Evaluation and comparison of clinical and aesthetic outcomes associated with the use of two allograft dermal matrices (ADMs) currently in use for tissue assisted immediate post-mastectomy breast reconstruction.
This is a level one, prospective, randomized, controlled multi-center clinical study comparing two types of acellular dermal matrices (ADMs) currently used in immediate post-mastectomy prosthetic breast reconstruction. Comparison of these two ADMs will be made in the areas of reconstructive clinical outcomes and aesthetic outcomes. Patients will be randomized into one of two ADM groups as part of their immediate post-mastectomy breast reconstruction. Patients in both groups will be followed for twelve months after their reconstructive surgery. Clinical outcomes will be documented at 1 month, 3 months, 6 months and 12 months following breast reconstructive surgery. For one-stage breast reconstruction, aesthetic outcomes will be assessed and documented at 6 and 12 months following implant placement. For two-stage reconstruction, patients will be evaluated for aesthetic outcomes at a time point 6-12 months following expander-to-implant exchange if it does not coincide with the 12 month post-mastectomy visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
224
Tissue assisted breast reconstruction with FlexHD pliable perforated ADM
Tissue assisted breast reconstruction with AlloDerm RTU perforated ADM
Northwestern University Medical Center
Chicago, Illinois, United States
NorthShore Health Systems
Evanston, Illinois, United States
Louisiana State Health Science Center
New Orleans, Louisiana, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Post Reconstruction Complication Rates
To compare the overall complication rate between the cohorts defined as either 1) post-operative infection specific to the reconstructed breast(s) requiring either intravenous antibiotic treatment or operative intervention, 2) seroma, and/or 3) reconstructive failure
Time frame: 12 months
Comparison of Each Complication Rate
To compare each complication rate between the cohorts defined as 1) post-operative infection specific to the reconstructed breast(s) requiring either intravenous antibiotic treatment or operative intervention 20 seroma 3) reconstructive failure and 4) reoperation for reasons other than infection
Time frame: 12 months
Comparison of Aesthetic Outcomes (Photographs)
A blinded comparison of aesthetic outcomes (photographs) using pre-defined criteria
Time frame: 12 months
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Faulkner Brigham & Women's Hospital
Jamaica Plain, Massachusetts, United States
New York University Langone Medical Center
New York, New York, United States
Harris Methodist Southlake Hospital
Fort Worth, Texas, United States