Publications by authors named "M La Pinta"

Article Synopsis
  • The scarless latissimus dorsi (LD) flap technique is a breast reconstruction method that uses muscle tissue to improve coverage of breast implants without requiring additional skin, reducing the risk of complications after mastectomy.
  • A study reviewed the outcomes of 19 patients who underwent this surgery between September 2019 and June 2022, evaluating their satisfaction through the Breast-Q questionnaire one year post-operation.
  • Results showed a surgical time of around 130 minutes, with 83% of patients rating their aesthetic results as good to excellent, indicating the technique's reliability and advantage in minimizing risks associated with skin necrosis.
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Article Synopsis
  • Sentinel lymph node (SLN) biopsy for breast cancer patients after neoadjuvant chemotherapy is difficult due to a high false-negative rate, but using dual tracers and clipped lymph nodes (CLN) can improve results.* -
  • A study of 73 patients showed a 98.6% identification rate for CLNs, with 59% achieving a complete response in lymph nodes, although some cases saw discrepancies between SLNs and CLNs.* -
  • Targeted axillary dissection (TAD) proved to be more accurate than SLN alone, leading to changes in surgical or oncologic management for about 10% of patients, signaling the need for further research.*
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Article Synopsis
  • The study focused on influenza vaccination coverage among healthcare workers (HCWs) in public hospitals in Madrid during the 2021-2022 season, revealing an overall vaccination rate of 52.1%.
  • Individual factors positively linked to vaccine uptake included being female, older age, being born in Spain, holding a medical position, having multiple high-risk conditions, and previous vaccination history.
  • The research highlights that while some hospitals had varying impacts on vaccination rates, the overall coverage for HCWs was still suboptimal, suggesting a need for targeted strategies to increase vaccine uptake among specific groups.
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Article Synopsis
  • Intraoperative examination of the retro-areolar margin (IERM) is commonly used during nipple-sparing mastectomy (NSM) for breast cancer, but there's limited evidence on its actual benefits.
  • A study analyzing 162 women who underwent NSM without IERM from 2016 to 2021 found that only 10.5% had neoplastic cells close to the margin, and the vast majority (94%) preserved their Nipple-Areola Complex (NAC).
  • The research concluded that IERM may not be necessary during NSM as its omission does not increase complications or negatively impact cancer outcomes, suggesting the need for further studies to validate these results.
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Background: Surgical delay (SD) techniques, performed before the nipple sparing mastectomy (NSM), are procedures conceived to improve the blood supply to the nipple-areola complex (NAC) in order to overcome the ischemic risk. The aim of the study is reporting our experience with SD of the NAC in the setting of NSM, identify the rate of nipple and skin necrosis and other complications and to evaluate patient satisfaction with cosmetic outcome.

Patients And Methods: A retrospective review of female patients, who underwent NSM and breast reconstruction between the July 2014 and the July 2019, was performed at the Breast Unit of San Giovanni-Addolorata Hospital in Rome.

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