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  1. Article ; Online: Temporal Fascia Free Flap for Thumb Coverage in Electrical Burn Injuries: A Case Series Analysis With DASH Score Outcomes Evaluation.

    Lombardo, Giuseppe A G / Donia, Claudio / Ciancio, Francesco / Russo, Arcangelo / Stivala, Alessio / Ranno, Rosario

    Journal of burn care & research : official publication of the American Burn Association

    2024  Volume 45, Issue 2, Page(s) 493–498

    Abstract: Electrical burns pose unique challenges in reconstructive surgery due to the extensive tissue damage they cause. The thumb is particularly susceptible to electrical burns, leading to severe functional impairment. This case series introduces the use of ... ...

    Abstract Electrical burns pose unique challenges in reconstructive surgery due to the extensive tissue damage they cause. The thumb is particularly susceptible to electrical burns, leading to severe functional impairment. This case series introduces the use of the temporal fascia free flap for thumb coverage in patients with electrical burn injuries. The study aims to assess the functional outcomes of this approach using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Six male patients underwent thumb reconstruction using temporal fascia free flaps following electrical burn injuries. The extent of the injury was assessed, and necrotic tissue was debrided. Functional outcomes were evaluated using the DASH questionnaire 6 months postoperation. All procedures were conducted in accordance with ethical guidelines, and informed consent was obtained from all patients. All patients achieved successful transplants using temporal fascia free flaps. The average DASH score at the 6-month follow-up indicated satisfactory functional recovery. Patients reported improvements in thumb mobility and functionality, and the cosmetic appearance of the thumb was acceptable. The appearance of the scar in the donor area was well-received. The temporal fascia free flap proved to be an effective method for thumb reconstruction following electrical burn injuries. Its thin and flexible nature allows for optimal contouring and improved range of motion. Although one case of partial flap loss was observed, overall functional and aesthetic outcomes were satisfactory. Further research with larger sample sizes is warranted to optimize surgical techniques and postoperative care for better outcomes.
    MeSH term(s) Humans ; Male ; Burns, Electric/surgery ; Free Tissue Flaps ; Thumb/surgery ; Shoulder ; Burns/surgery ; Treatment Outcome
    Language English
    Publishing date 2024-01-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 2224246-6
    ISSN 1559-0488 ; 1559-047X
    ISSN (online) 1559-0488
    ISSN 1559-047X
    DOI 10.1093/jbcr/irad185
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pedicle stabilization with fibrin sealant in DIEP flap breast reconstruction.

    Lombardo, Giuseppe A G / Marrella, Domenico / Stivala, Alessio / Ciancio, Francesco / Musmarra, Isidoro / Catalano, Francesca / Stagno D Alcontres, Francesco / Ranno, Rosario

    Updates in surgery

    2023  

    Abstract: Microsurgical procedures are nowadays routinely performed worldwide in reconstructive surgery. The deep inferior epigastric artery perforator (DIEP) flap has become the gold standard in breast reconstruction due to its excellent outcomes and lower donor ... ...

    Abstract Microsurgical procedures are nowadays routinely performed worldwide in reconstructive surgery. The deep inferior epigastric artery perforator (DIEP) flap has become the gold standard in breast reconstruction due to its excellent outcomes and lower donor site morbidity. However, complications, including flap failure, still occur in DIEP flap breast reconstruction. Often, according to our experience, these complications result from pedicle disorders, which can be attributed to postoperative mobilization. In the present study, we evaluated the efficacy and safety of using a fibrin sealant as a method for pedicle stabilization to prevent pedicle mobilization in the postoperative period. With our technique, after the flap insetting and microsurgical anastomosis, the pedicle was stabilized by applying a fibrin sealant (TISSEEL™) around and over the entire pedicle. Our study included a homogeneous series of 70 patients who received a delayed DIEP flap breast reconstruction. A retrospective study was conducted to evaluate this novel technique compared to the conventional method. In our experience, the fibrin glue allowed us to reduce the strain for correct pedicle positioning and all subsequent efforts to avoid displacements in the postoperative period. Our preliminary results suggest that this method may lead to a reduction in overall complications attributable to pedicle disorders.
    Language English
    Publishing date 2023-12-13
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01711-4
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  3. Article ; Online: A before and after evaluation of patient reported outcomes assessed by Breast Q following LICAP turnover flap in breast conservative therapy.

    Lombardo, Giuseppe A G / Stivala, Alessio / Ciancio, Francesco / Tamburino, Serena / D'Antonio, Giovanni Maria / Catalano, Francesca / Ranno, Rosario

    Updates in surgery

    2023  

    Abstract: Chest-wall perforator-based techniques to replace volume for breast conservative therapy allow excision of large breast areas with minimal sequalae, such as the nipple-areolar complex displacement, parenchymal indentation or contour deformity. ... ...

    Abstract Chest-wall perforator-based techniques to replace volume for breast conservative therapy allow excision of large breast areas with minimal sequalae, such as the nipple-areolar complex displacement, parenchymal indentation or contour deformity. Furthermore, chest wall perforator flaps facilitate the maintenance of breast symmetry, hence decreasing the need for contralateral surgery. Lateral intercostal flap was described in numerous variants among which the most famous are the propeller flap and the turnover version. The turnover version is the easiest and fastest version that allows the replacement of large amount of volume. In this paper, we evaluate patients reported outcomes, before and after surgery, collected through the Breast Q. This study was conducted on 21 patients who were admitted to the plastic surgery department. A prospectively maintained database was used to identify the patients and their records were assessed retrospectively. The pre/post operative patients data were collected. The Breast-Q questionnaire was administered before the surgery and at least 1 year after. No major surgical complications were reported. Mean Breast-Q scores were evaluated at least 1 year after surgery and radiotherapy and compared with pre-surgical scores. Among all the modules, no significant differences between the pre-surgical and post-surgical Breast-Q scores were observed. Until now, the lateral intercostal artery perforator flap has not been widely used, due to a difficult dissection and a challenging preoperative planning. According to the reported surgical technique, the execution is easy. This technique provides the same breast-related quality of life compared to preoperative values, reduces the mastectomy rate and increases the overall survival.
    Language English
    Publishing date 2023-12-09
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-023-01714-1
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  4. Article ; Online: Implementing Nexobrid for Burn Debridement in a Major Italian Burn Center: A Retrospective Review of Patient Outcomes.

    Lombardo, Giuseppe A G / Ciancio, Francesco / Violini, Hillary / Sapuppo, Claudia / Zagami, Santo / Vena, Adelina / Giardina, Maria / Donia, Claudio / Ranno, Rosario

    Journal of burn care & research : official publication of the American Burn Association

    2023  Volume 45, Issue 2, Page(s) 432–437

    Abstract: This retrospective study examines the implementation of Nexobrid, an enzymatic debriding agent developed from bromelain, for burn debridement in a major Italian burn center. With previous research showing encouraging results for Nexobrid in terms of ... ...

    Abstract This retrospective study examines the implementation of Nexobrid, an enzymatic debriding agent developed from bromelain, for burn debridement in a major Italian burn center. With previous research showing encouraging results for Nexobrid in terms of reducing the need for surgical intervention and faster eschar removal, the current study aims to add to the growing body of evidence regarding its potential benefits and limitations. The patient database was utilized to identify patients who received Nexobrid treatment between October 2019 and June 2023. A retrospective analysis was conducted to gather demographic information, burn causes, procedural details, and patient outcomes. Of the 30 patients treated with Nexobrid, 10% did not require further surgical intervention, showcasing Nexobrid's potential to improve patient outcomes. However, over 80% of patients still required additional surgical intervention, demonstrating that Nexobrid's effectiveness varies across patients and should be considered a tool rather than a definitive solution in burn wound management. A few patients developed complications, and about 10% of patients succumbed to systemic complications. The study results reveal both the potential benefits and limitations of using Nexobrid in burn debridement. While it successfully eliminated the need for further surgical intervention in a small percentage of patients, the majority still required additional surgical procedures. These findings not only highlight Nexobrid's role as a tool in burn wound management but also point toward the discrepancies with previous studies. The authors suggest future research should include randomized controlled trials, direct comparisons between Nexobrid and traditional debridement methods, and studies incorporating larger and more diverse patient groups.
    MeSH term(s) Humans ; Retrospective Studies ; Debridement/methods ; Burn Units ; Burns/surgery ; Italy
    Language English
    Publishing date 2023-10-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2224246-6
    ISSN 1559-0488 ; 1559-047X
    ISSN (online) 1559-0488
    ISSN 1559-047X
    DOI 10.1093/jbcr/irad171
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    Zs.A 6223: Show issues Location:
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  5. Article ; Online: The role of enzymatic debridement in burn care in the COVID-19 pandemic. Commentary by the Italian Society of Burn Surgery (SIUST).

    Ranno, Rosario / Vestita, Michelangelo / Verrienti, Pasquale / Melandri, Davide / Perniciaro, Giuseppe / Baruffaldi Preis, Franz Wilhelm / D'Alessio, Roberto / Alessandro, Giovanni / Caleffi, Edoardo / Di Lonardo, Antonio / Palombo, Paolo / Posadinu, Maria Alma / Stella, Maurizio / Azzena, Bruno / Governa, Maurizio / Giudice, Giuseppe

    Burns : journal of the International Society for Burn Injuries

    2020  Volume 46, Issue 4, Page(s) 984–985

    MeSH term(s) Burns/surgery ; COVID-19 ; Coronavirus Infections ; Debridement ; Humans ; Italy ; Pandemics ; Pneumonia, Viral
    Keywords covid19
    Language English
    Publishing date 2020-04-24
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 197308-3
    ISSN 1879-1409 ; 0305-4179
    ISSN (online) 1879-1409
    ISSN 0305-4179
    DOI 10.1016/j.burns.2020.04.009
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  6. Article ; Online: The role of enzymatic debridement in burn care in the COVID-19 pandemic. Commentary by the Italian Society of Burn Surgery (SIUST)

    Ranno, Rosario / Vestita, Michelangelo / Verrienti, Pasquale / Melandri, Davide / Perniciaro, Giuseppe / Preis, Franz Wilhelm Baruffaldi / D’Alessio, Roberto / Alessandro, Giovanni / Caleffi, Edoardo / Di Lonardo, Antonio / Palombo, Paolo / Posadinu, Maria Alma / Stella, Maurizio / Azzena, Bruno / Governa, Maurizio / Giudice, Giuseppe

    Burns

    Keywords covid19
    Publisher Elsevier
    Document type Article ; Online
    DOI 10.1016/j.burns.2020.04.009
    Database COVID19

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  7. Article: The role of enzymatic debridement in burn care in the COVID-19 pandemic. Commentary by the Italian Society of Burn Surgery (SIUST)

    Ranno, Rosario / Vestita, Michelangelo / Verrienti, Pasquale / Melandri, Davide / Perniciaro, Giuseppe / Baruffaldi Preis, Franz Wilhelm / D039, / Alessio, Roberto / Alessandro, Giovanni / Caleffi, Edoardo / Di Lonardo, Antonio / Palombo, Paolo / Posadinu, Maria Alma / Stella, Maurizio / Azzena, Bruno / Governa, Maurizio / Giudice, Giuseppe

    Burns

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #116862
    Database COVID19

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  8. Article ; Online: Italian recommendations on enzymatic debridement in burn surgery.

    Ranno, Rosario / Vestita, Michelangelo / Maggio, Giulio / Verrienti, Pasquale / Melandri, Davide / Orlandi, Catuscia / Perniciaro, Giuseppe / De Angelis, Armando / D'Alessio, Roberto / Mataro, Ilaria / Pagnozzi, Eliana / Alessandro, Giovanni / Caleffi, Edoardo / Di Lonardo, Antonio / Ciappi, Serena / Palombo, Paolo / Posadinu, Maria Alma / Stella, Maurizio / Romeo, Mariarosa /
    Minic, Jasminka / Governa, Maurizio / Giudice, Giuseppe

    Burns : journal of the International Society for Burn Injuries

    2020  Volume 47, Issue 2, Page(s) 408–416

    Abstract: Introduction: Nexobrid®, a bromelain-based type of enzymatic debridement, has become more prevalent in recent years. We present the recommendations on enzymatic debridement (Nexobrid®)'s role based on the practice knowledge of expert Italian users.: ... ...

    Abstract Introduction: Nexobrid®, a bromelain-based type of enzymatic debridement, has become more prevalent in recent years. We present the recommendations on enzymatic debridement (Nexobrid®)'s role based on the practice knowledge of expert Italian users.
    Methods: The Italian recommendations, endorsed by SIUST (Italian Society of Burn Surgery), on using enzymatic debridement to remove eschars for burn treatment were defined. The definition followed a process to evaluate the level of agreement (a measure of consensus) among selected experts, representing Italian burn centers, concerning defined clinical aspects of enzymatic debridement. The consensus involved a multi-phase process based on the Delphi method.
    Results: The consensus panel included experts from Italy with a combined experience of 1068 burn patients treated with enzymatic debridement. At the end of round 3 of the Delphi method, the panel reached 100% consensus on 26 out of 27 statements. The panel achieved full, strong consensus (all respondents strongly agreed on the statement) on 24 out of 27 statements.
    Discussion: The statements provided by the Italian consensus panel represent a "ready to use" set of recommendations for enzymatic debridement in burn surgery that both draw from and complete the existing scientific literature on the topic. These recommendations are specific to the Italian experience and are neither static nor definitive. As such, they will be updated periodically as further quality evidence becomes available.
    MeSH term(s) Administration, Topical ; Burn Units ; Burns/surgery ; Debridement ; Humans ; Italy
    Language English
    Publishing date 2020-07-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 197308-3
    ISSN 1879-1409 ; 0305-4179
    ISSN (online) 1879-1409
    ISSN 0305-4179
    DOI 10.1016/j.burns.2020.07.006
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  9. Article ; Online: The role of enzymatic debridement in burn care in the COVID-19 pandemic. Commentary by the Italian Society of Burn Surgery (SIUST)

    Ranno, Rosario / Vestita, Michelangelo / Verrienti, Pasquale / Melandri, Davide / Perniciaro, Giuseppe / Baruffaldi Preis, Franz Wilhelm / D’Alessio, Roberto / Alessandro, Giovanni / Caleffi, Edoardo / Di Lonardo, Antonio / Palombo, Paolo / Posadinu, Maria Alma / Stella, Maurizio / Azzena, Bruno / Governa, Maurizio / Giudice, Giuseppe

    Burns

    2020  Volume 46, Issue 4, Page(s) 984–985

    Keywords Surgery ; Critical Care and Intensive Care Medicine ; Emergency Medicine ; General Medicine ; covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 197308-3
    ISSN 1879-1409 ; 0305-4179
    ISSN (online) 1879-1409
    ISSN 0305-4179
    DOI 10.1016/j.burns.2020.04.009
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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