Breast Reconstruction, Mastectomy
Conditions
Keywords
dermal matrix
Brief summary
Use of a HADM and implant in post-mastectomy breast reconstruction.
Detailed description
This is a prospective, single-site pilot study in which outcomes associated with the use of Flex HD® Pliable™ Perforated, Human Acellular Dermal Matrix and an implant which are used in post-mastectomy breast reconstruction will be obtained. The data collected will include reconstructive outcomes, aesthetic outcomes and patient-reported outcomes in order to ascertain advantages and disadvantages of using this particular HADM in post-mastectomy breast reconstruction.
Interventions
Human Acellular Dermal Matrix
Sponsors
Study design
Eligibility
Inclusion criteria
* Scheduled to undergo a single or two-stage, tissue-assisted, implant breast reconstruction * Mastectomy may be unilateral or bilateral, prophylactic or therapeutic * Skin incision may be skin sparing, or nipple-areolar sparing * Have signed written, informed consent * Be at least 18 years of age
Exclusion criteria
* Patients undergoing autologous breast reconstruction * Patients undergoing breast reconstruction following complications of breast augmentation, mastopexy, breast reduction, or breast conservation surgery (lumpectomy) * Patients undergoing reconstruction after previously failed attempts at reconstruction * Patients undergoing autologous breast reconstruction in conjunction with a tissue expander (such as a latissimus dorsi flap, DIEP flap) * There will be no exclusions based on race or ethnicity * BMI \> 40 * Previous Radiation Treatment. Note: Post-operative radiation treatment does not exclude subjects from study continuation once enrolled.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Types and incidence of complications | 6 months post reconstruction | Documentaiton of any medical and/or surgical problem requiring treatment that arises as a result of the reconstruction procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Aesthetic Outcomes | 6 months post reconstruction | Aesthetic outcomes evaluated by the operating surgeon and two independent board certified plastic surgeons with breast reconstruction expertise |
| Patient-Reported Outcomes | 6 months post reconstruction | Use of the Breast Q survey instrument |
Countries
United States