Alternatives to Acellular Dermal Matrix in Breast Reconstruction: Outcomes from Dermal Autograft Assisted Tissue Expander Breast Reconstruction in 104 Consecutive Patients

摘要

PURPOSE: Acellular dermal matrices (ADMs) have many benefits when used in implant-based breast reconstruction, but they add cost to the procedure and may increase complications. In addition, many patients prefer to avoid human-based products if there is an autologous option. For this reason, surgeons have sought viable alternatives to ADM in breast reconstruction. Dermal autografts can be harvested at the time of mastectomy and represent a useful, autologous alternative to ADMs.