Infectious Complications Associated With the Use of Acellular Dermal Matrix in Implant-Based Bilateral Breast Reconstruction

Division of Plastic Surgery, University of Kentucky College of Medicine, Lexington, KY, USA.
Annals of plastic surgery (Impact Factor: 1.46). 05/2012; 68(5):432-4. DOI: 10.1097/SAP.0b013e31823b6ac6
Source: PubMed

ABSTRACT The use of acellular dermal matrix (ADM) has become a routine practice in implant-based breast reconstruction. Bilateral mastectomy is becoming more popular in cases of unilateral breast cancer. ADM has been associated with an increased incidence of complications.
We identified cases of bilateral implant-based breast reconstruction over a 5-year period. Data collection included medical comorbities, details of operative management, and details of postoperative cancer treatment.
On univariate analysis, the use of ADM (31% vs. 7%, P = 0.018), smoking (37% vs. 13%, P = 0.045), and open wound (55% vs. 13%, P = 0.006) were significantly associated with increased risk of infection. Multivariate analysis revealed open wound as the strongest predictor of infection.
The use of ADM is associated with an increased risk of infection in bilateral implant-based breast reconstruction. However, it does not appear to be an independent risk factor by itself.

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