Complex torso reconstruction with human acellular dermal matrix: long-term clinical follow-up.
Although reports have demonstrated good early outcomes with human acellular dermal matrix even when used for complex, contaminated defects, no long-term outcomes have been reported. The authors reviewed the long-term outcomes of 13 patients who had complex torso reconstructions that included human acellular dermal matrix. All patients were at increased risk for mesh-related complications. Eight patients died as a result of progression of their oncologic disease at a mean of 258 days postoperatively. The mean follow-up for the remaining five patients was 43.7 months. Six patients had early complications (none were human acellular dermal matrix-related) and were reported on previously. Two patients had developed complications since the initial report. One patient developed a flap donor-site seroma remote from the reconstruction site, and another developed a recurrent ventral hernia. No patients have required additional surgery for human acellular dermal matrix-related complications. This follow-up report indicates that human acellular dermal matrix repair of large, complex torso defects can result in good long-term outcomes even when patients are at high risk for mesh-related complications.
Nemeth
Nicole L
NL
Houston, Texas From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.
Butler
Charles E
CE
D000328:Adult; D003094:Collagen; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000473:pathology* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors
C440568:Alloderm; D003094:Collagen