Several faculty published “Dermal Autografts in Breast Reconstruction: A Review of Past and Current Trends,” a review that summarizes key studies that highlight the feasibility of using dermal autografts versus acellular dermalmatrix (ADM) in breast reconstruction.
The article, published in and featured on the cover of the Annals of Plastic Surgery, was authored by Division of Plastic Surgery alumni resident David A. Mateo de Acosta Andino, M.D., current resident Pallavi A. Kumbla, M.D., professor Timothy King, M.D., Ph.D., and director Jorge de la Torre, M.D.
During implant-based reconstruction, providers generally have the option to use ADM or dermal autografts. According the review, “as implant-based reconstruction continues to increase, the use of ADM has also increased.” However, the research-rooted review finds that dermal autografts might actually be a more beneficial option.
Through the review of several published studies, the article acts as a holistic guide to methods and factors to consider when using dermal autografts or ADM. The review compares the use of dermal autografts to ADM in breast reconstruction through three aspects, including: reconstructive outcomes, aesthetic outcomes and financial considerations.
In the end, the use of dermal autografts was favored over the use of ADM as there are more options for harvesting dermal autografts, they have been shown to significantly decrease complication rates, and dermal autografts reduce costs. The review reminds readers, “it is important to take a comprehensive and critical look at new techniques to first establish their safety and efficacy before making these methods standard of care.”
de la Torre is pleased with the work of his co-authors and their dedication to finding credible references as well as the contribution that this review will have to excellent patient care across the nation.
“Ultimately, our goal in the Division of Plastic Surgery at UAB is to provide the highest level of care possible to our patients, and this study is a reminder that innovation depends on research,” said de la Torre. “Improving patient care depends on the development of new ideas and continued research, so I am proud of the work that our faculty has produced and what that means for our patients.”