Reconstructive Plastic Surgery
Reconstructive plastic surgery reconstructs damaged or missing body parts. This specialist surgery applies to patients who suffer trauma, malformations, tumours or the treatment of complications following other surgical procedures.
The main reconstructive plastic surgery procedures
Among others, it is used in post-oncological breast reconstruction (in an attempt to restore the shape and size of the breast following cancer treatment), in the treatment of hand and limb trauma, in abdominal wall reconstruction, in the treatment of chronic wounds as well as in facial trauma, or in cutaneous and subcutaneous oncology or the treatment of ulcerative complications in patients with myeloma. Reconstructive plastic surgery is also used in post-bariatric surgery and regenerative medicine.
Breast reconstruction
Robot-assisted surgery is the new frontier in minimally invasive surgery. This does not refer to surgery performed by a robot, but a minimally invasive laparoscopic surgery performed and directed by experienced surgeons. The Da Vinci Xi Robot ensures precision of surgical movements that goes beyond the possibilities of any other technique.
Hand and limb surgery
Includes the set of procedures for treating the main disorders affecting the limbs, which may be caused by trauma, malformation or a degenerative disease, including:
- Complex limb trauma (partial or full amputation)
- Fractures and dislocations of the hand
- Nerve compression syndromes (e.g. carpal tunnel syndrome, ulnar nerve compression syndrome, etc.)
- Arthrosis-based degenerative diseases (e.g. rhizarthrosis)
- Tendinopathies (e.g. trigger finger)
- Congenital malformative disorders (e.g. syndactyly, polydactyly)
- Acquired malformative disorders (e.g. hallux valgus, hammer toe)
- Patologie delle aponeurosi (es. M. di Dupuytren)
Abdominal wall reconstruction
All procedures aimed at restoring continuity and continence of the abdominal wall following surgery, pregnancy or morbid obesity.
- Correction of laparocele
- Correction of diastasis of the rectus abdominis muscles
- Abdominoplasty
- Revision of surgical scars
- Treatment of infections following trauma or surgery
Chronic wounds
Chronic wounds are defined as all those losses of substance that fail to heal spontaneously and can be the result of trauma, complicating surgery, as a consequence of bed rest, spinal cord injury or metabolic diseases.
These include:
- Pressure ulcers
- Vascular ulcers
- Pressure ulcers in patients with spinal cord injuries
- Post-traumatic skin ulcers
- Post-traumatic bone infections (osteomyelitis)
- Post-surgical bone infections (osteomyelitis)
- Infection of bone synthesis devices
- Infection of prosthetic devices
- Diabetic foot
Cutaneous and subcutaneous oncology
All procedures aimed at diagnosing and treating cancers involving the skin (e.g. melanoma, epitheliomas) or the subcutaneous tissue and underlying structures (sarcomas), with total or partial removal of the tumour and, where necessary, reconstruction by means of flaps or grafts.
Post-bariatric surgery
Includes the set of procedures necessary to restore body shape following major weight loss, mostly as a result of bariatric surgery.
These include:
- Abdominoplasty
- Correction of diastasis of the rectus abdominis muscles
- Thigh lift
- Arm lift
- Breast reduction
- Mastopexy
- Mastoplasty with implants
- Torsoplasty
Regenerative medicine
Regenerative medicine is a set of procedures aimed at improving degenerative diseases using autologous material (PRP or lipofilling).
- Cervicofacial surgery
- Dermatological surgery: removal of skin and subcutaneous tumours for histological diagnosis
