Immediate Breast Reconstruction Using Saline Implant: Extension of Pectoralis Major Muscle Coverage with AlloDerm(R).

Hwang, Chang Heon; Kim, Eun Key; Eom, Jin Sup; Ahn, Sei Hyun; Son, Byung Ho; Kim, Tae Gon; Lee, Taik Jong

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2009;36(2):161-166.
Published online March 1, 2009.

Immediate Breast Reconstruction Using Saline Implant: Extension of Pectoralis Major Muscle Coverage with AlloDerm(R).

Chang Heon Hwang, Eun Key Kim, Jin Sup Eom, Sei Hyun Ahn, Byung Ho Son, Tae Gon Kim, Taik Jong Lee

¹Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. tjlee@amc.seoul.kr
²Department of Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.

Abstract

PURPOSE
Using the implant for the breast reconstruction still remains the options, despite the breast reconstruction using autologous tissue is an ideal method. In this study, we used AlloDerm(R) to extend subpectoral pocket for covering implants to reduce implant related complications. METHODS: From January 2005 to June 2007, 18 breasts in 16 patients were reconstructed using implant and AlloDerm(R) immediately after mastectomy. Hospital records, database files, and clinical photographs were reviewed. A ten-point scale was used to evaluate the patient's satisfaction, with a range from 2(poor) to 10 (excellent).
RESULTS
Mean age of the patients was 38.7 years at the time of operation. Mean weight of removed breast tissue was 287g. AlloDerm(R) was used to extend subpectoral coverage. Any systemic complication was not reported. Breast complication was developed in 4 cases. Implant removal or change was not experienced.
CONCLUSION
Immediate breast reconstruction using Implant is useful methods for certain conditions, when donor tissue is insufficient and breast is non ptotic with round shape. In those cases, extension of muscle coverage using AlloDerm(R) could reduce complications and lead more acceptable results.

Keywords: Implant; AlloDerm; Breast reconstruction