Autologous dura mater grafts in reconstructive surgeries for breast cancer patients

OpuholiŽenskoj Reproduktivnoj Sistemy

F. N. Usov¹  A. D. Zikiryakhodzhaev²  M. V. Starkova²  D. Sh. Dzhabrailova²  D. V. Bagdasarova²  I. S. Duadze² 

[1] Department of Oncology, Radiotherapy, and Plastic Surgery, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia;P.A. Herzen Moscow Oncology Research Institute – a branch of the National Medical Radiology Research Center, Ministry of Health of Russia;

关键词: breast cancer;    breast reconstruction;    autologous dura mater graft;    lyophilized dura mater;    acellular dermal matrix;    mesh implant;    mastectomy;   

DOI  :  10.17650/1994-4098-2021-17-3-44-50

来源: DOAJ

【 摘 要 】

Reconstructive surgeries have long been considered as an essential part of rehabilitation of breast cancer patients. The majority of patients tend to choose one-stage reconstruction, because this type of surgery ensures rapid emotional and physical recovery. Due to the lack of subcutaneous fat in a substantial proportion of cases, which leads to postoperative complications, the most common surgical tactics now is simultaneous reconstruction after subcutaneous mastectomy with subpectoral implant location and strengthening of the lower breast slope using different materials. So far, there has been no gold standard material for secure covering of the lower pole of the implant. Autologous acellular dura mater grafts are a promising material for breast reconstruction. Studies evaluating biointegration, compatibility, inertness, reactivity, and cost effectiveness of autologous acellular dura mater grafts have determined feasibility of using these grafts in reconstructive surgeries.

【 授权许可】

Unknown