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  1. Article ; Online: Reply to Letter to the Editor: A Pure Autologous Dermal Graft and Dermal Flap Pocket in Prepectoral Implant Reconstruction After Skin-Reducing Mastectomy: A One-Stage Autologous Reconstruction Alternative to Acellular Dermal Matrices.

    Castagnetti, Fabio / Coiro, Saverio / Foroni, Monica / Falco, Giuseppe / Mele, Simone / Cenini, Eugenio / Morando, Ljuba / Begnini, Evelina / Borgonovo, Giulia / Ferrari, Guglielmo

    Aesthetic plastic surgery

    2022  Volume 47, Issue Suppl 1, Page(s) 99–100

    MeSH term(s) Humans ; Female ; Mastectomy ; Acellular Dermis ; Breast Neoplasms/surgery ; Mammaplasty ; Breast Implantation
    Language English
    Publishing date 2022-08-12
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-022-03056-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Pure Autologous Dermal Graft and Dermal Flap Pocket in Prepectoral Implant Reconstruction After Skin-Reducing Mastectomy: A One-Stage Autologous Reconstruction Alternative to Acellular Dermal Matrices.

    Castagnetti, Fabio / Coiro, Saverio / Foroni, Monica / Falco, Giuseppe / Mele, Simone / Cenini, Eugenio / Begnini, Evelina / Borgonovo, Giulia / Ferrari, Guglielmo

    Aesthetic plastic surgery

    2022  Volume 46, Issue 4, Page(s) 1679–1685

    Abstract: Skin-reducing mastectomy (SRM) with subpectoral implant positioning represents a consolidated, oncologically safe and cosmetically effective method for the immediate reconstruction of large and ptotic breasts. Acellular dermal matrix (ADM) has been ... ...

    Abstract Skin-reducing mastectomy (SRM) with subpectoral implant positioning represents a consolidated, oncologically safe and cosmetically effective method for the immediate reconstruction of large and ptotic breasts. Acellular dermal matrix (ADM) has been proposed as a substitute for the pectoralis major muscle in this surgical approach; this technique led to a progressive evolution toward prepectoral reconstructions even in skin-reducing mastectomies. Obese patients with macromastia who are typical candidates for SRM with ADM are at increased risk of complications associated with ADMs. Therefore, we avoided ADMs and developed a novel autologous technique for immediate breast reconstruction in large and ptotic breasts eligible for SRM. Specifically, an autologous dermal graft is harvested from contralateral healthy breast reduction to cover the upper pole of the prepectoral implant.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
    MeSH term(s) Acellular Dermis ; Breast Implantation/methods ; Breast Implants ; Breast Neoplasms/etiology ; Breast Neoplasms/surgery ; Esthetics ; Female ; Humans ; Mammaplasty/methods ; Mastectomy/methods ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2022-02-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-022-02800-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Bifurcate inferior pedicle mammoplasty in large ptotic breast for tumor located at the upper outer quadrant with skin involvement-a novel technique allowing good cosmetic outcome: case report.

    Mele, Simone / Falco, Giuseppe / Borgonovo, Giulia / Castagnetti, Fabio / Cenini, Eugenio / Coiro, Saverio / Ferrari, Guglielmo

    Gland surgery

    2020  Volume 9, Issue 5, Page(s) 1590–1595

    Abstract: Breast oncoplastic techniques followed by radiotherapy represent nowadays the standard of care for breast cancer treatment. For tumours located at the upper outer quadrant in patients with large and ptotic breasts, the use of level II breast reduction ... ...

    Abstract Breast oncoplastic techniques followed by radiotherapy represent nowadays the standard of care for breast cancer treatment. For tumours located at the upper outer quadrant in patients with large and ptotic breasts, the use of level II breast reduction mammoplasty, allows large quadrantectomies without compromising the breast natural shape and reducing the breast volume to be irradiated. When the skin overlying the tumour in the upper outer quadrant is involved, the removal of the skin during mammoplasty could lead to an extreme reduction of the breast, resulting in a bad outcome. Different strategies have been adopted to avoid a poor cosmetic result including a Z plastic or latissimus dorsi (LD) mini flap. At our institution we developed a new technique utilizing an inferior bifurcated pedicle mammoplasty with the preservation of a skin island for a patient with a residual tumour following chemotherapy involving the skin in the upper outer quadrant of the right breast. The patient did show no complications, with no delay for adjuvant radiotherapy treatment. Our method is a novel technique to treat malignancies in this location for patients with large and ptotic breasts when skin removal is indicated and it may represent an effective strategy to prevent excessive gland reduction, thus avoiding poor cosmetic result.
    Language English
    Publishing date 2020-11-05
    Publishing country China (Republic : 1949- )
    Document type Case Reports
    ZDB-ID 3016969-0
    ISSN 2227-8575 ; 2227-684X
    ISSN (online) 2227-8575
    ISSN 2227-684X
    DOI 10.21037/gs-20-349
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Reply To Invited Discussion On: The Bovine Pericardium Matrix In Immediate Implant-Based Breast Reconstruction.

    Castagnetti, Fabio / Bertani, Chiara / Foroni, Monica / Falco, Giuseppe / Cenini, Eugenio / De Bonis, Filomena / Ferrari, Guglielmo

    Aesthetic plastic surgery

    2021  Volume 45, Issue 3, Page(s) 1380–1381

    MeSH term(s) Animals ; Breast Implantation/adverse effects ; Cattle ; Humans ; Mammaplasty ; Pericardium/surgery
    Language English
    Publishing date 2021-01-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-020-02114-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Bovine Pericardium Matrix in Immediate Implant-Based Breast Reconstruction.

    Castagnetti, Fabio / Bertani, Chiara / Foroni, Monica / Falco, Giuseppe / Cenini, Eugenio / De Bonis, Filomena / Ferrari, Guglielmo

    Aesthetic plastic surgery

    2020  Volume 44, Issue 6, Page(s) 2051–2060

    Abstract: Background: Acellular dermal matrices have been introduced to optimize direct-to-implant breast reconstruction. We selected a bovine pericardium noncross-linked matrix.: Methods: The study consists in the retrospective analysis of 123 patients (141 ... ...

    Abstract Background: Acellular dermal matrices have been introduced to optimize direct-to-implant breast reconstruction. We selected a bovine pericardium noncross-linked matrix.
    Methods: The study consists in the retrospective analysis of 123 patients (141 breasts) who underwent conservative mastectomy and immediate implant-based breast reconstruction with bovine pericardium matrix Veritas
    Results: The overall rates of early and late complications, after a median follow-up of 51.84 months, were, respectively, 37.6% and 24.1%. The most noticeable early complications were flap ischemia [n = 39 (27.7%)], hematoma [n = 5 (3.6%)], marginal skin flap necrosis [n = 5 (3.6%)] and dehiscence of the surgical wound [n = 2 (1.4%)]. The most common late complications were rippling [n = 18 (12.7%)] and seroma [n = 4 (2.8%)]. The rate of clinically relevant capsular contracture was low: 12.1% (n = 17) presented grade II and only 2.1%% (n = 3) grade III. Implant substitution became necessary for five patients (3.6%). Early complications occurred more frequently in patients undergoing therapeutic mastectomy (p = 0.031). Patients undergoing preoperative radiotherapy more frequently developed late complications (p = 0.012). A clinically relevant capsular contracture (grade II-III) was found in higher average patients age (p = 0.0019). The left side developed less frequently late complications except for rippling (p = 0.002). Rippling occurred more frequently in patients who sustained a nipple skin-sparing mastectomy (p = 0.035).
    Conclusion: Our results further support the safety of Veritas
    Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
    MeSH term(s) Acellular Dermis ; Animals ; Breast Implantation/adverse effects ; Breast Implants ; Breast Neoplasms/surgery ; Cattle ; Follow-Up Studies ; Humans ; Mammaplasty/adverse effects ; Mastectomy ; Pericardium ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2020-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-020-01651-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Intramuscular Nodular Fasciitis of the Pectoralis Major.

    Falco, Giuseppe / Ragazzi, Moira / Cenini, Eugenio / Foroni, Monica / Silvotti, Monica / Veltri, Salvatore / Ferrari, Guglielmo

    The breast journal

    2016  Volume 22, Issue 1, Page(s) 122–123

    MeSH term(s) Adult ; Fasciitis/diagnostic imaging ; Fasciitis/pathology ; Humans ; Magnetic Resonance Imaging ; Male ; Multimodal Imaging/methods ; Pectoralis Muscles/diagnostic imaging ; Pectoralis Muscles/pathology ; Ultrasonography
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1289960-4
    ISSN 1524-4741 ; 1075-122X
    ISSN (online) 1524-4741
    ISSN 1075-122X
    DOI 10.1111/tbj.12532
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Breast conserving treatment for ductal carcinoma in situ in the elderly: can radiation therapy be avoided? Our experience.

    Falco, Giuseppe / Rocco, Nicola / Procaccini, Eugenio / Sommella, Maria Giulia / Bordoni, Daniele / Cenini, Eugenio / Castagnetti, Fabio / Sabatino, Vincenzo / Compagna, Rita / Della Corte, Gianni Antonio / Accurso, Antonello / Amato, Bruno / Ferrari, Guglielmo

    International journal of surgery (London, England)

    2014  Volume 12 Suppl 2, Page(s) S47–S49

    Abstract: Introduction: Ductal Carcinoma In Situ (DCIS) is a heterogeneous, pre-malignant disease accounting for 15-20% of all new breast cancers. If appropriately managed, DCIS has a small chance of impacting on patient life expectancy. Despite the possibility ... ...

    Abstract Introduction: Ductal Carcinoma In Situ (DCIS) is a heterogeneous, pre-malignant disease accounting for 15-20% of all new breast cancers. If appropriately managed, DCIS has a small chance of impacting on patient life expectancy. Despite the possibility of a further recurrence or of a development in an invasive form, we are unable to select treatment of choice especially in the elderly. In particularly we risk an overtreatment of women at low risk of progression to invasive breast cancer. The aim of this study was to retrospectively evaluate the outcome of elderly patients affected by DCIS not undergoing Radiation Therapy (RT) after Breast Conserving Surgery (BCS).
    Material and methods: We reviewed our prospectively-maintained database from 1998 to 2013, selecting all women over 65 years old diagnosed with DCIS who did not receive RT for personal choice. We considered two groups, according to the risk of local recurrence (Low Risk (Group 1) vs. High Risk (Group 2)).
    Results: We identified 44 cases of DCIS treated with surgery alone or with surgery followed by adjuvant tamoxifen. 24 patients presented low risk of local recurrence (Group 1) and 20 had characteristics associated to high risk of local recurrence (Group 2). At a median follow-up of 66.3 months, no local recurrences have been described in group 1. No patients presented distant metastases, while 4 patients died for other causes. At a median follow-up of 72 months we observed 5 local recurrences in the second group (p < 0.05).
    Conclusion: Our results suggest that radiation therapy can be safely avoided in a selected group of elderly patients affected by DCIS.
    MeSH term(s) Aged ; Aged, 80 and over ; Antineoplastic Agents, Hormonal/therapeutic use ; Breast Neoplasms/surgery ; Carcinoma, Intraductal, Noninfiltrating/surgery ; Chemotherapy, Adjuvant ; Female ; Humans ; Mastectomy, Segmental ; Neoplasm Recurrence, Local/prevention & control ; Radiotherapy, Adjuvant ; Retrospective Studies ; Risk ; Tamoxifen/therapeutic use ; Treatment Outcome
    Chemical Substances Antineoplastic Agents, Hormonal ; Tamoxifen (094ZI81Y45)
    Language English
    Publishing date 2014
    Publishing country England
    Document type Journal Article
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2014.08.382
    Database MEDical Literature Analysis and Retrieval System OnLINE

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