title: Protocol for the prevention and management of complications related to ADM implant-based breast reconstructions.
abstract: Acellular dermal matrix (ADM) implant-based reconstructions have transformed direct-to-implant breast reconstruction (DTI). But like all surgery, it is not deplete of complications such as seroma, infections and wound healing problems. These are cited with varying frequencies in the literature. With increased experience and through a series of measures instituted to minimize complications, we have been able to improve outcomes for our patients. We report our technical refinements for prevention of ADM reconstruction associated complications including patient selection, implant selection, drains, dressing and our post operative antibiotic regime. We also outline our protocol for the management of ADM associated complications including seroma, simple and complex infection and red breast syndrome, such that the sequelae of complications are minimized and patients achieve a better long-term outcome.
authors.affiliation: Department of Plastic Surgery, Guy's and St Thomas' Hospital, London, United Kingdom.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Citron
authors.affiliation: Department of Plastic Surgery, Guy's and St Thomas' Hospital, London, United Kingdom.
authors.forename: Rory
authors.initials: R
authors.lastname: Dower
authors.affiliation: Department of Plastic Surgery, Guy's and St Thomas' Hospital, London, United Kingdom.
authors.forename: Mark
authors.initials: M
authors.lastname: Ho-Asjoe
keywords: Strattice; acellular dermis; breast reconstruction; complications; implant-based; learning curve
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