1,807 research outputs found
La medicina estetica della mammella
No full textLa medicina estetica è una nuova branca della medicina che comprende tutti quei trattamenti che pur riguardando l’estetica della persona, vengono eseguiti senza chirurgia. Nella nostra società il concetto di bellezza è esasperato dalla televisione, dalla pubblicità e dalla moda ed il compito di ogni operatore sanitario è quello di diffondere tale concetto inteso come equilibrio interiore ed esteriore di ogni individuo. La medicina estetica rappresenta oggi la migliore risposta a quelle che sono le richieste del paziente, trattamento veloce, economico, poco pericoloso ed in alcuni casi reversibile. Lo scopo del nostro lavoro è quello di descrivere le principali metodiche di medicina estetica utilizzate per la mammella e sottolineare che non sempre essa può essere considerata un’alternativa alla chirurgia e che la salvaguardia della salute è l’obiettivo principale di ogni terapia medica
Use of Integra® dermal substitute in the treatment of complex wounds caused by antiblastic extravasation injury
No full text[No abstract available
UAL Report on 14 years of clinical experiences
No full textIn the recent time the interest about UAL is greatly increased partly because with this technique it seems possible to guarantee constant and sure results, and partly because the machine manufactures have worked to make this procedure well known in a complete and full way.
With the major diffusion of the UAL the casisistic have increased too, the indications have widened, the complications began to show up, and the limit of the procedure have begun to be defined.
In these years the instrumentation constantly evolved, from the initial devices designed for plastic surgery manufactured by SMEI, until the more recent models on the actual market.
Purpose of this study is to compare the considerations made when the senior author firstly experienced UAL 14 years ago, with the actual orientations.
The Authors refer about their experience , exposing a comprehensive casistic developed with the use of different machines: starting with the first ultrasonic liposuction performed with neurosurgical instruments, to follow with 1st generation devices for lipolisis , until the recent sophisticated machines that allow a more wide use of the UAL.
The results of the studies done in these years with biochemical and morphologic techniques on some peculiar aspects of UAL versus traditional techniques are shown
The role of pre-expanded free flaps in revision of burn scarring
No full textThe authors present two patients affected by scars resulting from burning of over 60 per cent of the total body area, in which the pre-expansion of a free flap has been used to increase the tissue surface useful for transfer from om the only area of residual healthy skin (left forearm, left parascapular region). In both cases it was possible to transfer abundant healthy tissue into the desired areas, obtaining a rapid release of the region, which made possible an early physical rehabilitation of the patient starting after the second postoperative week. One of the main problems encountered when facing surgical rehabilitation for the seriously burned patient, is the poor availability of skin donor areas suitable for reconstructive flaps. The pre-expansion of free flaps provides Int advantage in that it allows the few integral residual areas to be used, improving vascularization and therefore increasing the available surface. Furthermore, as pre-expansion reduces tension on the margins, it allows for the easier closing of the donor area, with a minor risk of complications and a better scar outcome. (C) 1997 Elsevier Science Ltd for ISBI. All rights reserved
The use of poly-lactic acid to improve projection of reconstructed nipple
No full textPurpose: Nipple-areola reconstruction represents an important step for final mammary reconstruction. Many techniques have been described. The drawback is the progressive nipple projection loss with time from 50% to over 70% of the initial projection. In this report, we evaluated the effect of injectable polylactic acid (PLLA) to improve projection of reconstructed nipples. Results: We selected 12 patients with a residual nipple projection between 0.1 and 2 mm. The patients were injected locally inside the nipple with 0.5 ml of PLLA (dilution 1:4) every 4 weeks for 4 times. At the study end, patients were satisfied with results. No adverse effects were observed. After one year, an increase of nipple projection ranging from 0.5 to 3.5 mm was obtained with an average increase of 2.3 mm (282%) and this variation was statistically significant (p < 0.0001). Conclusion: The use of injectable PLLA is a simple and effective procedure to improve projection of reconstructed nipple. (C) 2010 Elsevier Ltd. All rights reserved
Phase 2 Cross-Over Multicenter Trial on the Efficacy and Safety of Topical Cyanoacrylates Compared with Topical Silicone Gel in the Prevention of Pathologic Scars
No full textMany clinical studies on scar therapy are reported in the literature, but only silicone gel sheeting and corticosteroid injections are supported by accurate prospective controlled studies. This prospective multicenter cross-over phase 2 study tested the effectiveness of a topical cyanoacrylate compared with silicone gel in improving postsurgical scars Patients presenting with symmetric breast scars after augmentation or reduction mammaplasty were enrolled in the study. From the same day as stitch removal, the cyanoacrylate was applied on one side every 3 to 5 days and the silicone gel on the other side twice a day for 3 months. Assessments of patients and external observers using a visual analog scale were recorded at scheduled visits during 1 year, and scars were photographed. Objective evaluations included measurements of scar width, length, and elevation. The statistical significance of objective parameter modifications was analyzed using the Wilcoxon test Positive effects of both tested products were observed during the scar maturation process, and final scars of good quality were achieved without any major adverse effect. The topical cyanoacrylate proved to be more efficacious in preventing scar widening, and this result was statistically significant The tested topical cyanoacrylate had a positive effect on the scar maturation process at least comparable with that of topical silicone gel
Dante poeta-profeta, pellegrino, autore : strutturazione espessiva della Commedia e visione escatologica dantesca
No full textLo studio del profetismo dantesco e del rapporto tra esso e la "lupa" (cioè la cupidigia-volontà di potenza, è condotto attraverso l'analisi dei momenti più intensamente profetici del poema: dagli aspetti escatologici, politici e sociali dell'antefatto, attraverso le intense reminiscenze da Ezechiele e da Apocalisse ricontestualizzate in Purg. XIX e XX, alle grandiose visioni escatologico-politiche di Purg. XXXII e XXXIII, alla sommessa e dolente speranza espressa negli ultimi canti di Beatrice.Il grido profetico di Dante è inseparabile dalle diverse immagini del poeta all'interno della Commedia: il poeta-pellegrino (l'agens); il poeta-scriba, addetto a riprodurre le esperienze vissute dal pellegrino; l'autore, cioè il poeta-profeta, il quale dice "io" anch'egli e intervienedal presente della scrittura per ammaestrare il lettore ed esecrare i vizi della cristianità sviata. Si esamina quindi la posizione di Dante tra i poeti-auctores antichi e l'auctoritas che spetta ai libri sacri di AT e di NT.The study of Dantean prophetism and of its relationship with the “she-wolf” (that is greed-lust for power), is carried out through the analysis of the most intensely prophetic moments of the poem: from the eschatological, political and social aspects of the background, through the intense reminiscences from Ezekiel and Apocalypse re-contextualized in Purgatory XIX and XX, to the great eschatological-political visions of Purgatory XXXII and XXXIII, to the quiet and sorrowful hope expressed in Beatrice's last cantos. Dante's prophetic cry is inseparable from the different images of the poet inside the Comedy : the pilgrim poet (the agens); the scribe poet, assigned to reproduce the experiences lived by the pilgrim; the author, that is the prophet poet, who also says “I” and intervenes from the present of the writing to teach the reader and execrate the vices of led astray Christianity. Then Dante's position is examined between the ancient auctores- poets and the auctoritas due to the holy books of the Old and New Testament
The use of negative pressure therapy and hyaluronic acid for the management of post-traumatic lower limb injury
No full textManagement of severe limb trauma continues to challenge surgeons. Suitable treatment should be individualised for each patient, taking into consideration not only the wound extremity but also the associated injuries, age and socioeconomic status of the patient with the goal to recover function and to improve patient quality of life. The aim of this report is to present a severe degloving multiplane lower limb injury case in which a conservative treatment of the wound was performed with negative pressure therapy and dermal substitute, avoiding amputation and restoring limb function
Sant'Ambrogio nella letteratura religiosa slava orientale del Sei e Settecento : per uno studio preliminare delle citazioni ambrosiane nell'omiletica rutena barocca
No full textThe aim of this study is to investigate the reception of Ambrose in the writings of three Ukrainian baroque preachers, viz. Ioannikij Galjatovs’kyj, Antonij Radyvylovs’kyj and Dimitrij Rostovskij. The method that has been adopted in the presentation of the results of our survey can be outlined as follows. First, we focused on the thematic aspects of the process of reception, which generally fall into two categories: 1. Exegetical themes, based on motives drawn from the Scriptures; 2. Philosophical-doctrinal themes. Furthermore, for all the writers which we examined we tried to determine whether an author made a direct or indirect usage of Ambrose’s oeuvre. Indirect use is generally to be ascribed to the influence of either exegetic Comments on the Bible, such as those of Cornelius A Lapide and Didacus de Baeza, or of emblematic literature produced in the West, such as Hemannus Hugo’s Pia desideria (1624).
A second question to be addressed is how the intellectual and ecclesiastical context of the Ukrainian lands, whose distinctive features were pluriconfessionalism and the close ties to Western Renaissance and Baroque, influenced our authors in the way they made use of Ambrose, especially as far as the relationship between Orthodoxy and Catholicism is concerned
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