Cited 4 times in
Inlay graft of acellular dermal matrix to prevent incisional dehiscence after radiotherapy in prosthetic breast reconstruction
DC Field | Value | Language |
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dc.contributor.author | 김미정 | - |
dc.contributor.author | 송승용 | - |
dc.contributor.author | 유대현 | - |
dc.contributor.author | 이동원 | - |
dc.date.accessioned | 2020-02-11T06:20:00Z | - |
dc.date.available | 2020-02-11T06:20:00Z | - |
dc.date.issued | 2019 | - |
dc.identifier.issn | 2234-6163 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/174638 | - |
dc.description.abstract | BACKGROUND: As the indications for postmastectomy radiotherapy expand, innovative solutions are required to reduce operative complications and reconstructive failure after prosthetic breast reconstruction. In this study, we investigated the effectiveness of acellular dermal matrix (ADM) inlay grafts in preventing postoperative wound dehiscence of irradiated breasts in the context of prosthetic breast reconstruction. METHODS: A retrospective analysis was conducted of 45 patients who received two-stage prosthetic reconstruction and radiotherapy following mastectomy. An ADM graft was placed beneath the incisional site during the second-stage operation in 19 patients using marionette sutures, whereas the control group did not receive the ADM reinforcement. Patient demographics and complications such as wound dehiscence, capsular contracture, peri-prosthetic infection, cellulitis, and seroma were compared between the two groups. RESULTS: During an average follow-up period of 37.1 months, wound dehiscence occurred significantly less often in the ADM-reinforced closure group (0%) than in the non-ADM group (23.1%) (P=0.032). There was no significant difference between the two groups in relation to other complications, such as capsular contracture, postoperative infection, or seroma. CONCLUSIONS: The ADM inlay graft is a simple and easily reproducible technique for preventing incisional dehiscence in the setting of radiotherapy after prosthetic breast reconstruction. The ADM graft serves as a buttress to offload tension during healing and provides a mechanical barrier against pathogens. Application of this technique may serve to reduce complications in prosthetic breast reconstruction after radiotherapy. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Society of Plastic and Reconstructive Surgeons | - |
dc.relation.isPartOf | Archives of Plastic Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Inlay graft of acellular dermal matrix to prevent incisional dehiscence after radiotherapy in prosthetic breast reconstruction | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Plastic and Reconstructive Surgery (성형외과학교실) | - |
dc.contributor.googleauthor | Mi Jung Kim | - |
dc.contributor.googleauthor | Sung Jae Ahn | - |
dc.contributor.googleauthor | Kenneth L. Fan | - |
dc.contributor.googleauthor | Seung Yong Song | - |
dc.contributor.googleauthor | Dae Hyun Lew | - |
dc.contributor.googleauthor | Dong Won Lee | - |
dc.identifier.doi | 10.5999/aps.2018.00073 | - |
dc.contributor.localId | A05614 | - |
dc.contributor.localId | A02032 | - |
dc.contributor.localId | A02459 | - |
dc.contributor.localId | A02729 | - |
dc.relation.journalcode | J00231 | - |
dc.identifier.eissn | 2234-6171 | - |
dc.identifier.pmid | 31775207 | - |
dc.subject.keyword | Acellular dermis | - |
dc.subject.keyword | Breast implantation | - |
dc.subject.keyword | Complications | - |
dc.subject.keyword | Mammaplasty | - |
dc.subject.keyword | Radiotherapy | - |
dc.contributor.alternativeName | Kim, Mi Jung | - |
dc.contributor.affiliatedAuthor | 김미정 | - |
dc.contributor.affiliatedAuthor | 송승용 | - |
dc.contributor.affiliatedAuthor | 유대현 | - |
dc.contributor.affiliatedAuthor | 이동원 | - |
dc.citation.volume | 46 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 544 | - |
dc.citation.endPage | 549 | - |
dc.identifier.bibliographicCitation | Archives of Plastic Surgery, Vol.46(6) : 544-549, 2019 | - |
dc.identifier.rimsid | 63589 | - |
dc.type.rims | ART | - |
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