Appointments

Since November 2002, I have been in charge of the “Lymphatic Surgery and Microsurgery” Section of Surgery- Clinical Surgery– of S. Martino University Hospital, originally with in-patient beds on the 3rd floor (U41D3) and, then, since March 2005, on the 1st floor (U49D2).

Since 27/04/1988, I have coordinated the new healthcare facility carrying the same name (and covered by the agreement between Regione Liguria and the University), together with the official recognition of “Microsurgery Centre” (which belongs to the Emergency Surgery Division). Since 1/07/1999, I have been appointed by S. Martino University Hospital to manage the functional model (B3), called “Microsurgery and Lymphology”, since 1/04/2001 defined as a “high specialty professional appointment” (C1).

Since 12/02/1981, I have been in charge of the “Centre for the Prevention, Study, and Treatment of Lymphatic Diseases”.
Since 1977, I have been Assistant then Aiuto and, later, Associated Professor, at the Clinical Surgery Institute R and, more recently, at DISCAT (Emergency Surgery). My appointment, obviously, also included Emergency Room work at the Surgical Emergency Room at S. Martino Hospital.

Since 04/07/2005, I have been Manager of “Lymphatic Surgery” Departmental Operating Unit (Unità Operativa Semplice Dipartimentale) (U1H), of the Department of Integrated Surgical and Diagnostic Science (D.I.S.C.), University of Genova - IRCCS Univeristy Hospital San Martino - IST National Istitute for Research on Cancer, Genova.

This Operating Unit is a Centre of Excellence, as well as a referral centre, not only on a regional, but also on a domestic and international level, with an over 60% attraction index of patients from outside the Liguria Region.

Member of the Commissions/Study Groups set up by the Health Ministry (Ministerial Decree dd. February 28, 2006), aimed at identifying diagnostic-therapeutic, healthcare, and rehabilitation processes that are suitable and effective for managing lymphedema. I have also contributed to the periodical updating of the “Consensus Document for the Diagnosis and Treatment of Peripheral Lymphedema of the International Society of Lymphology” (which was issued for the first time during the 1995-1997 two-year period of my tenure as President of this Society), as well as to the drawing up of the document entitled “International Consensus: Best Practice for the Management of Lymphedema” (2006).

In application of the new national and international Guidelines for the Diagnosis and Treatment of Lymphatic Diseases, I have organized several courses on the diagnosis and treatment of Lymphatic Diseases on behalf of the “Lymphatic Surgery” Operating Unit, plus some innovative, interdisciplinary courses addressed to one or more Departments, with particular focus on the application of Lymphatic Microsurgery in the prevention and early treatment of lymphatic complications in General and Specialty Surgery and, above all, in Secondary Lymphedema following Oncologic Lymphadenectomy (for the treatment of breast, prostate, genital, cervical cancer, etc.). At the same time, I have been the promoter as well as a teacher at Departmental Training Courses organized by San Martino University Hospital, on “Medical Issues in Lymphatic Surgery”.

All the above training and organization activities related to “Lymphatic Surgery” have received a lot of publicity, not only on a local and regional, but also on a national and international level, drawing the attention of physicians and surgeons, as well as of the public in general and of the media on lymphatic diseases, which, despite their major social impact, are often neglected and poorly known. Information was given on modern therapeutic and surgical solutions available, and, in particular, on the application of microsurgical techniques.