{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T10:33:15Z","timestamp":1772188395746,"version":"3.50.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Implant covering with an interface material is the standard in prepectoral breast reconstruction. Acellular dermal matrix (ADM) is frequently used, but it is expensive and associated with complications. Alternatively, we have been using integrated devices consisting of a silicone implant coated with polyurethane (PU) foam. We aimed to compare both techniques in terms of acute complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>The authors retrospectively reviewed patients undergoing prepectoral direct-to-implant reconstruction from June 2018 to January 2022. Two cohorts were defined based on the interface material used: ADM versus PU. Total drainage volume, time to drain removal, and acute complications (hematoma, seroma, infection, and explantation) were analyzed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Forty-four breast reconstructions were performed in 35 patients (10 bilateral); implants were covered with ADM in 23 cases and with PU foam in 21. Median total drainage volume (500 versus 515 cc for ADM and PU, respectively) and time to drain removal (9 versus 8 days) were not affected by the interface material used, but seromas and infections occurred exclusively in the ADM cohort (seromas in four of 23 of cases, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.109; infections in three of 23 cases, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.234). Overall complications occurred more often in cases reconstructed with ADM, but the difference was nonsignificant (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.245).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The use of interface materials is generally considered a prerequisite for state-of-the-art prepectoral breast reconstruction for a variety of reasons, including the prevention of capsular contracture. In this study, PU coating tended to be associated with fewer short-term complications than ADM, including seroma and infection.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/gox.0000000000004798","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T19:57:05Z","timestamp":1675367825000},"page":"e4798","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Comparing Polyurethane and Acellular Dermal Matrix Implant Cover in Prepectoral Breast Reconstruction: Short-term Complications"],"prefix":"10.1097","volume":"11","author":[{"given":"Jorge M.","family":"Correia-Pinto","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica Reconstrutiva, Craniomaxilofacial e M\u00e3o, Unidade de Microcirurgia, Centro Hospitalar Vila Nova de Gaia\/Espinho, Vila Nova de Gaia, Portugal"},{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Filipa","family":"Poleri","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica Reconstrutiva, Craniomaxilofacial e M\u00e3o, Unidade de Microcirurgia, Centro Hospitalar Vila Nova de Gaia\/Espinho, Vila Nova de Gaia, Portugal"},{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Jos\u00e9 P.","family":"Barbosa","sequence":"additional","affiliation":[{"name":"Departamento de Medicina da Comunidade, Informa\u00e7\u00e3o e Decis\u00e3o em Sa\u00fade (MEDCIDS), Faculdade de Medicina da Universidade do Porto, Porto, Portugal."}]},{"given":"Rui","family":"Casimiro","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica Reconstrutiva, Craniomaxilofacial e M\u00e3o, Unidade de Microcirurgia, Centro Hospitalar Vila Nova de Gaia\/Espinho, Vila Nova de Gaia, Portugal"},{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Marta S.","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica Reconstrutiva, Craniomaxilofacial e M\u00e3o, Unidade de Microcirurgia, Centro Hospitalar Vila Nova de Gaia\/Espinho, Vila Nova de Gaia, Portugal"},{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Carolina","family":"Andresen","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Gustavo","family":"Coelho","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Cristina S.","family":"Cunha","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]},{"given":"Hor\u00e1cio","family":"Costa","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Cirurgia Pl\u00e1stica, Hospital da Prelada, Porto, Portugal"}]}],"member":"276","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"R1-20240920","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/PRS.0b013e3181c82d90","article-title":"Implant-based breast reconstruction using acellular dermal matrix and the risk of postoperative complications.","volume":"125","author":"Chun","year":"2010","journal-title":"Plast Reconstr Surg"},{"key":"R2-20240920","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/PRS.0b013e3182361fd6","article-title":"A meta-analysis of human acellular dermis and submuscular tissue expander breast reconstruction.","volume":"129","author":"Kim","year":"2012","journal-title":"Plast Reconstr Surg"},{"key":"R3-20240920","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1097\/PRS.0000000000008485","article-title":"Acellular dermal matrix\u2013associated contracture: a clinical and histologic analysis of patients undergoing prosthetic breast reconstruction.","volume":"148","author":"Kearney","year":"2021","journal-title":"Plast Reconstr Surg"},{"key":"R4-20240920","doi-asserted-by":"crossref","first-page":"186","DOI":"10.5999\/aps.2015.42.2.186","article-title":"Polyurethane-coated breast implants revisited: a 30-year follow-up.","volume":"42","author":"Castel","year":"2015","journal-title":"Arch Plast Surg"},{"key":"R5-20240920","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/j.bjps.2016.01.013","article-title":"Systematic review of the effectiveness of polyurethane-coated compared with textured silicone implants in breast surgery.","volume":"69","author":"Duxbury","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R6-20240920","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.breast.2020.09.009","article-title":"Immediate breast reconstruction after mastectomy with polyurethane implants versus textured implants: a retrospective study with focus on capsular contracture.","volume":"54","author":"Loreti","year":"2020","journal-title":"Breast"},{"key":"R7-20240920","doi-asserted-by":"crossref","first-page":"39S","DOI":"10.1097\/PRS.0000000000004049","article-title":"Options in acellular dermal matrix\u2013device assembly.","volume":"140","author":"Sigalove","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"R8-20240920","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.breast.2019.08.002","article-title":"Prepectoral direct-to-implant breast reconstruction with complete ADM or synthetic mesh coverage\u201436-months follow-up in 200 reconstructed breasts.","volume":"48","author":"Reitsamer","year":"2019","journal-title":"Breast"},{"key":"R9-20240920","doi-asserted-by":"crossref","first-page":"e454","DOI":"10.1016\/j.clbc.2021.01.015","article-title":"Direct to implant breast reconstruction with prepectoral micropolyurethane foam-coated implant: analysis of patient satisfaction.","volume":"1","author":"Salgarello","year":"2021","journal-title":"Clin Breast Cancer"},{"key":"R10-20240920","doi-asserted-by":"crossref","first-page":"49","DOI":"10.21037\/gs.2017.01.02","article-title":"Capsular contracture in implant based breast reconstruction\u2014the effect of porcine acellular dermal matrix.","volume":"6","author":"Lardi","year":"2017","journal-title":"Gland Surg"},{"key":"R11-20240920","doi-asserted-by":"crossref","first-page":"e358","DOI":"10.1016\/j.clbc.2018.12.015","article-title":"Breast reconstruction actualized in nipple- sparing mastectomy and direct-to-implant, prepectoral polyurethane positioning: early experience and preliminary results.","volume":"19","author":"De Vita","year":"2018","journal-title":"Clin Breast Cancer"},{"key":"R12-20240920","doi-asserted-by":"crossref","first-page":"360e","DOI":"10.1097\/PRS.0000000000005903","article-title":"Are 30-day outcomes enough? Late infectious readmissions following prosthetic-based breast reconstruction.","volume":"144","author":"Collier","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"R13-20240920","doi-asserted-by":"crossref","first-page":"686e","DOI":"10.1097\/PRS.0000000000006654","article-title":"Direct-to-implant, prepectoral breast reconstruction: a single-surgeon experience with 201 consecutive patients;.","volume":"145","author":"Safran","year":"2020","journal-title":"Plast Reconstr Surg"},{"key":"R14-20240920","first-page":"e3745","article-title":"Do we need support in prepectoral breast reconstruction? Comparing outcomes with and without ADM.","volume":"9","author":"Salibian","year":"2021","journal-title":"Plast Reconstr Surg"},{"key":"R15-20240920","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1097\/PRS.0000000000006202","article-title":"Infections following immediate implant-based breast reconstruction: a case-control study over 11 years.","volume":"144","author":"Banuelos","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"R16-20240920","first-page":"e2108","article-title":"Prosthetic breast reconstruction and Red Breast yndrome: demystification and a review of the literature;.","volume":"7","author":"Nahabedian","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"R17-20240920","doi-asserted-by":"crossref","first-page":"567","DOI":"10.5999\/aps.2020.01207","article-title":"Outcome of complete acellular dermal matrix wrap with polyurethane implant in immediate prepectoral breast reconstruction.","volume":"47","author":"Neamonitou","year":"2020","journal-title":"Arch Plast Surg"}],"container-title":["Plastic and Reconstructive Surgery - Global Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/GOX.0000000000004798","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T18:03:21Z","timestamp":1726855401000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/GOX.0000000000004798"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/gox.0000000000004798","relation":{},"ISSN":["2169-7574"],"issn-type":[{"value":"2169-7574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2]]}}}