Maria Giuseppina Onesti
Sapienza University of Rome
OtorhinolaryngologyReconstructive surgeryPlastic surgerySurgeryPathologyDermatologyCapsular contractureHyaluronic acidCarcinomaScarsMastectomyDiseaseExtravasationWound healingBreast reconstructionLesionImplantBreast cancerMedicineComplication
Publications 135
#1Benedetta Fanelli (Sapienza University of Rome)H-Index: 4
#2Marco MarcascianoH-Index: 9
Last. Nicolò Scuderi (Sapienza University of Rome)H-Index: 31
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Nowadays silicone is a widespread material for medical devices. In particular, it is commonly used for implants manufacturing, for that patients undergoing breast augmentation or breast reconstruction after mastectomy. However, the use of silicone implants is not free from risks. Ruptures of silicone breast implants are uncommon, in general post-traumatic or iatrogenic, and usually related to implant’s wall weakness of unknown origin but probably due to biochemical reactions that cause wall rupt...
#1Diego Ribuffo (Sapienza University of Rome)H-Index: 20
Last. Alessandro Scalise (Marche Polytechnic University)H-Index: 13
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The use of conservative mastectomies has risen significantly during the last few years. The reconstructive choice of direct-to-implant reconstruction has become more practicable with modern mastectomy techniques. The initial trend in Italian centers was to use dual-plane hybrid reconstruction. However, a high level of complications has been registered. From 2015 onward, in our centers, a pre-pectoral approach has been adopted. The authors sought to describe the Italian trend to gradually discard...
3 CitationsSource
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 ...
2 CitationsSource
#1Donato CasellaH-Index: 5
#1Donato CasellaH-Index: 15
Last. Diego RibuffoH-Index: 20
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2 CitationsSource
#1Michele RiccioH-Index: 13
#2Andrea MarchesiniH-Index: 6
Last. Francesco De FrancescoH-Index: 19
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The skin graft is a surgical technique commonly used in the reconstructive surgery of the limbs, in order to repair skin loss, as well as to repair the donor area of the flaps and cover the dermal substitutes after engraftment. The unavoidable side effect of this technique consists of unaesthetic scars. In order to achieve the healing of posttraumatic ulcers by means of tissue regeneration and to avoid excessive scarring, a new innovative technology based on the application of autologous microgr...
6 CitationsSource
#1Donato CasellaH-Index: 1
#1Donato CasellaH-Index: 15
Last. Diego Ribuffo (Sapienza University of Rome)H-Index: 20
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Abstract Recently prepectoral breast reconstruction (PBR) has showed acceptable outcomes in the short-term. There are few evidence on long-term results and variables which could influence surgical safety. So far, no specific guidelines or indications have been developed for prepectoral technique and heterogeneous inclusion criteria had been used in previous reports. This study revises a series of 397 patients. We conducted a retrospective comparative analysis of risk factors and outcomes between...
5 CitationsSource
#1Laura Ballesio (Sapienza University of Rome)H-Index: 17
#2Alice Casinelli (Sapienza University of Rome)H-Index: 2
Last. Maria Giuseppina Onesti (Sapienza University of Rome)H-Index: 16
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Mastectomy and breast prosthetic reconstruction is the most common surgical treatment for women diagnosed with breast cancer. In the last few years, breast prosthetic augmentation in acellular dermal matrix (ADM) has been introduced. The aim of this study is to present our single-center experience in evaluating the outcome of patients who underwent breast reconstruction in ADM, using ultrasound (US) examination. US follow-up allows evaluating both normal postoperative findings and changes and po...
#1Pasquale Fino (Sapienza University of Rome)H-Index: 10
#2G Di TarantoH-Index: 5
Last. M TaralloH-Index: 4
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OBJECTIVE: A wound is defined as chronic when it requires more than 6 weeks to heal. The link between chronic wounds and depression was first pointed out by House and Hughes in 1996 and later evaluated by other numerous studies. Several studies demonstrate that among chronic skin wounds causing chronical physical disease, the leg ulcers are the most frequently associated with depression. The aim of our study is to evaluate the prevalence of depression in patients with different types of chronic ...
#1Sara Carella (Sapienza University of Rome)H-Index: 8
#2Paolo FioramontiH-Index: 12
Last. Nicolò ScuderiH-Index: 31
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OBJECTIVE: Surgical site infection (SSI) produces considerable morbidity and increases health care costs. One of its causes is microbial adherence to the surgical sutures surface. A strategy to avoid microbial colonization is the use of antimicrobial-impregnated sutures. Recently absorbable sutures treated with chlorhexidine (CHX) have been developed. Our study purpose was to compare CHX-coated and uncoated suture in elective plastic surgery. PATIENTS AND METHODS: We conducted a randomized, doub...
1 CitationsSource
#1Maria Giuseppina Onesti (Sapienza University of Rome)H-Index: 16
#2Sara CarellaH-Index: 8
Last. Nicolò ScuderiH-Index: 31
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OBJECTIVE: Surgical site infections (SSIs) are the third most common hospital-acquired infections and account for 14% to 16% of all such infections, and suture material may play a role in SSI rate. Given this risk of infection, sutures with antimicrobial activity have been developed. Both in vitro and in vivo experiments have shown that triclosan-coated sutures (TCS) are effective in the prevention of SSIs. Our aim is to analyze currently available RCTs, comparing the effect of antimicrobial-coa...
4 CitationsSource