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- Andrea Sisti, Payam Sadeghi, Roberto Cuomo, and Sonia M Alvarez.
- Division of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
- Medicina (Kaunas). 2022 Jul 25; 58 (8).
AbstractThe use of acellular dermal matrix (ADM) implants has enhanced breast reconstruction. ADM is a biotechnologically designed human tissue of bovine or porcine origin in which tissue processing removes cellular antigens. In this case report, we describe the use of ADM in one-stage prepectoral breast reconstruction. Skin-reduction breast reconstruction with a prepectoral implant was performed. We created a combined dermal pocket using the inferior dermal flap, sutured with a patch of acellular dermal matrix to continue its extension until the upper pole, to cover the implant. This technique offers single-stage immediate reconstruction, with a decreased requirement for ADM and increased use of vascularized tissue and implant support. Additionally, in the pre-pectoral space, decreased pain postoperatively and less anatomic disruption is offered.
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