A comparative study of CG CryoDerm and AlloDerm in direct-to-implant immediate breast reconstruction
- A comparative study of CG CryoDerm and AlloDerm in direct-to-implant immediate breast reconstruction
- 이준호; 김태곤; 박기린; 하주호; 정규진; 김용하; 이수정; 강수환
- antibiotic agent; acellular dermal matrix; adult; alloderm; article; breast implant; breast surgery; CG CryoDerm; clinical article; comparative study; female; follow up; graft necrosis; human; implant capsular contracture; medical record review; postoperative infection; retrospective study; seroma
- Issue Date
- Archives of Plastic Surgery, v.40, no.4, pp.374 - 379
- Background To date, various types of acellular dermal matrix (ADM) have been developed for clinical use. AlloDerm is the most familiar type of ADM to most surgeons in breast reconstruction. It is prepared by freeze-drying. CG CryoDerm is the first form of ADM that requires no drying process. Therefore, theoretically, it has a higher degree of preservation of the dermal structures than AlloDerm. We conducted this study to compare the clinical course and postoperative outcomes of patients who underwent direct-to-implant breast reconstructions using AlloDerm and those who did using CG CryoDerm. Methods We performed a retrospective analysis of the medical records in a consecutive series of 50 patients who underwent direct-to-implant breast reconstruction using AlloDerm (n=31) or CryoDerm (n=19). We then compared the clinical course and postoperative outcomes of the two groups based on the overall incidence of complications and the duration of drainage. Results The mean follow-up period was 16 months. There were no significant differences in the overall incidence of complications (seroma, infection, skin flap necrosis, capsular contracture, and implant loss) between the two groups. Nor was there any significant difference in the duration of drainage. Conclusions CG CryoDerm has the merits of short preparation time and easy handling during surgery. Our results indicate that CG CryoDerm might be an alternative allograft material to AlloDerm in direct-to-implant breast reconstruction. ? 2013 The Korean Society of Plastic and Reconstructive Surgeons.
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