Publications by authors named "Giorgio Giacomini"

Facial lymphedema (FL) is a potential complication following head-and-neck tumor (HNT) therapy. Conservative management is often difficult, and there is limited literature on surgical treatments for FL. This report presents three cases of FL treated with lymphaticovenular anastomosis (LVA).

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Background: Currently, the gold standard of treatment for extremity soft tissue sarcoma (STS) is limb-sparing surgery. When the upper extremity is involved, the functional outcome is frequently poor. A 1-step resection and functional reconstruction would be advisable to obtain a fast recovery.

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Background: Open fractures of the lower limb represent a common challenge for trauma centers. Even where national guidelines are available, these standards are frequently missing. Our study evaluates the influence of polytrauma on the adherence to the timing and management required in an orthoplastic approach.

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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.

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Article Synopsis
  • * A study evaluated 20 websites using the EQIP tool and found that the average information quality score was 22.5 out of 36, indicating low quality and insufficient details about procedures and risks.
  • * The findings suggest that most websites offered inadequate information, highlighting the need for professional guidance over Internet resources for patients seeking knowledge about gender reassignment surgery.
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Syncope is the medical condition of loss of consciousness triggered by the momentary cessation of blood flow to the brain. Machine learning techniques have been established to be very effective way to address such problems, where a class label is predicted for given input data. This work presents a Support Vector Machine (SVM) based classification of neuro-mediated syncope evaluated using train-test-split and K-fold cross-validation methods using the patient's physiological data collected through the Head-up Tilt Test in pure clinical settings.

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Prehospital cardiac arrest is associated with a very poor prognosis. We report a case of complete neurological recovery after prolonged resuscitation involving the use of tenecteplase in a patient with undifferentiated cardiac arrest with a return of spontaneous circulation after 1 hour of resuscitation, where basic life support was commenced immediately by a bystanding family member. Factors associated with an increased chance of survival from out-of-hospital cardiac arrest are discussed as well as the role of thrombolytics in cardiopulmonary resuscitation.

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