Comparison of Different ADM Materials in Breast Surgery

This is a brief review of the history of the role of acellular dermal matrices in breast reconstruction surgery, with a summary of several currently available products, including a table of comparisons. Key features, including biologic tissue source, surgical preparation, sterility, polarity, contraindications, shelf life, and cost, are examined. A paucity of data exists to directly compare AlloDerm (R), DermaMatrix (R), Strattice (TM), Permacol (TM), DermACELL, FlexHD (R), SurgiMend (R), and ALLOMAX (TM) for breast reconstruction; most studies relate to hernia repair. An ideal acellular dermal matrix product is still unavailable but the information provided in this review should facilitate a breast surgeons decision-making process.