A5068517885- Reconstructive Surgery and Microvascular Techniques
- Lymphatic System and Diseases
- Breast Implant and Reconstruction
- Reconstructive Facial Surgery Techniques
- Diagnosis and Treatment of Venous Diseases
- Breast Cancer Treatment Studies
- Body Contouring and Surgery
- Sympathectomy and Hyperhidrosis Treatments
- Mesenchymal stem cell research
- Systemic Sclerosis and Related Diseases
- Vascular Malformations and Hemangiomas
- Body Image and Dysmorphia Studies
- Lymphatic Disorders and Treatments
- Tracheal and airway disorders
- Cancer Diagnosis and Treatment
- Head and Neck Cancer Studies
- Facial Rejuvenation and Surgery Techniques
- Bone fractures and treatments
- Facial Trauma and Fracture Management
- Surgical Sutures and Adhesives
- Surgical site infection prevention
- Trauma Management and Diagnosis
- School Health and Nursing Education
- Radiomics and Machine Learning in Medical Imaging
- Head and Neck Surgical Oncology
Agostino Gemelli University Polyclinic
2012-2025
Università Cattolica del Sacro Cuore
2016-2025
Asan Medical Center
2025
University of Ulsan
2025
Istituti di Ricovero e Cura a Carattere Scientifico
2019-2022
ORCID
2022
Kameda Medical Center
2019
Breast Center
2019
Istituto Dermopatico dell'Immacolata
2017
Asahi General Hospital
2017
Background: In postmastectomy radiated patients, autologous tissue reconstruction is preferred over implant reconstruction, because the latter associated with a higher rate of postoperative complications. Autologous however, not always feasible and sometimes refused by patient. A challenge also arises in breast-conserving surgery patients seeking breast augmentation an implant. this article, authors present further reconstructive option for irradiated cancer consisting fat grafting followed...
Background: Identification and localization of functional lymphatic vessels are important for lymphaticovenular anastomosis. Conventional high-frequency ultrasound (CHFUS) has been reported to be useful them, but it some disadvantages. In this article, we present new capabilities ultra (UHFUS) imaging the vessels, which may overcome weakness CHFUS. Methods: Thirty unaffected extremities in 30 unilateral secondary lymphedema patients (13 upper limbs 17 lower limbs) were examined. using UHFUS...
The elderly, who suffer from multiple chronic diseases, represent a substantial proportion of Emergency Department (ED) frequent users, thus contributing to ED overcrowding, although they could benefit other health care facilities, if those were available. aim this study was evaluate and characterize hospital visits older patients (age 65 or greater) the university teaching in Rome 1st January 31st December 2014, order identify clinical social characteristics potentially associated with...
Background: Implant-based breast reconstruction (IBBR) following conservative mastectomy is the most common approach for women undergoing cancer surgery. The aim of this study was to compare oncological outcomes combined with prepectoral IBBR subpectoral technique. Methods: clinical and demographic data consecutive patients who underwent either or between January 2018 December 2023 were retrospectively analyzed. primary outcome impact on local recurrence-free survival (LRFS). Secondary...
Background: Nipple-sparing mastectomy is gaining widespread popularity, as it could allow improved aesthetic outcome without increasing oncologic risk. To investigate the reconstructive issues experienced with immediate implant reconstruction, authors reviewed cosmetic outcomes of their series. Methods: The retrospectively analyzed data on 33 cases nipple-sparing for both cancer and prophylaxis reconstruction using submusculo-subfascial pocket. Cosmetic evaluation methods were clinical...
Background: The role of platelet-rich plasma in enhancing fat graft take is attracting the scientific community. There is, however, a lack clinical studies on matter. aim this article to report authors' experience breast grafting with and without investigate state art adipose tissue enrichment. Methods: authors retrospectively reviewed 42 women who underwent between September 2007 2009. Seventeen these patients (40 percent) were grafted (according Coleman) enriched at 10 percent (group A),...
The ability to directly harvest thin and superthin perforator flaps without jeopardizing their vascularity depends on knowledge of the microsurgical vascular anatomy each within subcutaneous tissue up dermis. In this paper, we report our experience with ultrahigh-frequency ultrasound (UHF-US) in preoperative planning flaps. Between May 2017 September 2018, perforators seven patients were preoperatively evaluated by both (using an 18-MHz linear probe) UHF-US 48- 70-MHz probes). Thin (two...
Background: The aim of this study was to compare outcomes immediate prosthetic breast reconstruction (IPBR) using traditional submuscular (SM) positioning implants versus prepectoral (PP) micropolyurethane-foam-coated (microthane) without further coverage. Methods: We retrospectively reviewed the medical records cancer patients treated by nipple-sparing mastectomy (NSM) and IPBR in our institution during two-year period from January 2018 December 2019. Patients were divided into two groups...
Background Venules have been usually neglected in the literature on lymphaticovenular anastomosis (LVA). The aim of this study was to analyze flow dynamic recipient venules LVA and their impact surgical outcomes. Patients Methods Data from 128 patients affected by extremity lymphedema, who underwent LVA, were collected two institutions August 2014 May 2016. Recipient classified according into backflow, slack, outlet (BSO classification). Quantitative (lower lymphedema/upper lymphedema index)...
Sir: Supermicrosurgical lymphaticovenular anastomosis is gaining widespread acceptance worldwide for the treatment of peripheral lymphedema.1–4 The aim this physiologic and minimally invasive procedure to bypass lymph fluid progression from subdermal lymphatic collectors veins, download stasis using vessels with an average caliber 0.4 mm.1–4 This performed a linear skin incision 2 3 cm in length through which performed. So far, preoperative planning crucial. should be placed area where...
Background: The inverted-T skin-reducing mastectomy with implant reconstruction represents a very effective reconstructive and cosmetic option in patients macromastia. However, this subset of patients, the risk skin flap necrosis, especially at T-junction, is significant. In setting, complete coverage viable tissue beneath flaps essential to reduce morbidity. article, authors retrospectively review their series 16 immediate one-stage reconstructions using submuscular-subfascial pocket,...
Background Lymphedema is a progressive disease that negatively affects body image and physical, psychological, social functions. There lack of evidence in the present literature about impact super microsurgical lymphaticovenular anastomosis (LVA) on health-related quality life (HRQoL). The aim this prospective study to report outcomes patients' HRQoL after LVA for lower upper extremities lymphedema. Methods Between September 2015 February 2017, 74 patients with or limb lymphedema (ULL LLL)...
For many microsurgeons, antegrade internal mammary vessels (AIMVs) represent the recipients of choice in autogenous breast reconstruction. past few years, retrograde (RIMVs) have been demonstrated to be a further reliable option when needed, according papers focusing more on vein than artery. Besides clinical evidence, hemodynamic features system very seldom analyzed.In this article, we report our experience with deep inferior epigastric perforator (DIEP) flaps anastomosed RIMVs, along...
Background The timing of surgical reexploration in microanastomotic thrombosis is directly related to the salvage rate free flap. Near-infrared spectroscopy (NIRS) a noninvasive technique, which allows continuous bedside monitoring flap oxygenation. current literature lacking assessment variables able modify NIRS monitoring. aim this study identify patient and flap-related that can affect regional oxygen saturation (rSO2). Methods We retrospectively analyzed data obtained from 45 consecutive...
Conservative mastectomy with immediate prosthetic breast reconstruction (IPBR) is an oncologically accepted technique that offers improved esthetic results and patient quality of life. Traditionally, implants have been placed in a submuscular (SM) plane beneath the pectoralis major muscle (PMM). Recently, prepectoral (PP) placement prosthesis has increasingly used order to avoid morbidities related manipulation PMM. The aim this study was compare outcomes SM vs. PP IPBR after conservative...