Publications by authors named "Valeriano Vinci"

Background: Tuberous breast (TB) is a congenital anomaly characterised by morphological, structural and breast region alterations. The pectoralis major muscle (PMM) is crucial for correction when using breast implants, alterations at this level have received little attention in the literature.

Objectives: This study aims to define the anatomical characteristics of the PMM in TB patients using radiomic data extracted from MRI sequences.

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Article Synopsis
  • Implant-based breast reconstruction is common after mastectomy, raising concerns about the safety of prostheses and their effect on breast cancer recurrence based on surface texture.* -
  • A study analyzed data from 646 patients who received either macrotexturized or microtexturized implants, with findings showing a cancer recurrence risk of 5.6% for macrotexturized and 2.1% for microtexturized implants.* -
  • Results indicated a significantly higher local recurrence risk (RR of 2.65) for those with macrotexturized implants, highlighting the need for further research on these outcomes.*
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Introduction: Implant-based breast reconstruction (IBR) is the predominant breast reconstruction technique post-mastectomy, with bacterial infections being a significant complication affecting patient recovery and quality of life. The following study aimed to determine the microbiological features of the causative agents responsible for breast implant infections, with more attention paid to the comparative analysis of Gram-positive and Gram-negative bacteria and their presentation.

Methods: We conducted a retrospective analysis of 214 patients who presented with periprosthetic infection and underwent implant removal following implant-based breast reconstruction at Humanitas Research Hospital and Istituto Europeo di Oncologia between January 2018 and March 2024.

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: Radiation therapy is a crucial component of breast cancer treatment. However, it is well known to increase the risk of unsatisfactory cosmetic outcomes and higher complication rates. The aim of this study is to provide further insight into the use of acellular dermal matrices (ADMs) for the prevention of capsular contracture.

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Objective: The aim of this study was to evaluate the clinical outcomes of breast cancer (BC) patients treated with neoadjuvant chemotherapy (NAC) followed by mastectomy, focusing on cases achieving pathologic complete response (pCR). The implications of residual ductal carcinoma (DCIS) on prognosis and survival were examined.

Materials And Methods: A retrospective cohort study included BC patients treated with NAC followed by mastectomy at the breast unit of IRCCS Humanitas Research Hospital between March 2010 and October 2021.

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This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.

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Background: Breast augmentation in 2019 was the first among the top five cosmetic surgical procedures performed worldwide, according to the International Society of Aesthetic Plastic Surgery. It is not only the most commonly performed cosmetic surgery, but also the aesthetic procedure with the highest reoperation rate.

Methods: A retrospective observational study of 306 female patients who underwent secondary breast surgery, with a follow-up of at least 1 year after surgery, from 2010 to 2020 is presented.

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Background: Postoperative seroma is most frequent after mastectomy (ME) in combination with axillary lymph node dissection (ALND), and its reported incidence varies from 15.5% up to 90%. Seromas can be responsible for discomfort, infections and can lead to reconstruction failure.

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As the life expectancy of the population continues to increase, more facial-rejuvenating procedures are sought. As the number of facelift procedures increases, it is mandatory to acknowledge, and most importantly prevent, any possible associated complications. One of the complications after rhytidectomy, and a sign of facelift, is the so-called "pixie ear deformity" or "bat ear.

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  • Conjunctival chemosis is a potential complication from lower blepharoplasty that can lead to discomfort and functional issues after surgery.
  • A study conducted at Humanitas Research Hospital analyzed 1047 patients who underwent two different surgical techniques for lower blepharoplasty: transconjunctival and transcutaneous, each with two methods of incision.
  • Results showed that the transcutaneous blepharoplasty with lateral canthoplasty had a significantly higher rate of persistent type 3 conjunctival chemosis compared to the transconjunctival technique, particularly when using radiofrequency methods.
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Rhinoplasty, a common surgical procedure for nose reshaping, demands meticulous preoperative evaluation and precise execution. When coupled with septoplasty to address medical issues stemming from a deviated nasal septum, these procedures can lead to noteworthy postoperative complications. These encompass early issues like epistaxis and hematoma, as well as long-term challenges such as scarring and aesthetic deformities.

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Breast implants are extensively employed for both reconstructive and esthetic purposes. However, the safety of breast implants with textured surfaces has been questioned, owing to a potential correlation with anaplastic large-cell lymphoma and the recurrence of breast cancer. This study investigates the immune response elicited by different prosthetic surfaces, focusing on the comparison between macrotextured and microtextured breast implants.

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  • - CLOVES syndrome is a rare disorder marked by abnormal growth due to gene mutations.
  • - A case study details a 28-year-old woman with CLOVES who had multiple surgeries aimed at positive outcomes while protecting her lymphovascular structures.
  • - The study highlights the need for a team-based approach and customized surgical strategies in effectively managing CLOVES syndrome.
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• Despite the significance of oncoplastic procedure, an italian database is lacking. • Senonetwork established a multidisciplinary survey to assess their safety and efficacy. • Reconstructive outcomes were positive across low and high-volume centers.

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  • Surgery, burns, and accidents often lead to scars that cause issues like pain and limited movement.
  • Autologous fat grafting can improve tissue quality, but it doesn’t always alleviate pain, prompting researchers to analyze cell types in fat tissue to find links to pain reduction.
  • A specific group of stem cells (CD3 - CD4 - CD304 +) in the grafted fat has been found to correlate strongly with pain relief after surgery, suggesting that enhancing these cells could boost the effectiveness of fat grafts in treating localized pain.
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Background: Increasing adoption of implant-based breast reconstruction (IBR) has raised expectations regarding postoperative outcomes and aesthetic results. BMI has been extensively explored as a predictor of complications. This study is the first to examine complication rates in underweight subjects, and compares these rates among underweight, normal weight, overweight, and obese patients.

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Venous thromboembolism (VTE) is a postoperative complication experienced in all branches of surgery, including plastic surgery. Its occurrence can be lowered with adequate prophylaxis in the light of the patient's risk category and the type of surgery that will be performed. Nevertheless, thromboembolic prophylaxis is not routinely administered in plastic surgery.

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The employment of breast silicone implants, both in aesthetic and reconstructive medicine, is widespread thanks to their recognized biocompatibility and durability. Some critical situations, for example, in the case of accidental impacts, may induce concerns by potential patients about their use. Dynamic tests reproducing frontal impacts at speeds up to 90 km/h, with anthropomorphic dummies carrying 330 cc prostheses and wearing safety belts, were conducted.

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Unlabelled: In the present study, we highlight surgical tips based on our experience in lower eyelid blepharoplasty. These have been shown to be crucial in the prevention of several complications, specifically lateral lower-lid displacement.

Methods: A series of bilateral lower-lid blepharoplasties were performed on 280 patients at Humanitas-Research-Hospital (Milan, Italy) between January 2016 and January 2020.

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