지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 19 - 27 (9page)
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초록· 키워드
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Background Acellular dermal matrix (ADM) allografts and their putative benefits have been increasingly described in prosthesis based breast reconstruction. There have been a myriad of analyses outlining ADM complication profiles, but few large-scale, multi-institutional studies exploring these outcomes. In this study, complication rates of acellular dermis-assisted tissue expander breast reconstruction were compared with traditional submuscular methods by evaluation of the American College of Surgeon's National Surgical Quality Improvement Program (NSQIP) registry. Methods Patients who underwent immediate tissue expander breast reconstruction from 2006-2010 were identified using surgical procedure codes. Two hundred forty tracked variables from over 250 participating sites were extracted for patients undergoing acellular dermis-assisted versus submuscular tissue expander reconstruction. Thirty-day postoperative outcomes and captured risk factors for complications were compared between the two groups. Results A total of 9,159 patients underwent tissue expander breast reconstruction; 1,717 using acellular dermis and 7,442 with submuscular expander placement. Total complications and reconstruction related complications were similar in both cohorts (5.5% vs. 5.3%, P=0.68 and 4.7% vs. 4.3%, P=0.39, respectively). Multivariate logistic regression revealed body mass index and smoking as independent risk factors for reconstructive complications in both cohorts (P<0.01). Conclusions The NSQIP database provides large-scale, multi-institutional, independent outcomes for acellular dermis and submuscular breast reconstruction. Both thirty-day complication profiles and risk factors for post operative morbidity are similar between these two reconstructive approaches.
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참고문헌 (25)
참고문헌 신청
Wainwright DJ / 1995 / Use of an acellular allograft dermal matrix (AlloDerm) in the management of full-thickness burns / Burns 21:243~248
Kim JY / 2005 / Dermal composite flaps reconstructed from acellular dermis: a novel method of neourethral reconstruction / Plast Reconstr Surg 115:96e~100e
Buinewicz B / 2004 / Acellular cadaveric dermis (Allo- Derm): a new alternative for abdominal hernia repair / Ann Plast Surg 52:188~194
Nahabedian MY / 2009 / AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation / Plast Reconstr Surg 124:1743~1753
Buck DW / 2010 / Acellular dermisassisted breast reconstruction with the use of crescentric tissue expansion: a functional cosmetic analysis of 40 consecutive patients / Aesthet Surg J 30:194~200
Kim JY / 2005 / Dermal composite flaps reconstructed from acellular dermis: a novel method of neourethral reconstruction / Plast Reconstr Surg 115:96e~100e
Buinewicz B / 2004 / Acellular cadaveric dermis (Allo- Derm): a new alternative for abdominal hernia repair / Ann Plast Surg 52:188~194
Nahabedian MY / 2009 / AlloDerm performance in the setting of prosthetic breast surgery, infection, and irradiation / Plast Reconstr Surg 124:1743~1753
Buck DW / 2010 / Acellular dermisassisted breast reconstruction with the use of crescentric tissue expansion: a functional cosmetic analysis of 40 consecutive patients / Aesthet Surg J 30:194~200
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