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  1. Article ; Online: Quality of the Information provided by ChatGPT for Patients in Breast Plastic Surgery: Are we already in the future?

    Grippaudo, F R / Nigrelli, S / Patrignani, A / Ribuffo, D

    JPRAS open

    2024  Volume 40, Page(s) 99–105

    Abstract: Introduction: In recent years, artificial intelligence (AI) has gained popularity, even in the field of plastic surgery. It is increasingly common for patients to use the internet to gather information about plastic surgery, and AI-based chatbots, such ... ...

    Abstract Introduction: In recent years, artificial intelligence (AI) has gained popularity, even in the field of plastic surgery. It is increasingly common for patients to use the internet to gather information about plastic surgery, and AI-based chatbots, such as ChatGPT, could be employed to answer patients' questions.The aim of this study was to evaluate the quality of medical information provided by ChatGPT regarding three of the most common procedures in breast plastic surgery: breast reconstruction, breast reduction, and augmentation mammaplasty.
    Methods: The quality of information was evaluated through the expanded EQIP scale. Responses were collected from a pool made by ten resident doctors in plastic surgery and then processed by SPSS software ver. 28.0.
    Results: The analysis of the contents provided by ChatGPT revealed sufficient quality of information across all selected topics, with a high bias in terms of distribution of the score between the different items. There was a critical lack in the "Information data field" (0/6 score in all the 3 investigations) but a very high overall evaluation concerning the "Structure data" (>7/11 in all the 3 investigations).
    Conclusion: Currently, AI serves as a valuable tool for patients; however, engineers and developers must address certain critical issues. It is possible that models like ChatGPT will play an important role in improving patient's consciousness about medical procedures and surgical interventions in the future, but their role must be considered ancillary to that of surgeons.
    Language English
    Publishing date 2024-02-15
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2834721-3
    ISSN 2352-5878 ; 2352-5878
    ISSN (online) 2352-5878
    ISSN 2352-5878
    DOI 10.1016/j.jpra.2024.02.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. 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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  3. Article ; Online: Symmetrization in primary tip rhinoplasty after resection of the cephalic portion of the lower-lateral cartilage.

    Valeriani, Roberto / Bruno, Edoardo / Ribuffo, Diego / Valeriani, Maurizio

    JPRAS open

    2023  Volume 39, Page(s) 181–190

    Abstract: Background: The cephalic trim allows the remodeling of the alar cartilages by removing the cranial portion of the lower-lateral cartilages; this resection determines raising the tip of the nose through its rotation. The objective of this study is to ... ...

    Abstract Background: The cephalic trim allows the remodeling of the alar cartilages by removing the cranial portion of the lower-lateral cartilages; this resection determines raising the tip of the nose through its rotation. The objective of this study is to demonstrate how a greater symmetry of the lower-lateral cartilages after resection of the cephalic portion is obtainable by introducing a specific additional surgical time into the procedure.
    Methods: Between June 2016 and December 2021, forty-six patients underwent primary rhinoplasty with the cephalic portion of the alar cartilage resection. After the cephalic trim symmetry of the nose tip was then assessed through a specific additional surgical maneuver in 23 patients (Group A), whereas in 23 patients, the evaluation of symmetry was performed according only to the surgeon's personal judgment (Group B). Preoperative and postoperative pictures were evaluated in the symmetry of the two sides of the faces considering anthropometric measurements and the judgment by ten plastic surgeons uninvolved in this study.
    Results: None of the patients had completely symmetric values. Objectively, the degree of asymmetry in Frankfurt's plane, considering RMLLA (midline-lateral alar margin ratio), was significantly decreased in Group A. Subjectively, more patients in Group A who were judged with asymmetrical face before rhinoplasty were evaluated with a symmetrical face after rhinoplasty than those in Group B.
    Conclusions: We believe that in closed rhinoplasty, the symmetry of the postoperative sides of the face is increased by performing an easily replicable intraoperative maneuver as described.
    Language English
    Publishing date 2023-12-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2834721-3
    ISSN 2352-5878 ; 2352-5878
    ISSN (online) 2352-5878
    ISSN 2352-5878
    DOI 10.1016/j.jpra.2023.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Orthotopic vascularized lymph node transfer in breast cancer-related lymphedema treatment: Functional and life quality outcomes.

    Lo Torto, Federico / Kaciulyte, Juste / Di Meglio, Filippo / Marcasciano, Marco / Greco, Manfredi / Ribuffo, Diego

    Microsurgery

    2024  Volume 44, Issue 2, Page(s) e31147

    Abstract: Introduction: Breast cancer-related lymphedema (BCRL) is a chronic disease that occurs up to 65% of breast cancer survivors. Traditional treatment is conservative, but new surgeries as lymphaticovenous anastomosis (LVA) and vascularized lymph node ... ...

    Abstract Introduction: Breast cancer-related lymphedema (BCRL) is a chronic disease that occurs up to 65% of breast cancer survivors. Traditional treatment is conservative, but new surgeries as lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT) are at disposal. This study aims to investigate the orthotopic VLNT efficacy in BCRL. Results in terms of limbs' reduction rates and quality of life improvement are compared with the outcomes reported in Literature.
    Patients and methods: During patients' selection, inclusion criteria were monolateral ISL stage II or III BCRL with pathologic lymphoscintigraphy imaging and a minimum of previous 6 months of unsuccessful conservative treatment. Bilateral lymphedema, local recurrence or systemic metastasis, acute infection of the limb and deep venous trombosis were exclusion criteria. Surgery consisted in VLNT from the gastroepiploic region to the axilla with axillary scar dissection.
    Results: From August 2019 to December 2021, 25 patients were included. At the preoperative scintigraphy exam, mean lymph transport index (TI) was 30 (range; 22.7-29.3). Nine of them (36%) were ISL stage II and 16 (64%) were stage III. Average follow-up was 13.5 months (range; 12-19 months). VLN flaps' survival rate was 100%. One year after surgery, the mean Circumferential Reduction Rate (CRR) resulted 44.62 (range; 27.4-60.3). Infections' rates presented a statistically significant reduction, from an average of 2.4 (range; 1-4) to 0.2 (range; 0-1) episodes per year. Life quality index measured with the LYMQOL questionnaire showed significant improvement after 1 year, from a mean score of 3.28 (range; 2-5) to 8.12 (range; 7-9).
    Conclusion: When compared with Literature evidence, the results of the current study are in line with both VLN inset ways related to BCRL treatment. An optimal therapeutic choice should consider benefits and drawbacks of each orthotopic and heterotopic VLNT, taking into account surgeon's preference and experience and patients' related factors and expectations.
    MeSH term(s) Humans ; Female ; Breast Neoplasms/complications ; Breast Neoplasms/surgery ; Quality of Life ; Lymph Nodes/surgery ; Breast Cancer Lymphedema/etiology ; Breast Cancer Lymphedema/surgery ; Lymphedema/etiology ; Lymphedema/surgery
    Language English
    Publishing date 2024-02-11
    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.31147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1570: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: The role of component separation in the treatment of severe diastasis recti abdominis: a new indication for a known technique.

    Redi, U / Kaciulyte, J / Marino, D / Nanni, J / Lo Torto, F / Marcasciano, M / Ribuffo, D / Alfano, C / Mazzocchi, M

    European review for medical and pharmacological sciences

    2023  Volume 27, Issue 17, Page(s) 8234–8244

    Abstract: Objective: Diastasis of the rectus abdominis muscle (DRAM) is a widening of linea alba, it also could be accompanied by abdominal bulging. DRAM is often a cause of quality-of-life impairment, especially when it is of large dimensions. Repair with direct ...

    Abstract Objective: Diastasis of the rectus abdominis muscle (DRAM) is a widening of linea alba, it also could be accompanied by abdominal bulging. DRAM is often a cause of quality-of-life impairment, especially when it is of large dimensions. Repair with direct rectus plication is the most common treatment for Diastasis Recti Abdominis (DRA), but it can result in high recurrence rates. The authors aimed to show their results in applying the component separation technique in wide DRA cases.
    Patients and methods: From January 2015 to July 2018, 43 patients with DRA ≥ 10 cm at 3 cm over the umbilicus have been treated with component separation technique associated to panniculectomy. A biologic mesh was positioned onlay in cases of weakness along the semilunaris lines.
    Results: DRA repair was achieved in all cases. All patients completed the 1-year follow-up and no recurrence nor major complication were registered. Minor complications were observed in 12 (27.9%) cases.
    Conclusions: This is the first study describing the component separation technique use in cases of DRA without hernia, associated to abdominoplasty surgery. Preliminary results were encouraging, but larger series are required.
    MeSH term(s) Humans ; Rectus Abdominis/surgery ; Lipectomy ; Quality of Life
    Language English
    Publishing date 2023-09-26
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202309_33584
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    Zs.A 1887: Show issues Location:
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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
    Database Thieme publisher's database

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  7. Article ; Online: The concept of bank tissue applied to post bariatric abdominoplasty: The use of autologous dermal mesh for abdominal diastasis repair.

    Lo Torto, F / Di Meglio, F / Frattaroli, J / Parisi, P / Losco, L / Marcasciano, M / Casella, D / Ribuffo, D

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2022  Volume 77, Page(s) 167–169

    MeSH term(s) Humans ; Surgical Mesh ; Abdominal Muscles/surgery ; Abdominoplasty ; Abdomen ; Bariatrics ; Rectus Abdominis/surgery ; Abdominal Wall/surgery
    Language English
    Publishing date 2022-12-09
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2022.11.066
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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.157: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: ADM-assisted prepectoral breast reconstruction and skin reduction mastectomy: Expanding the indications for subcutaneous reconstruction.

    Onesti, M G / Di Taranto, G / Ribuffo, D / Scuderi, N

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2019  Volume 73, Issue 4, Page(s) 673–680

    Abstract: Backgrounds: Recently a flood of new techniques and studies have been released for prepectoral reconstruction, following strict criteria for selection of patients undergoing skin or nipple sparing mastectomy. Nevertheless a big population of patients ... ...

    Abstract Backgrounds: Recently a flood of new techniques and studies have been released for prepectoral reconstruction, following strict criteria for selection of patients undergoing skin or nipple sparing mastectomy. Nevertheless a big population of patients that would otherwise benefit from prepectoral techniques has been excluded so far.
    Patients and methods: Between January 2016 and February 2017, patients undergoing skin reducing mastectomy (SRM) were enrolled at our Institution. We selected patients with large and ptotic (grade II-III) breasts undergoing SRM, followed by a new technique, which involves placement of the implant, wrapped by acellular dermal matrix, in a prepectoral pocket under a dermal flap. Data of all the surgeries were prospectively collected and contracture grade was assessed by Baker scale. Complication rate and cancer recurrence were reported and health related quality of life (HRQOL) measurement was recorded using BREAST-Q questionnaire. At early follow-up, postoperative pain was assessed through VAS scale.
    Results: 29 patients underwent SRM and 10 patients, meeting inclusions criteria, were enrolled, with a total of 13 operated breasts. Postoperative average pain was assessed as low as 4.1. The median follow-up was 2.6 (range 2.1-3.2) years. Post-operative complications occurred in 1 case of minimal wound dehiscence. No patient reported breast seroma or severe capsular contracture grade. Patient scored high level of satisfaction with breast, psychosocial well-being, sexual well-being, physical impact and overall satisfaction with outcome, at BREAST-Q questionnaire.
    Conclusions: In this study we present a modified prepectoral technique for patients undergoing SRM, reporting satisfactory outcomes. These results might support the rationale for expanding the population target of prepectoral reconstruction.
    MeSH term(s) Acellular Dermis ; Adult ; Breast Neoplasms/surgery ; Dermatologic Surgical Procedures ; Female ; Humans ; Mammaplasty/methods ; Mastectomy, Subcutaneous/methods ; Middle Aged ; Prospective Studies
    Language English
    Publishing date 2019-11-28
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2019.11.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.157: Show issues Location:
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  9. Article ; Online: Reply to Klinger et al.

    Ribuffo, D / Di Benedetto, G M / Greco, M

    European review for medical and pharmacological sciences

    2016  Volume 20, Issue 7, Page(s) 1223

    Language English
    Publishing date 2016-04
    Publishing country Italy
    Document type Comment ; Letter
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1887: Show issues Location:
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  10. Article ; Online: Superior temporo-auricular perforator flap for reconstruction of extensive conchal defects.

    Parisi, Paola / Ansarin, Mohssen / Pennacchioli, Elisabetta / Di Meglio, Filippo / Ribuffo, Diego / Navach, Valeria

    Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale

    2022  Volume 42, Issue 4, Page(s) 395–399

    MeSH term(s) Ear Auricle/surgery ; Humans ; Perforator Flap/surgery ; Reconstructive Surgical Procedures
    Language English
    Publishing date 2022-10-18
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 604898-5
    ISSN 1827-675X ; 0392-100X
    ISSN (online) 1827-675X
    ISSN 0392-100X
    DOI 10.14639/0392-100X-N2036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 2608: Show issues Location:
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