In Situ Fenestration: A Simple Technique for Fenestration of Acellular Dermal Matrix During Breast Reconstruction

In Situ Fenestration: A Simple Technique for Fenestration of Acellular Dermal Matrix During Breast Reconstruction

Authors

  • Ori S Duek Department Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa
  • Yeela Ben Naftali Department Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa
  • Yoav Y Pikkel Department Plastic & Reconstructive Surgery, Rambam Health Care Campus, Haifa
  • Aziz Shoufani Unit of Plastic & Reconstructive Surgery, Ha'Emek Medical Center, Afula

Keywords:

breast reconstruction; ADM; acellular dermal matrix; mastectomy

Abstract

Background and aim: Acellular Dermal Matrices (ADMs) were first described for use in breast surgery in 2001, and in 2005 it was first described to be used in breast reconstruction. However, ADMs are also associated with increased postoperative complications. Fenestration of the ADM may reduce the incidence of postoperative complications.

Methods: We fenestrate the ADM in-situ, after attaching it to the lower pole of the planned pocket using absorbable sutures.

Conclusions: using this technique enables to achieve a fan-shaped ADM mesh within less than a minute; Demonstrating a fast, easy and most importantly sterile method to fenestrate the ADM

References

1. Macadam SA, Lennox PA. Acellular dermal matrices: Use in reconstructive and aesthetic breast surgery. Can J Plast Surg. 2012; 20(2):75–89.
2. Mowlds DS, Salibian AA, Scholz T, Paydar KZ, Wirth GA. Capsular Contracture in Implant-Based Breast Reconstruction: Examining the Role of Acellular Dermal Matrix Fenestrations. Plast Reconstr Surg. 2015 Oct;136(4):629-35.
3. Scheflan M, Colwell AS. Plast Reconstr Surg Glob Open. 2014 Sep 8;2(8):e192. Tissue Reinforcement in Implant-based Breast Reconstruction.
4. Palaia DA, Arthur KS, Cahan AC, Rosenberg MH. Incidence of Seromas and Infections Using Fenestrated versus Nonfenestrated Acellular Dermal Matrix in Breast Reconstructions. Plast Reconstr Surg Glob Open. 2015 Nov; 3(11): e569.
5. Martin JB, Moore R, Paydar KZ, Wirth GA. Use of fenestrations in acellular dermal allograft in two-stage tissue expander/implant breast reconstruction. Plast Reconstr Surg. 2014 Nov;134(5):901-4.

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Published

11-05-2022

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LETTERS TO EDITOR

How to Cite

1.
Duek O, Ben Naftali Y, Pikkel Y, Shoufani A. In Situ Fenestration: A Simple Technique for Fenestration of Acellular Dermal Matrix During Breast Reconstruction. Acta Biomed [Internet]. 2022 May 11 [cited 2024 Jul. 12];93(2):e2022047. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/11224