Prepectoral Breast Reconstruction | Journal CME Article-Partial ADM Closure. Video 1 from “Pre-pectoral Breast Reconstruction” January 2025

Partial ADM Closure. Video 1 from “Pre-pectoral Breast Reconstruction” January 2025 – 155 (1) CME

Video Transcription

Video Summary

The video describes a procedure involving mastectomy flap reconstruction using expander implants and acellular dermal matrix (ADM). The expander size is chosen based on the pocket width and mastectomy weight, temporarily filled with air, and later with saline. ADM is sutured around the expander, offering structural support, especially at the lateral and inferior poles. Spanning stitches prevent ADM descent. Sutures attach the expander to the chest wall, avoiding lateral tabs to minimize discomfort. The process includes appropriate suturing and skin approximation, with a drain to prevent seroma formation, ensuring stable positioning and healing.

Keywords

mastectomy flap reconstruction

expander implants

acellular dermal matrix

sutures

seroma prevention