A comparative study of CG CryoDerm and AlloDerm in direct-to-implant immediate breast reconstruction

Title
A comparative study of CG CryoDerm and AlloDerm in direct-to-implant immediate breast reconstruction
Author(s)
이준호김태곤박기린하주호정규진김용하이수정강수환
Keywords
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
201307
Citation
Archives of Plastic Surgery, v.40, no.4, pp.374 - 379
Abstract
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.
URI
http://hdl.handle.net/YU.REPOSITORY/29308http://dx.doi.org/10.5999/aps.2013.40.4.374
ISSN
2234-6163
Appears in Collections:
의과대학 > 성형외과학교실 > Articles
의과대학 > 영상의학과학교실 > Articles
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