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During the last decade, axillary dissection with removal of at least 10 lymph nodes ALD was replaced by sentinel lymph node biopsy SLNB as a staging procedure. Since then, the indication for SLNB rapidly expanded. Today's surgical strategies aim to minimize the rate of patients with a negative axillary status who undergo ALD. For some subgroups of patients, the indication for SLNB e.
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Studies have also shown that processing techniques that maintain greater concentrations of stromal vascular fraction cells and adipose stem cells may enhance fat engraftment and retention; therefore, processing methods should be optimized to increase the number of viable stromal vascular fraction cells and adipose stem cells. Recently, studies have shown that cotton gauze processing of lipoaspirates, compared with centrifugation, filtration, and washing, increased viable cells and fat graft size. Processing of lipoaspirates by filtration and centrifugation resulted in smaller fat grafts in animal studies, which correlate with studies demonstrating reduced cell proliferation, reduced nucleated adipocytes, and poorer architectural integrity following centrifugation and washing. Centrifugation speed and the density of cells may account for the reduced size of fat grafts and is discussed in the following sections. Comparing centrifugation, filtration, and sedimentation methods, no significant difference in the weight or architecture of the fat grafts was observed in animal experiments.
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