Mohs surgery
Mohs surgery;
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
TO BOOK A VISIT:
Clinic visit:
Call at +39 050 586319 and make an appointment at the clinic.
Online remote visit:
Call +39 050 586319 to book an appointment online.
After receipt of the visit transfer, a link for online consultation will be sent.
Referring specialists
Nothing found.
Endocrine surgery
Endocrine surgery
Endocrine surgery is a branch of general surgery that deals with the surgery of the endocrine glands.
In the experience of the Casa di Cura San Rossore, diseases of the thyroid, parathyroid and adrenal glands, and, finally, those of the endocrine part of the pancreas have been treated most frequently.
What has changed in thyroid surgery?
Stricter indications to perform thyroid gland surgery: as a result, fewer and fewer patients are being operated on. For example, the presence of nodules with benign features or small goiters are no longer an indication for surgery;
Less surgical aggressiveness in non-aggressive and non-locally advanced malignancies, resulting in a tendency to avoid unnecessary demolitive surgery;
Employment of new technologies in surgical dissection that make surgery more accurate and effective;
The possibility of using a device that allows monitoring of laryngeal nerves (Nerve Intraoperative Monitoring – NIM) with both intermittent and continuous technique, in order to prevent iatrogenic injury of nerve structures, a dreaded complication of thyroid surgery.
Referring specialists
Nothing found.
Gastroenterological surgery
Gastrenterologic surgery
DIAGNOSTIC EXAMINATIONS LIST
- EGDS
- Rectosigmoidoscopy
- Pancolonoscopy
- Conventional esophageal pH-metry (with tube) 24/h
- Esophageal pH-metry with BRAVO capsule 24/h – 96/h
- Vital coloring
- Endoscopic magnification
- High-resolution esophageal manometry
- (Eco-Endoscopia)
- (Rx TD esophagus/stomach/duodenum with baryta m.d.c.)
LIST OF INTERVENTIONS GENERAL SURGERY
- Exploratory laparoscopy
- Laparoscopic gastro-enterostomies
- Inguinal hernia (open, laparoscopic)
- Abdominal wall hernias and Laparoceles
- Cholecystectomy (laparoscopic)
- Port-a-cath placement (for chemotherapy infusion)
- Laparoscopic dijunostomy placement
- Echo-guided placement of percutaneous drains (chest, abdomen)
LIST OF ESOFAGO-GASTRIC SURGERY OPERATIONS
- Fundoplicatio sec. Nissen, Nissen-Rossetti, Toupet, Dor (antireflux plastic for
Jatal hernia and gastroesophageal reflux disease) - Permagna jatal hernia (gastric volvulus, diaphragmatic hernias, etc.)
- Extramucosal myotomy sec. Heller-Dor (achalasia)
- Diverticulectomy (Zenker’s diverticulum, Epiphrenic diverticulum)
- Removal of leiomyomas/GISTs of the esophagus (laparoscopy, thoracoscopy)
- Laparoscopic gastroresection (neoplasms, GISTs, Leiomyomas)
- Esophagectomy for esophageal cancer
- Gastrectomy for gastric cancer
LIST OF OPERATIONAL ENDOSCOPE INTERVENTIONS
- Rigid, hydraulic, pneumatic dilatation (caustic stenosis, actinic, peptic,
Achalasia, scar rings, pylorus stenosis, anastomosis stenosis) - PEG, PEG-J (pull technique and introducer)
- Endoprosthesis placement esophagus, pylorus-duodenum, colon
- Mucosectomy (EMR, Endoscopic Mucosal Resection); early neoplastic lesions esophagus, stomach, duodenum, colon (up to 2 cm)
- Endoscopic Submucosal Dissection (ESD); early neoplastic lesions esophagus, stomach, duodenum, colon (> 2 cm)
- Radiofrequency Ablation (RFA). Treatment of dysplastic Barrett’s esophagus (BARRX)
- Treatment of fistulas and anastomotic dehiscences; perforations of esophagus and stomach (Prosthesis, OTSC-Ovesco, Apollo Endostich)
- (P.O.E.M., PerOral Endoscopic Myotomy for achalasia)
Referring specialists
Nothing found.
General surgery
General surgery
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
Referring specialists
Nothing found.
Maxillofacial surgery
Maxillofacial 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.
Referring specialists
Nothing found.