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  1. Article: A heterodox defense of the actualist higher-order thought theory.

    Marchesi, Andrea

    Philosophical studies

    2021  Volume 179, Issue 5, Page(s) 1715–1737

    Abstract: I defend the actualist higher-order thought theory against four objections. The first objection contends that the theory is circular. The second one contends that the theory is unable to account for the alleged epistemic position we are in with respect ... ...

    Abstract I defend the actualist higher-order thought theory against four objections. The first objection contends that the theory is circular. The second one contends that the theory is unable to account for the alleged epistemic position we are in with respect to our own conscious mental states. The third one contends that the theory is unable to account for the evidence we have for the proposition that all conscious mental states are represented. The fourth one contends that the theory does not accommodate the intimacy we have with our own conscious mental states. To some extent, my defense will be heterodox, in the sense that I will show that some objections are satisfactorily answerable even if we concede to the objectors a point that higher-order theorists do not seem to be willing to concede, that is, that the theory is the result of conceptual analysis.
    Language English
    Publishing date 2021-09-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2008947-8
    ISSN 1573-0883 ; 0031-8116
    ISSN (online) 1573-0883
    ISSN 0031-8116
    DOI 10.1007/s11098-021-01726-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A radical relationist solution to the problem of intentional inexistence.

    Marchesi, Andrea

    Synthese

    2021  Volume 199, Issue 3-4, Page(s) 7509–7534

    Abstract: The problem of intentional inexistence arises because the following (alleged) intuitions are mutually conflicting: it seems that sometimes we think about things that do not exist; it seems that intentionality is a relation between a thinker and what such ...

    Abstract The problem of intentional inexistence arises because the following (alleged) intuitions are mutually conflicting: it seems that sometimes we think about things that do not exist; it seems that intentionality is a relation between a thinker and what such a thinker thinks about; it seems that relations entail the existence of what they relate. In this paper, I argue for what I call a radical relationist solution. First, I contend that the extant arguments for the view that relations entail the existence of their relata are wanting. In this regard, I defend a kind of pluralism about relations according to which more than one kind of relation involves non-existents. Second, I contend that there are reasons to maintain that all thoughts are relations between thinkers and the things they are about. More accurately, I contend that the radical relationist solution is to be preferred to both the intentional content solution (as developed by Crane) and the adverbial property solution (as developed by Kriegel). Finally, I argue that once the distinction between thinking "X" and thinking about X has been drawn, the radical relationist solution can handle issues like ontological commitment, substitutivity failure, scrutability, and non-specificity.
    Language English
    Publishing date 2021-04-10
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2012638-4
    ISSN 1573-0964 ; 0039-7857
    ISSN (online) 1573-0964
    ISSN 0039-7857
    DOI 10.1007/s11229-021-03126-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Response to "The Reversed Flow Hemisoleus Propeller Muscle Flap".

    Marchesi, Andrea / Cavalli, Erica Michela / Gatto, Arianna

    Annals of plastic surgery

    2024  Volume 92, Issue 3, Page(s) 340

    MeSH term(s) Humans ; Surgical Flaps ; Plastic Surgery Procedures ; Muscles
    Language English
    Publishing date 2024-01-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003787
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    Zs.A 1419: Show issues Location:
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  4. Article: Comment: Reconstruction of the Axillary Region after Excision of Hidradenitis Suppurativa: A Systematic Review.

    Abbaticchio, Donato / Gatto, Arianna / Marchesi, Andrea / Ribuffo, Diego

    Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India

    2023  Volume 56, Issue 6, Page(s) 555–556

    Language English
    Publishing date 2023-11-24
    Publishing country Germany
    Document type Journal Article ; Comment
    ZDB-ID 2118680-7
    ISSN 1998-376X ; 0970-0358
    ISSN (online) 1998-376X
    ISSN 0970-0358
    DOI 10.1055/s-0043-1776898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Free-style propeller ulnar artery perforator flaps for radial forearm flap donor site repair.

    Marchesi, Andrea / Gatto, Arianna / Cavalli, Erica M / Del Bene, Massimo

    Microsurgery

    2023  Volume 44, Issue 1, Page(s) e31074

    Abstract: Introduction: The radial forearm free flap (RFFF) is still one of the most used free flaps to repair soft tissue defects of the head and neck. Among its main drawbacks, it presents severe donor site complications. We report our experience about the use ... ...

    Abstract Introduction: The radial forearm free flap (RFFF) is still one of the most used free flaps to repair soft tissue defects of the head and neck. Among its main drawbacks, it presents severe donor site complications. We report our experience about the use of free-style propeller ulnar artery perforator flaps (UAP) to repair RFFF donor site.
    Patients and methods: From February 2010 to June 2020, six patients who underwent immediate tongue reconstruction with RFFF after cancer excision, had the donor site at the forearm reconstructed with a free-style propeller UAP flap. The indication for a UAP flap was based on defect size and the presence of tendons or radial nerve exposure. Ulnar artery perforators were identified intra-operatively with a handheld Doppler. The UAP flaps were harvested and rotated to cover donor site defects. The patients' mean age was 59, ranging from 49 to 65 years old. The defects size ranged from 8-12 cm × 5-7 cm with a mean size of 10.5 × 6.7 cm.
    Results: The UAP flap harvested ranged from 8-11 cm × 5-7 cm with a mean size of 10.5 × 5.5 cm. The perforators, identified with a power Doppler, were located at the middle third of the forearm. Flaps' rotation varied from 90 to 160° with a mean rotation of 122°. Mean operating time was 60 min ranging from 40 to 75 min for UAP flap elevation. No flap necrosis or tendon exposure occurred. One case of wound dehiscence was reported. Two out of six patients suffered from tendon adhesions to the flap. UAP flap donor site was primarily closed in four out of six patients, whereas two cases required a split-thickness skin grafts. Mean donor site healing time was about 20 days (19.8 days) ranging from 14 to 30 days. Follow-up ranged from 12 to 31 months with a mean follow up time of 19 months (18.6 months). At 6 months follow-up only one patient experienced a functional limitation of wrist and finger joints extension of 20° which required tenolysis. At the end of the patient's follow up that is 22 months, the range of movement was within normal limits. In our casuistry neuropathic pain was absent.
    Conclusions: RFF is still a paramount tool in reconstructive surgery but its donor site is still burdened by a high complication rate. Free-style UAP flaps can provide a local and safe solution.
    MeSH term(s) Humans ; Middle Aged ; Aged ; Ulnar Artery/surgery ; Forearm/surgery ; Perforator Flap/blood supply ; Plastic Surgery Procedures ; Skin Transplantation ; Soft Tissue Injuries/surgery ; Treatment Outcome
    Language English
    Publishing date 2023-06-13
    Publishing country United States
    Document type Case Reports
    ZDB-ID 605524-2
    ISSN 1098-2752 ; 0738-1085
    ISSN (online) 1098-2752
    ISSN 0738-1085
    DOI 10.1002/micr.31074
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1570: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  6. Article: Comment: Reconstruction of the Axillary Region after Excision of Hidradenitis Suppurativa: A Systematic Review

    Abbaticchio, Donato / Gatto, Arianna / Marchesi, Andrea / Ribuffo, Diego

    Indian Journal of Plastic Surgery

    2023  Volume 56, Issue 06, Page(s) 555–556

    Language English
    Publishing date 2023-11-24
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2118680-7
    ISSN 1998-376X ; 0970-0358
    ISSN (online) 1998-376X
    ISSN 0970-0358
    DOI 10.1055/s-0043-1776898
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  7. Article ; Online: Reply to "pseudolymphoma on tattoos".

    Marchesi, Andrea

    Aesthetic plastic surgery

    2014  Volume 38, Issue 5, Page(s) 1070

    MeSH term(s) Coloring Agents/adverse effects ; Humans ; Ink ; Male ; Pseudolymphoma/chemically induced ; Skin Diseases/chemically induced ; Tattooing/adverse effects
    Chemical Substances Coloring Agents
    Language English
    Publishing date 2014-10
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 532791-x
    ISSN 1432-5241 ; 0364-216X
    ISSN (online) 1432-5241
    ISSN 0364-216X
    DOI 10.1007/s00266-014-0376-5
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1296: Show issues Location:
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  8. Article ; Online: Immediate Soft Tissue Reconstruction in Lower Limb Traumas Using Propeller Perforator Flaps.

    Gatto, Arianna / Giacomini, Giorgio / Cavalli, Erica Michela / Pajardi, Giorgio Eugenio / Marchesi, Andrea

    Annals of plastic surgery

    2023  Volume 91, Issue 5, Page(s) 590–596

    Abstract: Background: Open bone fractures represent a demanding clinical condition that can be life- or limb-threatening. For small- to medium-size soft tissue defects of the lower extremity, propeller perforator flaps are a viable option for reconstruction. We ... ...

    Abstract Background: Open bone fractures represent a demanding clinical condition that can be life- or limb-threatening. For small- to medium-size soft tissue defects of the lower extremity, propeller perforator flaps are a viable option for reconstruction. We report our experience in Gustilo IIIB open fractures treatment with immediate coverage through propeller-based perforator flaps performed in acute setting.
    Methods: Between 2019 and 2022, 94 Gustilo III fractures were admitted to our trauma center, and 28 were Gustilo IIIB fractures. Five patients were eligible for an immediate perforator-based propeller flaps reconstruction. The mean age of the patients was 33.8 years. All of them were male. One of them was a heavy smoker (15 cigarettes per day). No other comorbidities were present.
    Results: The mean operating time, including fracture reduction and fixation time, was 106 minutes. The length of the defect varied between 5 and 7 cm and the width between 3 and 4 cm. We reported no major complications, and none of the patients required a surgical revision of the flap. A patient with smoking habit reported a superficial flap necrosis. The mean follow-up was 5.5 months. No cases of nonunion or osteomyelitis have developed so far.
    Conclusions: The use of perforator-based propeller flaps, in acute trauma setting, has not been reported in literature so far. In our experience, propeller perforator flaps are a viable reconstructive option in immediate reconstruction during the acute management of open fractures.
    MeSH term(s) Humans ; Male ; Adult ; Female ; Perforator Flap/surgery ; Plastic Surgery Procedures ; Fractures, Open/surgery ; Lower Extremity/surgery ; Leg Injuries/surgery ; Soft Tissue Injuries/surgery ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2023-09-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003696
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1419: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: Posterior Circumflex Humeral Artery Perforator Flap: A Cadaveric Study and Case Series.

    Garieri, Pietro / Gatto, Arianna / Brambilla, Leonardo / Cavalli, Erica / Codazzi, Denis / Marchesi, Andrea

    Annals of plastic surgery

    2023  Volume 90, Issue 5, Page(s) 447–450

    Abstract: Background: Reconstruction of soft tissue defects of the acromioclavicular region represents a relatively uncommon but challenging event. Many muscular, fasciocutaneous, and perforator flaps have been described, including the posterior circumflex ... ...

    Abstract Background: Reconstruction of soft tissue defects of the acromioclavicular region represents a relatively uncommon but challenging event. Many muscular, fasciocutaneous, and perforator flaps have been described, including the posterior circumflex humeral artery perforator (PCHAP) flap based on the direct cutaneous perforator of the PCHA. This study aims to describe a variant of the PCHAP flap, based on a constant musculocutaneous perforator, by means of a cadaveric study and a case series.
    Methods: A cadaveric study was conducted using 11 upper limbs. The perforator vessels originating from the PCHA were dissected and the musculocutaneous ones were identified and measured in their length and distance from the deltoid tuberosity. Besides, we retrospectively analyzed the posterior shoulder reconstruction conducted among 2 plastic surgery department (San Gerardo Hospital, Monza and Hospital Papa Giovanni XXIII, Bergamo) using the musculocutaneous perforators of the PCHA.
    Results: The cadaver dissection showed the presence of a constant musculocutaneous perforator arising from the PCHA. The mean pedicle length is 6.10 ± 1.18 cm, and the musculocutaneous perforator pierces the fascia at a mean distance of 10.4 ± 2.06 cm from the deltoid tuberosity. In all the cadaver dissected, the perforator of interest divided into 2 terminal branches, anterior and posterior, nourishing the skin paddle.In our case series, the mean age of the patients was 66.7 years, the mean size of the defect was 46 cm 2 , the mean operating time was 79.3 minutes, the mean length of hospital stay was 2.7 days, and the complication rate was 28.6%.
    Conclusions: According to this preliminary data, the PCHAP flap based on the musculocutaneous perforator seems to be a reliable alternative in posterior shoulder region reconstruction.
    MeSH term(s) Humans ; Aged ; Perforator Flap/blood supply ; Retrospective Studies ; Thoracic Arteries ; Cadaver ; Humerus
    Language English
    Publishing date 2023-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003523
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1419: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article: Intraoperative near-infrared spectroscopy for pedicled perforator flaps: a possible tool for the early detection of vascular issues.

    Marchesi, Andrea / Garieri, Pietro / Amendola, Francesco / Marcelli, Stefano / Vaienti, Luca

    Archives of plastic surgery

    2021  Volume 48, Issue 4, Page(s) 457–461

    Abstract: Background: Pedicled perforator flaps can present postoperative complications similar to those encountered in free flap surgery. Beyond a clinical evaluation, there is still no reliable technical aid for the early prediction of vascular issues. The aim ... ...

    Abstract Background: Pedicled perforator flaps can present postoperative complications similar to those encountered in free flap surgery. Beyond a clinical evaluation, there is still no reliable technical aid for the early prediction of vascular issues. The aim of this study was to assess the support of near-infrared spectroscopy technology as an intraoperative tool to anticipate postsurgical flap ischemia.
    Methods: We prospectively enrolled 13 consecutive patients who were referred to our hospital from March 2017 to July 2018 and required a reconstructive procedure with a pedicled fasciocutaneous perforator flap. We measured flap peripheral capillary oxygen saturation (SpO2) in each patient with a Somanetics INVOS 5100C Cerebral/Somatic Oximeter (Medtronic), both before and after transposition. Patient demographics, operative data, and complications were then recorded during the following 6 months. We analyzed the data using the Wilcoxon signed-rank test and linear regression.
    Results: The mean flap SpO2 before and after transposition was 92%±3% and 78%±19%, respectively. The mean change in SpO2 was 14%±17%, with a range of 0% to 55%. The change in saturation and mean saturation ratio were significantly different between patients with and without postoperative flap necrosis.
    Conclusions: An immediate quantitative analysis of flap peripheral capillary SpO2 after transposition has never before been described. In our experience, an intraoperative drop in SpO2 equal to or greater than 15%-20% predicted vascular complications in pedicled perforator flaps. Conversely, flap size and rotation angle were not correlated with the risk of flap necrosis.
    Language English
    Publishing date 2021-07-15
    Publishing country Korea (South)
    Document type Journal Article
    ZDB-ID 2694943-X
    ISSN 2234-6171 ; 2234-6163
    ISSN (online) 2234-6171
    ISSN 2234-6163
    DOI 10.5999/aps.2019.00311
    Database MEDical Literature Analysis and Retrieval System OnLINE

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