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논문 기본 정보

자료유형
학술저널
저자정보
Caputo, Glenda Giorgia (Plastic and Reconstructive Surgery, Surgery and Odontology Department, University Hospital of Verona) Franchini, Zeno (General Surgery, Surgery and Odontology Department, University Hospital of Verona) Maritan, Monia (Plastic and Reconstructive Surgery, Surgery and Odontology Department, University Hospital of Verona) Pozza, Edoardo Dalla (Plastic and Reconstructive Surgery, Surgery and Odontology Department, University Hospital of Verona) Vigato, Enrico (Plastic and Reconstructive Surgery, Surgery and Odontology Department, University Hospital of Verona) Tedeschi, Umberto (General Surgery, Surgery and Odontology Department, University Hospital of Verona) Governa, Maurizio (Plastic and Reconstructive Surgery, Surgery and Odontology Department, University Hospital of Verona)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제3호
발행연도
2015.1
수록면
321 - 326 (6page)

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Background The acellular dermal matrix (ADM)-assisted breast reconstruction technique is widely known, but discouraging results due to early postoperative complications have been reported. As the literature identifies seroma as the most common issue after breast surgery without identifying its pathogenesis, we aimed to report the trend of postoperative daily serum collection after ADM-assisted breast reconstruction and compare it with data in the literature in order to discover more about this little-known topic. Methods A retrospective study on 28 consecutive patients who received ADM-assisted breast reconstruction between February 2013 and February 2014 was performed. In order to reduce the number of variables that could affect serum production, only one brand of ADM was used and all tissues were handled gently and precisely. The daily drainage volume was recorded per patient during the first four days of hospitalization. Likewise, postoperative complications were noted during routine follow-up. Results In total, five (17.9%) bilateral and 23 (82.1%) unilateral ADM-assisted breast reconstructions (33 implants) were performed. The mean age, body mass index, and length of hospital stay were 53.6 years, $21.3kg/m^2$, and 4.5 days, respectively. One major complication led to implant loss (3.0%), and nine minor complications were successfully treated with ambulatory surgery (27.3%). Serum collection linearly decreased after 24 hours postoperatively. Conclusions Daily drainage decreased following the theoretical decline of acute inflammation. In concordance with the literature, daily serum production may not be related to the use of ADM.
#Seroma #Acellular dermis #Mammaplasty #Inflammation #Mastectomy

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참고문헌 (25)

참고문헌 신청
Salzberg CA / 2011 / An 8-year experience of direct-to-implant immediate breast reconstruction using human acellular dermal matrix (AlloDerm) / Plast Reconstr Surg 127:514~524 google schola Johnson RK / 2013 / Cost minimisation analysis of using acellular dermal matrix (Strattice) for breast reconstruction compared with standard techniques / Eur J Surg Oncol 39:242~247 google schola Zienowicz RJ / 2007 / Implant-based breast reconstruction with allograft / Plast Reconstr Surg 120:373~381 google schola Hoppe IC / 2011 / Complications following expander/implant breast reconstruction utilizing acellular dermal matrix: a systematic review and meta-analysis / Eplasty 11:e40 google schola Sbitany H / 2011 / Acellular dermis-assisted prosthetic breast reconstruction: a systematic and critical review of efficacy and associated morbidity / Plast Reconstr Surg 128:1162~1169 google schola

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