Abstract
Background Implant-based breast reconstruction has evolved tremendously in the last decades,
mainly due to the development of new products and techniques that make the procedure
safer and more reliable. The purpose of this study was to compare the outcomes in
immediate one-stage breast reconstruction between acellular dermal matrix (ADM) and
inferior dermal flap (IDF).
Methods We conducted a retrospective comparative study of patients submitted to immediate
breast reconstructions with an anatomical implant and ADM or IDF in a single center
between 2016 and 2018. Outcomes evaluated included major complications, early complications,
reinterventions, readmissions, and reconstruction failure. Simple descriptive statistics
and univariate analysis were performed.
Results A total of 118 breast reconstructions (85 patients) were included in the analysis.
Patients in the IDF group had a higher body mass index (median = 27.0) than patients
in the ADM group (median = 24). There were no statistically significant differences
among both groups regarding immediate major complication, early complications, readmissions,
and reinterventions.
Conclusion There are no significant differences in complications between the ADM and IDF approach
to immediate implant breast reconstruction. In patients with higher body mass index
and large, ptotic breasts, we recommend an immediate implant reconstruction with IDF.
Keywords
acellular dermis - breast implants - mammaplasty - mastectomy - retrospective studies
