| Literature DB >> 30140458 |
Felix J Paprottka1, Nicco Krezdorn2, Heiko Sorg3, Sören Könneker4, Stiliano Bontikous5, Ian Robertson6, Christopher L Schlett7, Nils-Kristian Dohse1, Detlev Hebebrand1.
Abstract
[This corrects the article DOI: 10.1155/2017/1283735.].Entities:
Year: 2018 PMID: 30140458 PMCID: PMC6081530 DOI: 10.1155/2018/5731290
Source DB: PubMed Journal: Plast Surg Int ISSN: 2090-1461
Patient collective with ADM-implementation.
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| HADM | Epiflex® / DIZG | 15 | 12 | 46 (36-76) | 40 (20-50) |
| PADM | Strattice® / LifeCell | 21 | 16 | 56 (44-66) | 43 (30-54) |
| BADM | Tutomesh® / rti surgical | 16 | 13 | 53 (33-74) | 20 (12-31) |
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Listing of matrix, name of ADM-product and its fabricant, amount of breast reconstructions (BR)/augmentations with usage of ADMs, number of patients treated with ADMs, median patient age and range in years, and median follow-up time and range in months of the given patient collective, which received a breast reconstruction/augmentation with ADM; HADM: human ADM; PADM: porcine ADM; and BADM: bovine ADM.
Indications for ADM implementation.
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| HADM | Epiflex® / DIZG | 15 | 1 | 3 | 9 | 2 | 0 |
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| PADM | Strattice® / LifeCell | 21 | 6 | 8 | 5 | 2 | 0 |
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| BADM | Tutomesh® / rti surgical | 16 | 2 | 5 | 3 | 2 | 4 |
Listing of kind of matrix used, name of product, number of breast reconstructions with certain ADMs, and indications for ADM usage (breast reconstruction (BR) with no capsular contracture, BR with capsular contracture, primary augmentation, secondary augmentation after capsular contracture, or secondary augmentation after aesthetic-related complications including IMF-loss and insufficient implant coverage with breast tissue). Oncologic patients made up 27% of the HADM group, 67% of the PADM group, and 44% of the BADM group; HADM: human ADM, PADM: porcine ADM, and BADM: bovine ADM; ∗ denotes no history of radiotherapy; ∗∗ denote history of radiotherapy; ∗∗∗ denote primary augmentation in cases with large breasts; ∗∗∗∗ denote loss of IMF.
Overall complication probabilities for used ADMs.
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| HADM (Epiflex® / DIZG), PADM (Strattice® / LifeCell), BADM (Tutomesh® / rti surgical) | |
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| 52 | |
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| 36 (12-54) | |
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| 9 (17%) | |
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| 2 (4%) |
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| 1 (2%) | |
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| 0 (0%) | |
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| 2 (4%) | |
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| 3 (6%) | |
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| 3 (6%) |
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| 0 (0%) | |
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| 1 (2%) | |
Short-term (skin necrosis, seroma, haematoma, infection, and Red Breast Syndrome (RBS)) and long-term complications (capsular contracture, implant malposition, and implant loss) for all breasts with usage of ADMs (human ADM (HADM), porcine ADM (PADM), and bovine ADM (BADM)), median follow-up time for all patients, and total complications of all breasts being reconstructed with ADMs; ∗ denotes being excluded from overall complications and requiring further medical treatment; ∗∗ denote >Baker-St. II.