Ductal Carcinoma In Situ is a Non Invasive Stage 0 Breast Cancer -
Twenty Percent May Become An Invasive Cancer

Ductal Carcinoma In Situ presents itself within the milk ducts and can extend in a variety of directions.

The unpredictable nature of Ductal Carcinoma In Situ both microscopically and the range in which potentially this pre-cancer can extend through the ducts needs to be met with a high level of technological capability. This factor alone makes The Ansanelli Co2 Laser Technique a highly beneficial option to the DCIS patient. The Ansanelli Co2 Laser Technique uniquely achieves this with its beam of light immediately sealing and sterilizing the smaller blood vessels and lymphatics during dissection. This preventative process dramatically reduces the level of cell spread and seeding of cells that is typically presented with knife and cautery methods- hyperlink to knife cautery page. There is no residual tissue damage remaining (cautery/knife methods) or dead cells for the body to reabsorb (ablation methods). With the elimination of these typical factors, there is a painless, immediate tissue recovery for the patient. The Ansanelli Co2 Laser Technique dramatically reduces the risk of infection and complication.

Additionally, this clean and finite process of removal provides Dr. Ansanelli with the capability of targeting the DCIS region more specifically. This is especially beneficial for patients having breast conservation surgery (lumpectomy- hyperlink to lumpectomy page or partial mastectomy. Upon removal of the specified DCIS region, Dr. Ansanelli provides his patients with another extra step during surgery by sealing and sterilizing the tissues with the laser without dissecting any further. This process eliminates any remaining pre-cancerous cells in the surgical field and provides an extra benefit addressing the unpredictable nature of DCIS. Dr. Ansanelli does not utilize any needles or other modalities (like with laser ablation) to sample tissue for analysis. The entire region is removed in a complete excision with these sealing and sterilization features. Animal studies have demonstrated 80% less local recurrence- hyperlink to animal study with the Co2 laser. Understanding the cell activity associated with DCIS this feature is extremely beneficial to the surgical patient in keeping the area contained. Many of Dr. Ansanelli’s patients have been cancer-free longer than the national average.

The tissue is then immediately sent to a state accredited laboratory for pathological analysis to confirm cancer free margins. Dr. Ansanelli then provides a plastic repair with the laser, utilizing the remaining healthy breast tissue to reshape the breast. Overall, The Ansanelli Co2 laser technique provides the highest level of technology, and surgical application to protect the patient in surgery and in preventative care.

Core needle biopsy is the most common method of diagnosing DCIS. This puts the patient at tremendous risk of cell spread. The multiple insertions of large core needles into the breast, in efforts to obtain sufficient sampling of the suspicious region, enables the cells to escape through the blood stream. Core needle biopsies also have its list of complications such as pain, and hematomas. Dr. Ansanelli’s laser technique greatly reduces the chance of cell spread as the laser is sterilizing and sealing the smaller blood vessels and lymphatics during removal. Animal studies have demonstrated 80% less local recurrence. The laser’s finite incisions are painless, without post-operative complications all while not jeopardizing the safety of the patient.




Revolutionizing Advanced Surgical Practice with The Ansanelli Co2 Laser Technique for Mastectomies:
Raising the Standard of Care

The Ansanelli Co2 Laser Technique in Mastectomy Surgery

The Ansanelli Co2 Laser Technique benefits the mastectomy patient more than any other method in existence.
This is quite a bold statement, but one that has demonstrated time and time again to provide unmatched surgical care.
A mastectomy can be a necessity for some women, while for others it is an act of prevention. These are both very poignant approaches possessing equal value for such a dramatic, and turning point moment in a woman’s life. The Ansanelli Co2 Laser Technique raises that standard to unprecedented levels as it utilizes technology and surgical mastery to optimize the surgical experience of a mastectomy patient.

The Ansanelli Co2 Laser Technique does not compromise mastectomy patients

Simplifying the surgical process was a driving factor for Dr. Ansanelli advancing this surgery to what it is today. A mastectomy alone presents a trying emotional experience for the patient. When this experience is complicated by pain, damage to the tissue, Rx medications, long-term structural damage, dependency on others, hospitalization, general anesthesia, nerve blocking, complications, infections, prolonged recovery care, potential additional surgeries, and a departure from autonomy and normal routine, these factors complicate the already taxing experience of losing a key factor of a woman’s identity. Many women fear surgery for this reason. They do not want to be victimized and mutilated in order to serve their cancer. There are many courageous women that meet the experience head on but are still faced with the horrendous aftermath of surgery.

The Ansanelli Co2 Laser Technique in mastectomy surgery is immunologically more supportive to the cancer patient

The Ansanelli Co2 Laser Technique approaches mastectomy as an art. Having trained from a pioneer in mastectomy surgery at Columbia University Medical Center, Dr. Cushman D. Haagensen, Dr. Ansanelli’s iconic steady hand and futuristic approach to surgical care have enabled the advancement of technology to better serve the experience of the mastectomy patient. This applies to stage 4 necrotic tumors. The Ansanelli Co2 Laser Technique enables the patient to have modified or radical mastectomies without pain. Following surgery instead of morphine and heavy Rx pain and preventative medications, the patient has at most a Tylenol. A tremendous support to the already taxed immunity of the cancer patient. The patient has the ability to leave within 30 minutes after surgery going for lunch and resuming her day normally. No IV’s, hospital stay, complications from general anesthesia, heavy drainage, or intensive recovery care after surgery. Another unique benefit to the immunity of the cancer patient.

The Ansanelli Co2 Laser Technique enables mastectomy patients to be immediately autonomous following advanced surgery

The Ansanelli Co2 Laser mastectomy patient is uniquely autonomous immediately (thirty minutes- 1 hour) following massive surgery. Many women have traveled across the country alone to have Dr. Ansanelli’s mastectomy surgery. Many of his mastectomy patients have not wanted to tell their families until they felt it was the right time. This immediate recovery process without dependency or necessity for assistance, physical therapy or wound care support, enables the patient to stay in control of her own body. Another crucial factor that this work enables is for the woman to be able to maintain the emotional consistency she needs in staying focused on the next stages of her care after surgery. She is not dependent on anything, or anyone other than herself. Making best next choices with a clear mind and essential physical strength. Next step treatment can be debilitating, and to face it in a weakened state is not optimal or with this beneficial option of care, necessary.

No tissue damage created (including burning or charring of tissue) with The Ansanelli Co2 Laser Technique

On a more technical level, this is all possible with The Ansanelli Co2 Laser Technique because the patient’s tissue during surgery is not being damaged. The laser light dissects tissue not by burning or charring like standard approaches. Instead, this light uniquely absorbs the water in the cells during dissection and vaporizes into a plume. This vaporization does not leave residual damage. Instead what remains is tissue that is sterilized and sealed, reducing the cancer cell spread throughout the blood vessels and lymphatics. Here is a comparison between knife surgery, laser surgery, and cautery surgery. These sealing and sterilization feature also dramatically reduce the post-operative drainage to minimal levels. The infection and complications risk post-operatively are nearly eliminated.

No General Anesthesia required for The Ansanelli Co2 Laser Technique Mastectomy (radical/modified)

The Ansanelli Co2 Laser Technique enables the patient to be under local anesthesia with IV sedation during these advanced procedures. This is a support to the patient’s immunity, preventing any post-operative complications caused by standard approaches that require general anesthesia or nerve blocking. The undamaged tissue from The Ansanelli Co2 Laser Technique enables the patient to have a dramatic risk reduction in physical complications. This greatly reduces the need for physical therapy to regain movement in the arm following the mastectomy. Additionally, the scarring is improved (everybody scars differently) as the tissues are not damaged. Standard methods typically increase the scarring processes due to the damage unavoidably created during dissection.

Unique sterilization and sealing capabilities with The Ansanelli Co2 Laser Technique: reducing cancer cell spread

The Ansanelli Co2 Laser patients have another exclusive feature provided to them once the cancerous breast tissue is removed. First, Dr. Ansanelli lazes the surgical bed. This provides additional sealing and sterilization to the surgical site. Animal studies have demonstrated a reduction in local recurrence by 80%. This further sterilization dries the surgical field reducing infections complications and heavy post-operative drainage. This unique process also eliminates any remaining microscopic cancer cell activity. This is accomplished without creating damaging to the area or leaving any residual damage for the body to reabsorb. This clean surgical process makes advanced surgery reach a new level of capability both in surgery and in the presentation of the surgical setting.

Cosmetic results unique to The Ansanelli Co2 Laser Technique Mastectomies

A cosmetic result is always important to Dr. Ansanelli both at the start of surgery with his first bloodless incision, to the very last suture that he completes underneath the skin with dissolvable sutures. When possible, Dr. Ansanelli builds up the remaining fatty breast tissue creating cleavage. This enhancement sometimes enables the patient to wake up from the 1-2 hour procedure with a small breast. These results have proven highly successful with women that are not looking to have any reconstructive surgery. Many of his patients have called him the Michelangelo of surgery for this reason.

Compare universal standard methods of surgery to The Ansanelli Co2 Laser Technique

The universally utilized standard practice of mastectomies by knife, electro (electric) cautery and plasma kinetic cautery can be compared to The Ansanelli Co2 Laser Technique in surgical capabilities on Co2 vs. Standard Methods page .




How Lumpectomies by The Ansanelli Co2 Laser Technique Take Preventative Measures Reducing Potential Cancer Cell Spread

The Ansanelli Co2 Laser Technique for Lumpectomy

The Ansanelli Co2 Laser Technique is highly beneficial in removing a suspicious area for a lumpectomy. Many times, it is unknown whether the area in question is a cancer. Even with a smaller procedure the standard methods of removal (knife/cautery), can create many post-operative complications. These include painful bruising, hematomas. This is due to the damaging of the cells and tissues during dissection. Cancer cell spread is a common concern with knife surgery.

The Ansanelli Co2 Laser Technique uniquely protects the patient during the removal process

In contrast, The Ansanelli Co2 Laser Technique first creates a finite bloodless incision. Throughout the procedure pain and trauma typically created by standard surgical approaches are eliminated. The Ansanelli Co2 Laser Technique painlessly dissects tissue without creating any disruption or cellular damage. While the specimen/biopsy is removed, the sealing and sterilization features of The Ansanelli Co2 Laser Technique benefits the patient by dramatically reducing the cell spread throughout the blood vessels and lymphatics. This is especially beneficial in addressing an unknown mass. Once completely excised from the body, Dr. Ansanelli performs a unique process of lazing the surgical area, without dissecting any further tissue. This lazing provides further sterilization and sealing while eliminating any remaining microscopic cell activity in the surgical site. Animal studies have demonstrated an 80% reduction in local recurrence- hyperlink to study.

Unique to The Ansanelli Co2 Laser Technique there is never any burning, charring or residual dead tissue remaining in the body to be reabsorbed (like ablative methods). The specimen is immediately sent to a state accredited lab for pathological testing to confirm a complete and thorough analysis of the tumor. This includes a confirmation that the margins are free of cancer (if a cancer).

The Ansanelli CO2 Laser Technique provides a plastic repair

Dr. Ansanelli hyperlink to his page) performs a plastic repair re-approximating the healthy tissue with his laser. This process fills the cavity with healthy tissue so that the breast is not deformed following surgery. The dissolvable sutures are placed underneath the skin for an improved healing result.

Why Ablative Methods are incomplete compared to The Ansanelli Co2 Laser Technique

Ablative methods might appear less invasive but they present further challenges for the patient both in the removal process and in pathological confirmation. Many times, radiation is required as a solution for incomplete cancer margin removal. Compare the surgical capabilities between The Ansanelli Co2 Laser Technique and Laser Ablation- Hyperlink to Ansanelli vs. Laser Ablation.

Patients considering mastectomy surgery find out how The Ansanelli Co2 Laser Technique has completely revolutionized advanced surgical care to benefit your fight.


Biopsy Diagnosis


The Ansanelli Co2 Laser Biopsy Technologically Empowers the Patient at a Time of Vulnerability; Educate and Compare Options at This Pivotal Moment

The initial phase of having a potential breast cancer

When you are told that you have a suspicious area of concern in the breast that needs to be biopsied for pathological evaluation what options do you have? At this very stressful moment fear and vulnerability set in. Believe it or not, at this very moment you are still in a position of control. Before you tamper and disrupt the region with the immediate option available, educate and evaluate what additional options are available to you. We understand that The Ansanelli Co2 Laser Technique is no yet offered in your area. But, before any poking or prodding, provided is more information to support you in the education process.

What are the typical options of tissue diagnosis?

Typically, the multiple biopsy techniques offered are Fine Needle Aspiration, Core Needle Biopsy, Vacuum-Assisted Breast Biopsy, Scalpel Incisional and Excisional biopsy. You can research more fully on each and individual method but there is a common theme, disruption of potential cancer cells. Let us evaluate each method more thoroughly and compare.

1. Needle Aspiration

When a suspicious area comes up on the scan the radiologist immediately looks to biopsy or aspirate the area to define its chemical nature. They place a needle into the region under a scan (ultrasound, mammogram or MRI) if it is not palpable (can be felt). If the region can be felt this scan guidance is not necessary. Ultimately, they insert a hollowed needle to obtain tissue to be pathologically evaluated. The insertion and removal of this needle can be multiple times. The disruption to the area is not only potentially spreading the cells out of the contained region but simultaneously damaging the tissue. Most often it creates pain, swelling, bruising and potential hematomas.

2. Core Needle Biopsy

The needle utilized for core needle biopsies are larger hollow needles. The needle for Core Needle Biopsy is inserted 3-6 times to obtain enough of a sampling for tissue analysis. This option, like needle aspirations, creates a disruption to the area in question. Cell spread can potentially be escaping through the blood stream. This disruption can potentially create swelling, bruising, hematomas and pain. Due to the small amount of tissue being recovered in this method, after undergoing this process it still does not guarantee that this will provide enough data regarding your tumor. At that time, an excisional biopsy by knife and or cautery would be scheduled to provide a more through pathological analysis.

3. Vacuum-Assisted Breast Biopsy

This method also known as Mammotome, MIBB (minimally invasive breast biopsy), has made an improvement on the previous model of biopsy. The single insertion probe is vacuum-assisted and can remove more tissue than previous methods. This single insertion still removes tissue 8-10 times to obtain enough sampling. There is still disruption occurring internally. The common effects such as pain, bruising, swelling and hematomas can still occur. The cell disruption is still possible as there are no means of sealing off the area when the probe comes out of the region.

4. Scalpel Incisional Biopsy

The surgeon under local anesthesia removes a sampling of tissue by knife, obtaining enough of a specimen for pathological analysis. This method damages the tissue may result in pain, swelling, and hematomas. The knife is incapable of sealing and sterilizing the region upon removal. This method does not have the capability of reducing the potential cancer cell spread through the blood stream and lymphatics during the removal process.

5. Excisional Biopsy/ Lumpectomy

This process like the previous option mentioned is under local anesthesia. The surgeon removes the entire area in question with a larger amount of tissue surrounding the region for pathological analysis. This method damages the tissue resulting in potential pain, swelling, and hematomas. The knife is incapable of sealing and sterilizing the region upon removal. This method does not have the capability of reducing the potential cancer cell spread through the blood stream and lymphatics during the removal process. The electric cautery- hyperlink to cautery page cauterizes through means of charring and burning leaving residual tissue damage. This does not leave the area sterile and the damage can create pain, complications, and infections delaying the recovery process.

How The Ansanelli Co2 Laser Technique technologically empowers the biopsy patient

It is important at a moment of intense vulnerability that the patient does not feel rushed into a decision. Vincent Ansanelli M.D., F.A.C.S., developed the CO2 Laser Technique to better serve women in tissue biopsy diagnosis. The patient is put under local anesthesia and undergoes a laser biopsy. This method immediately seals and sterilizes the surrounding blood vessels and lymphatics during biopsy, reducing any spread of the potential cancer cells. This is a painless and damage free process to the patient’s breast tissue. The sufficient tissue sampling is a one step process. Multiple insertions or sampling compared to previously mentioned options are eliminated. Defining the exact chemical nature of the area in question is more efficient in this method while not compromising the patient.

The Ansanelli Co2 Laser Biopsy enables the patient to be proactive in their fight

The Ansanelli CO2 Laser biopsy is painless and eliminates infections, bruising, hematomas, and swelling. The process is fast and efficient. If the patient wishes to have the entire suspicious region removed with a bit of the surrounding tissue instead of just a sampling this is possible too. Dr. Ansanelli provides an additional sealing and sterilization process to the surgical site once the tissue in question has been removed. If this turns out to be a cancer this process has been highly beneficial to the patient. Animal studies have demonstrated the Co2 laser sealing and sterilization benefits to reduce local recurrence by 80%.

The most important part as to why Dr. Ansanelli has advanced this option is to better serve the vulnerable patient undergoing breast cancer diagnosis. Empowering both the physical and mental state of the patient is key. Thinking a step ahead, being proactive in addressing breast cancer is an essential first step. Dr. Ansanelli has united technique and technology to better serve breast cancer patients so they are a step ahead in their fight.

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