Mohs surgery is a surgical procedure to remove skin tumors, carcinomas, of the face and body with intraoperative microscopic control of the margins.
Mohs micrographic surgery differs from traditional surgical techniques in its precision: the surgeon is able to verify during excision that the tumor has been completely removed. This surgical technique achieves very high probability of success, with minimal skin sacrifice, this gives obvious aesthetic and functional advantages, especially in the face.

Tumor removal with minimal amount of healthy skin

Section and mapping of the piece removed

Immediate histological examination and possible removal of other skin ONLY where necessary

Once total elimination of the tumor (radicality) is achieved, cosmetic repair of the surgical wound is performed in the same operating session. This means that the patient has completed the surgery, without the need to return to the operating room after several days with the wound open, as is the case with other techniques of “margin marking” or so-called “deferred” Mohs surgery.

Skin cancers that can be treated with Mohs chirurgi adi Mohs:

• Basal cell carcinomas (basaliomas), particularly recurrent or scleroderma of the face.
• Spinocellular carcinomas
• Dermatofibrosarcoma protruberans (DFSP)
• Bowen’s disease
• Extramammary Paget’s disease
• Eccrine porocarcinoma and other non-melanocytic malignancies.
• Lentigo Maligna of the face
• Skin cancers present at sites where saving the skin removed is important

Open surgery and laparoscopic surgery are performed at Casa di Cura San Rossore:

• Oncological surgery
• Gastroenterology
• Liver and biliary tract surgery
• Pancreas surgery
• Abdominal wall surgery (hernia and laparoceli, etc)
• Ambulatory surgery

Facial nerve salvage surgery in parotid gland pathology, nerve grafts for reinnervation of the facial nerve territory, muscle transplants and transpositions in inveterate paralysis, and enrichment nerve grafts in congenital paralysis are performed at the Casa di Cura San Rossore. Synkinesias are treated, when there is an indication, either surgically or with botulinum toxin. Patients are followed up annually and can rely on careful follow-up as well as secondary surgery to touch up any morpho-functional problems related to age and previous surgery.

At Casa di Cura San Rossore you can find the following services:

• Ophthalmology outpatient clinic with
  – OCT (retinal tomograph) for the diagnosis of macular diseases
  – Angiograph for diagnosis of retinal pathologies
  – Visual field to study glaucoma damage and neurological problems
  – Corneal map for corneal topography
• YAG and Argon laser for retinal pathologies and secondary capsule opacities after cataract surgery
• State-of-the-art laser center for correction of refractive flaws, corneal pathologies and keratoconus
• Pediatric ophthalmology

The operating room among the Ophthalmology equipment has a high-speed Vitrectome for minimally invasive retinal surgery and a state-of-the-art Phacoemulsifier for cataract removal, using ultrasound or vibration. Prof. Stanislao Rizzo’s team also performs Retinal Prosthesis surgeries on patients with retinitis pigmentosa.

Reconstructive and Aesthetic Plastic Surgery repairs defects of the skin and soft parts, as well as the musculoskeletal system, cranial and peripheral nerves. It is not organ surgery, but ranges over all apparatus, covering and supporting and intervenes where morpho-functional reconstruction is needed. It acts where and when age modifies features, corrects where Mother Nature has not given her best.
All interventions are executable by our specialists.

RECONSTRUCTIVE PLASTIC SURGERY

The Reconstructive Surgery repairs all losses of substance, of skin, muscles and covers noble tissues such as bones and joints. In particular, it reconstitutes the continuity of the protective covering of the body, which is essentially the skin. In addition, this particular branch of Plastic Surgery repairs malformations, whether congenital or acquired, e.g., cheilopalatoschisis, craniofacial malformations, facial paralysis, many syndromes with multiple malformations, angiomas and vascular malformations, and the outcomes of removal of soft part tumors.

Executable treatments:

• Removal of benign skin formations (nevi, cysts, angiomas, lipomas, other)
• Removal of malignant skin formations (epithelioma, melanoma, other)
• Correction of scars.
• Decompression of peripheral nerves (carpal and tarsal tunnel syndrome, ulnar nerve and superficial peroneal nerve compression), including for diabetic neuropathy.
• Nerve repairs with sutures and grafts
• Dupuytren’s disease
  (Aponeurotomy for Dupuytren’s Disease and lipofilling: minimally invasive treatment of Dupuytren’s Disease or retraction of the palmar aponeurosis: new surgery that avoids long incisions and allows faster healing
• Correction of sidactyly of hands and feet
• Repair of tendon injuries
• Finger snap
• Onychocryptosis
• Mucosal cysts
• Skin grafts for loss of substance of the trunk and limbs.
• Proximal, axial and perforating flaps for substance loss reconstructions.
• Microvascular flaps.

• Treatment of ray dermatitis with flaps and fat grafts
• Excisions of vascular malformations and angiomas
• Gynecomastia
• Breast reconstruction with implants, flaps and fat grafts
• Correction of breast asymmetry with fat grafts or implants
• Introflected nipples
• Plastic for phimosis
• Rhinophyma
• Gill cysts and fistulas
• Dermoid cysts
• Thyroglossal duct cyst
• Parotid gland surgery
• Facial paralysis surgery
• Removal of xanthelasmas
• Correction of eyelid ptosis
• Entropion and ectropion

AESTHETIC PLASTIC SURGERY

The Aesthetic Surgery corrects cosmetic flaws and improves an individual’s appearance e.g. corrects the shape of the nose, fan ears, receding or prominent chin, breasts that are too small or too large, sagging abdomen, wrinkles in the face and neck, and “tired” eyelids.

Executable treatments:

• Blepharoplasty
• Correction of fan ears
• Forehead, face and neck lifting
• Rhinoplasty
• Mastopexy
• Breast augmentation with implants or with fat grafts
• Reduction mammaplasty
• Correction of cleft earlobes
• Abdominoplasty
• Arm and thigh lifts
• Liposculpture
• Lipofilling
• Dermabrasion
• Cosmetic surgery of female genitalia