACH TO IRRADIATED BREAST RECONSTRUCTION 153
THE AUTHOR’S OPERATIVE TECHNIQUE FOR PLACING THE ADM 153
THE AUTHOR’S ALGORITHM FOR THE EXPANDER/IMPLANT EXCHANGE 154
SUMMARY 157
REFERENCES 157
Chapter 7. Emerging Applications for Acellular Dermal Matrices in Mastopexy 159
GENERAL CONSIDERATIONS IN MASTOPEXY 159
PATIENT SELECTION FOR ADM FOR MASTOPEXY 160
TECHNICAL POINTS: MASTOPEXY HAMMOCK 161
METHODS 162
CONCLUSIONS 165
SUMMARY 165
REFERENCES 165
Chapter 8. Comparison of Different ADM Materials in Breast Surgery 167
ADM OPTIONS 167
ALLODERM® (LIFECELL) 168
STRATTICE™ (LIFECELL) 169
DERMAMATRIX® (SYNTHES/MUSCULOSKELETAL TRANSPLANT FOUNDATION) 169
FLEXHD® (ETHICON/MUSCULOSKELETAL TRANSPLANT FOUNDATION 170
PERMACOL™ (COVIDIEN) 170
SURGIMEND® PRS (TEI BIOSCIENCES) 171
ALLOMAX™ (BARD) 171
DERMACELL™ (LIFENET) 171
SUMMARY OF ADMs 172
REFERENCES 173
Chapter 9.\rAcellular Dermal Matrices in Breast Surgery: Tips and Pearls 177
OVERVIEW OF ADMs IN BREAST SURGERY 177
USES OF ADMs IN BREAST RECONSTRUCTION 180
USES OF ADMs IN AESTHETIC BREAST SURGERY 180
USE OF ADMS TO CORRECT SURFACEIRREGULARITIES 181
USE OF ADMs TO CORRECT IMPLANT MALPOSITION 182
USE OF ADMs IN REDUCTION MAMMAPLASTY 182
COMPLICATIONS WITH ADMs 183
OUTCOMES WITH ADMs 184
SUMMARY 184
REFERENCES 185
Chapter 10. Acellular Dermal Matrices: Economic Considerations in Reconstructive and Aesthetic Breast Surgery 187
ECONOMIC ANALYSIS IN SURGICAL LITERATURE 188
DEVELOPMENT OF ADM USE IN BREAST SURGERY 189
SCIENTIFIC CONSIDERATIONS IN USE OF ADMs IN BREAST RECONSTRUCTION 189
COST CONSIDERATIONS OF ADMs 197
SUMMARY OF OUTCOMES OF USE OF ADMs IN RECONSTRUCTIVE BREAST SURGERY 206
REVISIONARY AESTHETIC BREAST SURGERY 209
AUTHOR’S INSTITUTIONAL EXPERIENCE 212
SUMMARY OF USE OF ADMS IN BREAST SURGERY 213
REFERENCES 213
Index 217