Thesis etd-06152022-113139 |
Link copiato negli appunti
Thesis type
Tesi di dottorato di ricerca
Author
MARINIELLO, MARIA DONATELLA
URN
etd-06152022-113139
Thesis title
Implant of a reabsorbable scaffold in non-malignant breast lesions treated by excision or lumpectomy: A First In Human pilot study
Academic discipline
MED/18
Course of study
SCIENZE CLINICHE E TRASLAZIONALI
Supervisors
tutor Prof.ssa Danti, Serena
Keywords
- aesthetic outcome
- biomaterials
- breast cancer
- breast reconstruction
- lumpectomy
- reabsorbable
- scaffold
- tissue engeneering
- tissue regeneration
Graduation session start date
07/07/2022
Availability
Withheld
Release date
07/07/2025
Summary
My PhD study is a pre-market, single center, interventional, open label, non-comparative, pilot first-in-human study on adult female patients with non-malignant breast lesions up to 200 cc in volume, eligible for lumpectomy.
The aim is to determine safety and feasibility of an innovative breast reconstructive approach after conservative surgery. This consists of an in vivo tissue engineering approach based on the combination of conservative surgery and a biodegradable polyurethane cell-free scaffold intended for regenerating soft tissue resembling fat. The purpose is to acquire preliminary information on this biomimetic device to design an adequate development plan.
Albeit on a very limited number of patients treated, the data collected showed a positive outcome both in terms of safety and performance. This is significant because based on the quantity of breast tissue that must be removed, conservative surgery may not always be able to obtain satisfactory cosmetic results unless resorting to more complex oncoplastic techniques. Therefore, having an alternative technique that optimizes the aesthetic outcomes while minimizing surgical invasiveness, duration, and complexity, is highly desirable.
This innovative breast reconstructive approach represents an alternative to current surgical options, being able to restore a natural breast in a single step, safe, easy-to-adopt, and potentially cost-saving procedure. Furthermore, it can have remarkable impact on research and clinical application of tissue engineering to bulky, highly vascularized tissues.
Further analysis on a larger sample and with a longer follow-up is necessary to confirm these results.
The aim is to determine safety and feasibility of an innovative breast reconstructive approach after conservative surgery. This consists of an in vivo tissue engineering approach based on the combination of conservative surgery and a biodegradable polyurethane cell-free scaffold intended for regenerating soft tissue resembling fat. The purpose is to acquire preliminary information on this biomimetic device to design an adequate development plan.
Albeit on a very limited number of patients treated, the data collected showed a positive outcome both in terms of safety and performance. This is significant because based on the quantity of breast tissue that must be removed, conservative surgery may not always be able to obtain satisfactory cosmetic results unless resorting to more complex oncoplastic techniques. Therefore, having an alternative technique that optimizes the aesthetic outcomes while minimizing surgical invasiveness, duration, and complexity, is highly desirable.
This innovative breast reconstructive approach represents an alternative to current surgical options, being able to restore a natural breast in a single step, safe, easy-to-adopt, and potentially cost-saving procedure. Furthermore, it can have remarkable impact on research and clinical application of tissue engineering to bulky, highly vascularized tissues.
Further analysis on a larger sample and with a longer follow-up is necessary to confirm these results.
File
Nome file | Dimensione |
---|---|
The thesis is not available. |