The use of cadaveric fascia lata in single-stage implant-based breast reconstruction: A two-center experience

Abstract

We would like to propose an alternative technique for implant coverage in implant-based breast reconstruction (ImBR) using cadaveric fascia lata (FL) in replacement of muscular flaps (i.e. serratus fascia), synthetic mesh (SM) and/or acellular dermal matrix (ADM), evaluate its short-term results and complications and compare it with existing data regarding SM and ADM in ImBR. ADMs have become very popular in the last decade as “extension” of pectoralis muscle for covering the implant's lower pole, reducing the risk of exposure and obtaining more satisfying definition of inframammary fold (IMF) and improving lower pole projection. 1 Breuing K.H. Warren S.M. Immediate bilateral breast reconstruction with implants and inferolateral Alloderm slings. Ann Plast Surg. 2005; 55: 232-239 Crossref PubMed Scopus (393) Google Scholar , 2 Spear S.L. Parikh P.M. Reisin E. Menon N.G Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008; 32: 418-425 Crossref PubMed Scopus (319) Google Scholar , 3 Becker H. Lind J.G. The use of synthetic mesh in reconstructive, revision, and cosmetic breast surgery. Aesthetic Plast Surg. 2013; 37: 914-921 Crossref PubMed Scopus (45) Google Scholar , 4 Logan Ellis H. Asaolu O. Nebo V. Kasem A Biological and synthetic mesh use in breast reconstructive surgery: a literature review. World J Surg Oncol. 2016; 14: 1-9 Crossref PubMed Scopus (45) Google Scholar , 5 Joanna Nguyen T. Carey J.N. Wong A.K Use of human acellular dermal matrix in implant- based breast reconstruction: evaluating the evidence. J Plast Reconstr Aesthet Surg. 2011; 64: 1553-1561 Abstract Full Text Full Text PDF PubMed Scopus (82) Google Scholar