Piśmiennictwo

Evaluation of a novel technique in immediate implant reconstruction with a new shaped acelular matrix graft (Braxon®) placed on the pectoralis muscle in a subcutaneous plane.

Simon Cawthorn, Giorgio Berna. Evaluation of a novel technique in immediate implant reconstruction with a new shaped acelular matrix graft (Braxon®) placed on the pectoralis muscle in a subcutaneous plane. EJSO, May 2014; Volume 40, Issue 5, Page 634.



Evaluation of the early post-operative effectiveness of a novel muscle-sparing breast reconstruction technique using Braxon® (acellular dermal matrix)
Multicentre European experience.

Muscle sparing breast reconstruction with Braxon®: results from the prospective multicenter European study.

Simon Cawthorn (Bristol – UK), Jaume Masià (Barcelona – ES), Vidya Raghavan (North Staffordshire – UK), Giorgio Berna (Treviso – IT), Fernando Bozza (Padova – IT), Maurizio Governa (Verona – IT), Glenda Caputo (Verona – IT), Alexander Gardetto (Brixen – IT), Agnieszka Kolacinska (Lodz – PL).

 

Background: We report the preliminary results of the prospective multicenter European study on the muscle-sparing breast reconstruction technique using the Braxon® acellular dermal matrix (ADM) for a complete breast implant coverage.

 

Methods: The study has been carried out in eight European hospitals between april 2014 and April 2015. Seventy-two patients were enrolled using a single protocol that follows the ABS and BAPRAS joint guidelines for the use of acellular dermal matrix in breast surgery. The pre-shaped matrix completely wraps the breast implant, which is placed on the pectoralis major, without detaching the muscle.

 

 

Results: Implant loss occurred in two cases (2.5%) including one necrosis (1.5%); haematoma was experienced in two breast (2.5%), dehiscence resulted in three (3.7%) and five implants had seroma (6.2%).
Excellent cosmetic outcomes were obtained. None of the patients reported experiencing pain or reduction of the movements of the pectoralis major muscle after 5.6 months of median follow-up.

Conclusion: The use of a complete breast implant coverage made with the Braxon® ADM offers highly satisfactory early results, both from the aesthetic view point and the low post-perative complication rates. Longer follow-up is required for the long-term outcomes evaluation.