Two-Stage Prepectoral Breast Reconstruction with and without Acellular Dermal Matrix: A Cluster-Randomized Noninferiority Trial

Two-stage prepectoral breast reconstruction with ADM was noninferior to reconstruction without ADM regarding major 90-day postoperative complications, with comparable minor complications, patient-reported outcomes, and pain. These findings support the routine use of ADM as a safe option. Long-term follow-up comparing relevant clinical outcomes is needed to clarify the benefits of ADM.Trial Registration: Clinicaltrials.gov NCT05316324.

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Publication Details

Journal
Plastic & Reconstructive Surgery
Published
2026-03-11
DOI
https://doi.org/10.1097/prs.0000000000013019
Primary Topic
Breast Implant and Reconstruction
Type
article
Field-Weighted Citation Impact
0.00
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article

Two-Stage Prepectoral Breast Reconstruction with and without Acellular Dermal Matrix: A Cluster-Randomized Noninferiority Trial

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Plastic & Reconstructive Surgery
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article

Two-Stage Prepectoral Breast Reconstruction with and without Acellular Dermal Matrix: A Cluster-Randomized Noninferiority Trial

Danielle H. Rochlin, Carrie Scharf Stern, Ronnie Labib Shammas, Colleen M. McCarthy, Joseph J. Disa, Babek Mehrara, Mithat Gönen, Lillian A. Boe, Michelle Coriddi, Jonas A. Nelson, Evan Matros
article en

Abstract

Two-stage prepectoral breast reconstruction with ADM was noninferior to reconstruction without ADM regarding major 90-day postoperative complications, with comparable minor complications, patient-reported outcomes, and pain. These findings support the routine use of ADM as a safe option. Long-term follow-up comparing relevant clinical outcomes is needed to clarify the benefits of ADM.Trial Registration: Clinicaltrials.gov NCT05316324.

Plastic & Reconstructive Surgery
Memorial Sloan Kettering Cancer Center (US)
Good health and well-being
Openalex Percentile: Top 26%
Breast Implant and Reconstruction
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