Juste Kaciulyte

Skin-Reducing Mastectomy and Submuscular Expander: A Preliminary Study on Patient-Reported Outcomes

Arianna Gatto, Lorenzo Mosiello, Gabriele Negri Zandi, Juste Kaciulyte et autres

BACKGROUND: Immediate implant-based reconstruction in large and ptotic breasts represents a significant surgical challenge. The skin-reducing mastectomy (SRM) pattern has been widely described to manage skin redundancy; however, immediate single-stage prepectoral reconstruction can be burdened by high complication rates in this specific …

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Preventing Early Complications Following Oncologic Breast Surgery: The NDoCaSco Score for Targeted Negative-Pressure Wound Dressing

Donato Casella, Juste Kaciulyte, Andrea Bartalini Cinughi de Pazzi, Luca Sanvitale et autres

Background: Thanks to its capacity to increase wound healing, NPWD (Negative-Pressure Wound Dressing) showed promising results in breast surgery. The authors developed the NDoCaSco system for select patients that may benefit the most from NPWD after breast oncologic surgery, aiming to improve …

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Tailored Charles’ procedure and vascularized lymph node transfer for advanced stage Klippel–Trenaunay syndrome

Pedro Ciudad, Joseph M. Escandón, Juste Kaciulyte, Oscar J. Manrique et autres

BACKGROUND: Klippel-Trenaunay syndrome (KTS) is primarily managed for vascular and soft-tissue abnormalities, while treatment of associated lymphedema remains poorly described. This study outlines our protocol for advanced lower-extremity lymphedema using a combined modified Charles' procedure and vascularized lymph node transfer (VLNT). METHODS: …

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Enhancing Breast Reconstruction with Bovine Pericardium: A Preliminary STEP (Surgical Techniques and Efficacy in Pericardium Use) Towards Improved Outcomes

Donato Casella, Nicola Rocco, Gianluigi Luridiana, Marco Marcasciano et autres

Background/Objectives: In pre-pectoral breast reconstruction, both synthetic meshes (SM) and acellular dermis or pericardium matrixes (ADM/APM) present drawbacks that can be prevented with targeted device choosing. In daily practice, the authors wrap the implant with a human-derived ADM (hADM) when they found …

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The Role of Intercostal Artery Perforator (ICAP) Flaps in the Transition From Cosmetic to Effective Modern Breast Surgery

Donato Casella, Stefano Bacchini, Silvia Sordi, Nicola Rocco et autres

BACKGROUND: Breast conservation surgery (BCS) evolved with oncoplastic techniques to improve aesthetic outcomes while maintaining oncological safety. However, a lack of objective criteria for selecting appropriate reconstruction techniques remains. OBJECTIVES: This study presents a novel patient-centered decisional algorithm for oncoplastic breast surgery …

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Squamous Cell Carcinoma of the Thumb: Misdiagnosis and Consequences

Alessia Pagnotta, Luca Patanè, Carmine Zoccali, Juste Kaciulyte et autres

Background: Cutaneous squamous cell carcinoma (SCC) is the most common primary malignant tumor of the hand, and its aggressive nature can lead to significant morbidity, particularly when affecting critical structures like the thumb. SCC in this location may arise in the periungual …

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The LyBra score: A risk assessment tool to address targeted prevention against breast cancer – Related lymphedema

Donato Casella, Nicola Rocco, Silvia Sordi, Giuseppe Catanuto et autres

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Facial Lymphedema Following Head and Neck Tumor Resection: Preliminary Experience of Supermicrosurgical Treatment With LVA —Report of Three Cases

Juste Kaciulyte, Giorgio Giacomini, Leonardo Garutti, Davide Spadoni et autres

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). All three patients …

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Size Does Matter: Mastectomy Flap Thickness as an Independent Decisional Factor for the Peri-Prosthetic Device Choice in Prepectoral Breast Reconstruction

Juste Kaciulyte, Silvia Sordi, Gianluigi Luridiana, Marco Marcasciano et autres

Background. In alloplastic breast reconstruction, the choice of implant positioning and the selection of periprosthetic devices is a critical and challenging decision. Surgeons must navigate between various biologic and synthetic meshes, including acellular dermal matrices (ADM). This study aimed to propose a …

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Streamlining outpatient prepectoral breast reconstruction: The role of polyurethane oxygen-enriched bra cups from pandemic innovation to standardized cost analysis

Silvia Sordi, Juste Kaciulyte, Mohamed Marzouk El Araby, Gianluigi Luridiana et autres

Background: The COVID-19 pandemic necessitated a reassessment of healthcare delivery, emphasizing on strategies to reduce hospital visits without compromising patient care. In response, plastic surgery units explored innovative approaches to ensure high-quality care and enhanced protection for vulnerable groups, such as oncologic …

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The harmony of proportions: Exploring the golden ratio concept in nipple-sparing mastectomy through inframammary fold incision

Juste Kaciulyte, Silvia Sordi, Gianluigi Luridiana, Marco Marcasciano et autres

Background: The inframammary incision appears promising in nipple-areola-sparing mastectomies (NASM). The Golden Ratio principles may standardize the extension and position of this incision, placing it in the lateral 2/3 of the fold. The authors explored the inframammary approach within the Golden Ratio …

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Is Half a Century-Based Suturing Pattern Worth the Upgrade? Evaluating a Novel Suturing Technique: Knot Less is More

Edoardo Giuseppe Maritano, Juste Kaciulyte, Silvia Sordi, Marco Marcasciano et autres

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