International expert panel consensus on fat grafting of the breast

Background: Autologous fat grafting has broad applications in reconstructive and aesthetic breast surgery as a natural filler and for its regenerative purposes. Despite the widespread use of fat grafting, there remains no shared consensus on what constitutes the optimal fat grafting technique and its oncological safety. For this reason, the authors of this study have organized a Survey and an International Consensus Conference that was held at the Aesthetic Breast Meeting in Milan (December 15, 2018). Methods: All studies on fat grafting, both for breast aesthetic and reconstructive purposes, were electronically screened. The literature review led to 17 "key questions" that were used for the Survey. The authors prepared a set of 10 "key statements" that have been discussed in a dedicated face-to-face session during the meeting. Results: The 10 key statements addressed all the most debated topics on fat grafting of the breast. Levels of evidence for the key statements ranged from III to IV with 2 statements (20%) supported by a level of evidence III and 6 statements (60%) by level of evidence IV. Overall consensus was reached for 2 statements (20%) with >75% agreement reached for 7 statements. Conclusions: The survey demonstrated a diversity of opinion and attitude among the panelists with regard to technique. Clear recommendations for evidence-based clinical practice for fat grafting use both in aesthetic and reconstructive breast surgery could not be defined due to the scarcity of level 1 or 2 studies

La presse nationaliste et le régime de Protectorat au Maroc dans l'entre-deux-guerres.

Abstract The analysis of the nationalist press reveals that the basis of Moroccan reformism, between the two wars, was the acceptance of the 1912 Treaty ; the Nationalists considered that the respect of this text, that entrusted the Moroccans, at least in certain domains, with the administration of the country's affairs, and that acknowledged only a role of control on the part of foreign authorities, could be a factor of progress for Morocco. This conception of colonization explains the ambiguous relationships maintained by the Nationalists with the "metropolis", the colonial authorities and the foreign colony. The Nationalists only realized that the Protectorate was inapplicable after a certain evolution marked by several crises, an evolution that ended in 1942.Résumé L'analyse de la presse nationaliste révèle que le fondement du réformisme marocain, dans l'entre-deux-guerres, est l'acceptation du traité de 1912 ; les Nationalistes estiment que le respect de ce texte, qui réserve aux Marocains, tout au moins dans certains domaines, le soin de gérer les affaires du pays et qui ne reconnaît aux autorités étrangères qu'une fonction de contrôle, peut être un facteur de progrès pour le Maroc. Cette conception de la colonisation explique les rapports ambigus qu'entretiennent les Nationalistes avec les "métropoles", les autorités coloniales et la colonie étrangère. Les Nationalistes ne prendront conscience du fait que le Protectorat était inapplicable qu'après une évolution marquée par plusieurs crises, évolution qui s'achève en 1942.Ihrai-Aouchar Amina. La presse nationaliste et le régime de Protectorat au Maroc dans l'entre-deux-guerres.. In: Revue de l'Occident musulman et de la Méditerranée, n°34, 1982. pp. 91-104

La Mastectomie concervant l'étui cutané et la plaque aréolo-mamelonnaire (étude rétrospective de 109 cas)

NICE-BU Médecine Odontologie (060882102) / SudocSudocFranceF