Human Reticular Acellular Dermal Matrix to Support Flap Transfer

In this video, Dr. Michael Desvigne speaks on the topic of human reticular acellular dermal matrices and how it can support flap transfer, which was the topic of his poster (The Use of Aseptically Processed Meshed Reticular Acellular Dermal Matrix as a Scaffolding to Support Flap Ingrowth in Soft Tissue Reconstruction) at SAWC Spring. 
 

Transcript:

Specifically the acellular dermal matrix that I'm talking about comes from that reticular level of dermis. And the reticular level is different than a more superficial level that many of the skin substitutes per se, are utilized in a more skin replacement. So the reticular dermal layer has a more open, porous structure, so it allows for better cell integration. And as a result, that tissue can be used as a scaffolding to help support a flap or soft tissue.

Personally, I've had many clinical cases where I've utilized this tissue form, but I'm really encouraged as I talk to more surgeons and clinicians who are utilizing different types of matrices to assist with soft tissue support. So I think first is getting it in the hands of more surgeons who are doing this type of work, but also some benchmark scientific data, both clinical and perhaps animal studies, really looking at that integration underneath deep soft tissue.

Well, I'm excited about this. I think this really creates a new beginning for some of what we're doing in the reconstructive world with regard to soft tissue. As plastic surgeons, we do utilize quite a bit of flap surgery and skin grafts to assist with reconstruction. But many of our patients have tissue deficits that don't allow for this. And so having and utilizing other tissue forms such as this dermal matrix can really expand our opportunities to help patients.