Breast cancer patients undergoing mastectomy can be treated with in the reconstruction using implants. The type of material called acellular dermal matrix or,ADM, can be used to improve the quality of reconstruction.
In a recent study, in the January issue of Plastic and Reconstructive Surgery, the official Journal of the American Society of Plastic Surgery, the importance of ADM was highlighted in those patients requiring revision surgery. After breast reconstruction.
In this particular study, over a five-year period, ADM was used as a part of revision surgery in a total of the 135 breast reconstruction procedures. The ADM we used correct the underlying fold of the breast and to provide support and lower pole of the breast. It was also used to manage hardening (contracture) of the capsule around the breast implants. Less commonly, ADM was used to manage problems related to incorrect positioning or rippling.
The overall success rate was 95.5% with the complication rate of just 5%. Further surgery was only needed, in about 1% of cases. This was much lower than expected.
The study confirms that ADM is here to stay in breast reconstruction and breast revision surgery.