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The University of Insubria CV
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The University of Insubria CV The University of Insubria CV Luigi Valdatta, MD, FACS
The University of Insubria CV
 

Contact data

Associate Professor of Plastic Surgery
Department of Surgerical Sciences
Viale Borri 57 21100 Varese
Tel: 0332-278615
Fax: 0332278615
E-mail: luigi.valdatta@uninsubria.it

 

Biography

Prof.. Luigi Antonio Valdatta was born in Castel San Giovanni on November 1, 1959

STAYS ABROAD:
September 1986 at the Plastic Reconstructive Surgery Department of Helsinki (Finland) under Prof.. Sirpa Asko-Seljavaara’s direction.
During this stay Dr.Valdatta had the opportunity to take part, as assistant surgeon, in reconstructive surgical operations based both on the use of skin and myocutaneous flaps and on the use of free-flaps following microsurgical techniques.

July to September 1990 at the Plastic Reconstructive Surgery Department of St. Jose’ Rio Preto University S. Paulo, (Brazil ) under Prof. R.R. Bozzola’s direction.
During this stay, Dr. Valdatta improved his theoretical and practical knowledge of procedures based on modern reconstructive units, taking active part in the operations.

July 1992 at the Plastic Reconstructive Service of the Bordeaux University (France) under Prof. J. Baudet’s and Prof. D. Martin’s direction.
During this period Dr. Valdatta improved his own grounding in Plastic Reconstructive Microsurgery, taking part in the clinical activity based on the use of modern reconstructive microsurgical units.

August 1992 at the Plastic Reconstructive Surgery Department of S. Jose’ Rio Preto University ( S. Paulo, Brazil) under Prof. R.R Bozzola’s direction.
During this period Dr. Valdatta took part in the theoretical and practical activity of the School, making a thorough study in particular of techinques of reducing mammaplasty with small scarry residues.

January 1993-1996 at the Division of Plastic Reconstructive Surgery and Burn Unit of Ljubljana University (Slovenia) under Prof. Z.M. Arnez’s direction.
During this fellowship Dr. Valdatta improved his experience in Hand Surgery, Plastic Reconstructive Microsurgery after trauma and/or tumor ablations. During this period Dr. Valdatta took part to the operations like second and/or first surgeon, as is recorded into the specific notebook.
During this period Dr.Valdatta did clinical and experimental research work like is proved in the publications printed in this period.

August 1998 at the Division of Plastic Reconstructive Surgery of Kawasaki Medical School- Okayama, Japan under Prof.. I. Koshima and T. Moriguchi supervision.
During this fellowship, Dr. Valdatta improved, also by some cadaver dissections, his knowledge about the transfer of microsurgical reconstructive units based on perforators vessels: the clinical applications of this kind of reconstructive surgery, for post-oncologic and / or post-traumatic patients, have been discussed by Dr Valdatta with the first promotors of these techniques.

July-December 1999 at the Institute of Plastic Reconstructive Surgery of Ninth People Hospital - Shanghai-China, from under the supervision of Prof.. Dong and Wang.
During this Fellowship, Dr. Valdatta improved his experience concerning the burn scars treatment by conventional and/or microsurgical techniques.

The large numbers of patients with burn scars treated by that Institute made possible a clinical experience difficult to get in European Countries.

January 2001 at the Shriners Burn Hospital in Galveston-Texas-U.S.A. under the supervision of Dr. Herndon.
During this short but intense period, Dr. Valdatta improved his knowledge about the most modern therapeutic techniques concerning the treatment of pediatric burns patients, including not only the surgical aspect but the rehabilitation and the organization of a such complex Department.

 

Qualifications and awards

Degree in Medicine at University of Pavia on 24/02/1984

Specialty on Plastic and Reconstructive surgery on 22/05/1989

European Board of Plastic Surgery in Tolosa on November 1997.

Fellow of American College of Surgeons (F.A.C.S.) ” -San Francisco. U.S.A. 10 October 2002.

Associate Professor of Plastic and Reconstructive Surgery from 1/08/2003.
 

Research interests

Dr Valdatta’s scientific activity began during the university studies years at the Plastic Surgery Section of Pavia University, with research on the CAMP level in the tissue reaction triggered off by implanting guinea-pigs with silicone elastomer implants. The study made during this period was the subject of his experimental degree dissertation.

Given his steady interest in basic biological problems, Dr. Valdatta subsequently entered a study group investigating the biochemical processes underlying wound healing.

Dr. Valdatta actively contributed to clinical-epidemiological research and investigations on tumoral lesions of the cutis, carrying out a study on distant results in the treatment of skin vascular disease. This study has been followed by a piece of research on the difference expenses for treatment of skin minor tumors; it was realized by means a data-capture program suitably elaborated.

Dr. Valdatta interested himself in melanoma tumors focusing on the correlation between lesions’ thickness and respective prognoses.
To demonstrate his global interest in Plastic Surgery, Dott Valdatta intersted himself in the study of its historical roots in Pavia University in the XIX century.

His more clinical scientific activity includes a study on an uncommon case of facial lipomatosis in early infancy; a complete revision of the most important surgical techniques to correct velo-pharingeal incompetence in patients already operated for palatoplasty; the proposal for a surgical technique variation in aesthetic otoplasty; the surgical assessment of a pathology like Gynecomastia; the study of local and sistemic reactions to the inoculation of oil material in breast region ; the repair of pharyngostomas by a modified cervico-acromial flap deepithelialized in its distal region; the application of telethermography (T.T.G.) for breast pathologies which are of interest for the Plastic Surgeon; possible surgical solutions to malignant skin tumours of the internal canthal region; vulva reconstruction techniques following an extended vulvectomia for cancer; a singular case of tumour concerning the mesostructure; Dematofibrosarcoma Protuberans analyzed with a critical revision of the clinical series of cases; the use of prostheses in breast Aesthetic Surgery. From this viewpoint originated some studies on the interaction between immunity system and silicone in terms of biocompatibility and citocompatibility of the silicone itself.

The development of the application of Informatics to Plastic Surgery has been examined in a study on the use of computerized axial tomography 3D (C.T.Scan 3D) for pathologies within the competence of the Plastic Surgery.

The microsurgical interest, although already present in some initial experimental works, was developed, on the experimental and clinical sides, during the Fellowship c/o Plastic Reconstructive Department of the Ljubljana University. During this period Dr. Valdatta made anatomical studies to investigate specific anatomical parameters of some vascular axes used like recipient vessels in microanastomoses. An interesting study was done, on this purpose, about the Internal Mammary axis defined the elective recipient vessels for free TRAM flap autogenous breast reconstruction.

Dr Valdatta analyzed others’ applications of microsurgical procedures in Plastic Surgery, by some studies concerning free flaps in burns, in emergency and in late phases of the burn injury, in head and neck reconstruction after tumours ablation (mandible, trigonous, floor of the mouth), in lower limb reconstructions following trauma and/or associated infections.

The knowledge about “free perforators flaps” have been implemented by dr. Valdatta during his stage at Kawasaki Medical School, Okayama-Japan, by active partecipation to surgical operations and focused cadaver dissections in the anatomic room.

The constant interest of Dr. Valdatta for the biological aspects of Plastic Surgery pushed him in developing a protocol to analyze the role of S.O.D. (Superoxyde-Dismutase) in diabetic patients operated by microsurgical reconstructions.

Further experimental studies on the venous valves into the epigastric vascular bundles of the rat, were the matter of a publication with interesting implications for the haemodynamic of the venous flaps.
 

Teaching experience and appointments

Dr. Valdatta did his didactic activity, like lessons for students, from 1990 to 1993, c/o Medical Faculty and Plastic Reconstructive Residence School of Pavia University, cooperating with the chairman prof. Giorgio Boggio Robutti.

Dr. Valdatta, from 1993 to 1995, during his “Fellowship” c/o Plastic Surgery Dept. Ljubljana University, actively cooperated with the chairman Prof. Z.M. Arnez in doing lectures for medical students and assisting to the practice exercises at the laboratory of Experimental Microsurgery.

Dr. Valdatta, from 1996 to now, had a didactic activity in cooperation with the chairman Prof.. Angela Faga, c/o Medical Faculty and Plastic Reconstructive Residence School of Pavia University.

These Institutions became part of a new University, named University of Insubria of Varese and Como, starting from July 1998.

Starting from November 2000, Dr. Valdatta is the Official Teacher of Plastic Surgery Course for the School of Medicine at the University of Insubria.
Dr Valdatta is also in charge for Plastic Surgery teaching c/o the following Residencies of the School of Medicine at the University of Insubria: Plastic and Reconstructive Surgery, General Surgery, Urology, Gynecology, Odontostomatology, Gastroenterology.
 

Representative  publications

1) Do superficial epigastric veins of rats have valves?
L. Valdatta, T. Congiu, A. Thione, M. Buoro, A.Faga, C. Dell’Orbo
Br. J. Plast. Surg. 54: 2, 2001. (Eng)
The AA present an ultrastructural investigation to show the valvular venous pattern into the rat epigastric bundle.
The importance of this anatomic data is connected to the frequent use of experimental haemodynamic
models involving the rat epigastic bundle.

2) A new interpretation of the facies of an Italian Carnival mask.
A.Faga, L. Valdatta, A Thione
Plast. Rec. Surg (Letter to the Editor) 107: 889, 2001. (Eng)
The Authors present a peculiar clinical case of multiple lipoma to the face and the body mimicking a frequent popular
mask for Carneval. The cultural and historical implications are debated.

3) Ultrasound assisted liposuction for the palliative treatment of Madelung's disease: a Case Report
A. Faga, L. Valdatta, A. Thione, M. Buoro.
Aesthet. Plast. Surg. 25:3, 181-183, 2001 (Eng.)
The Authors present a clinical case of multiple lipoma to the face and the body tretaed, concerning to the head and neck distribution, by ultrasonic liposuction combined with surgical exision. The reasons for this surgical treatment are debated and the clinical result is discussed.

4) Lateral Circumflex Femoral Artery and Thigh Flaps.
L. Valdatta, M. Buoro, A. Thione, S. Tuinder.
Plast. Rec. Surg. (Letter to the Editor) 108: 1836, 2001 (Eng)
The Authors report their experience about the anatomical pattern of the LCFA, corcerning its division in ascending,
descending and transverse branches.

5) A case of life-threatening sepsis after breast augmentation by fat injection. L. Valdatta, A. Thione, M. Buoro, S. Tuinder
Aesth. Plast. Surg. 25 :5, 347-349 2001. (Eng.)
The AA present a case report of a patient with bilateral mammary abscesses following a percutaneous injection of
adipose material obtained by simultaneous liposuction of the flank region. The dangerous and risky clinical conditions
are discussed.

6) Effect of microvascular clamp duration on the wall of rat femoral artery. L. Valdatta, T. Congiu, M. Reguzzoni M. Buoro, A. Thione, A. Faga Riv. Ital. Chir. Plas. and Exper. Surg. 33: 1-2, 2001. (Eng)
The Authors investigate the effects of prolonged compression on a vascular axis that undergoes to microvascular Suture. The chosen experimental model is the femoral artery of the rat and the potential clinical implications are the matter of discussion.

7) Gigantic methaemeric seborrheic keratosis. A case report
A. Faga, L. Valdatta, M. Buoro, Rossi Plast. Rec. Surg. 109: 1198-1199, 2002. (Eng)
The AA. Present a case report of “giant seborrhoic keratosis” and discuss the differential clinical and histogical patterns toward the “epithelial intradermic naevus”.

8) The lateral circumflex femoral artery system and perforators of the antero-lateral thigh flap: an anatomical study
L. Valdatta, S. Tuinder, M. Buoro, A. Thione, A. Faga, R. Putz.
Ann. Plast. Surg. vol 49, 145-150: 2002. (Eng)
The Authors present the results of a detailed anatomical study of the lateral circumflex femoral artery and of the perforators vessels nourishing the antero-lateral thigh flap. The reported data are discussed on the basis of former anatomical studies and about their clinical-operative connections.

9) Ulcere cutanee degli arti inferiori: il nostro protocollo di trattamento.
L.Valdatta, A.Thione, M.Buoro, S. Tuinder, C.Mortarino, R.Caronno, R.Beretta, P. Castelli. Riv. Impegno Ospedaliero vol 1 / 2: 15-19, 2002. (It) The AA present an algorythm for treatment of lower leg ulcers, underlying the importance of strumental pre-operative
Investigations.

10) Ultrasound assisted lipolysis of the omentum in dwarf pig
A. Faga, L. Valdatta, M. Mezzetti, M. Buoro, A. Thione.
Aesth. Plast. Surg. vol 26, (3) 193-196: 2002. (Eng)
The Authors present the results of an experimental clinical study on Dwarf Pigs whre the omentum has been treated by
ultrasonic liposuction. The obtained results are exposed and the observed complications are reported. The potential
clinical risks in transfering the applied technique to the human being are debated.

11) A useful application of the double-breasted vest primciple in skin closure. L. Valdatta, A.Thione, M. Buoro, C. Mortarino, C. Fidanza
Plast Rec. Surg. Vol 111 (2): 966, 2003 (Eng)
The Authors present an usefull application of Millard principle for closing complicated wounds after porta-cath.
introduction in oncological patients under chemotherapy.

12) Keloids: combined therapeutic solutions.
L. Valdatta , M. Buoro, A. Thione, S. Tuinder, C. Mortarino, A. Faga
Chirurgia 16(1): 9, Feb 2003. (Eng)
The Authors present the results of a study on cheloid scars treated by surgical revision and concomitant radiotherapy.
The clinical and scientific premises for adopting this therapeutic protocol are exposed and the obtained clinical results
are discussed

13) Neurovenous superficial inferior epigastric flaps in rats.
L. Valdatta, M. Reguzzoni, M. Buoro, T. Congiu A. Thione, S. Tuinder, C. Fidanza. Minerva Chir. Jun 2003, 58(3): 361-8. (Eng)
The AA. present an experimental model based on the rat inferior epigastric neurovascular axis where the neuro-venous
plexus has been studied. The clinical implications in raising neuro-venous flaps are reported

14) Clear visualization of capsular calcifications around breast implants. L. Valdatta, Tuinder S., Thione A., Buoro M., Mortarino C., Fidanza C. Protasoni M., Reguzzoni M. Plast. Reconstr. Surg. 111: 1567, 2003 (Eng) The AA present a case of bilateral breast implants substitution after 27 years. The analysis of capsular and paricapsular tissue under optic microscope, transmission electron microscope and scanning electron microscope associated with EDAX analysis (energy dispersive x-ray analysis) allows to obtain a clear and easy visualization of capsular and pericapsular calcium deposits.

15) Parameters and criteria in evaluation of “necessity” of burn center in an industrial and residential high-density territory: north-western Lombardia. L. Valdatta, M. Buoro, A. Thione, S. Tuinder, C. Mortarino, R. Dionigi. Eur J Plast Surg. 26 :14-16, 2003 (Eng)
The Authors present a study showing the high incidence of burn injuries and the insufficience of burn centers now working in Lombardia, also considering the high risk of new and unforeseeable accidents.

16) The reproducible tie-over dressing.
L. Valdatta, A. Thione, M. Buoro, S. Tuinder, C. Mortarino, C. Fidanza., B. Barbieri. Plast. Reconstr. Surg. 112 (2): 708, Aug 2003. Eng)
The Authors present a new simple way of fashioning the tie-over dressing for skin grafts in order to check the take modality in the first or second postoperative days without losing the advantage of compression.

17) An easy and cheap way to assemble a tissue expander for laboratory use. Valdatta L., Mortarino C., Thione A., Buoro M., Tibiletti M. Plast. Reconstr. Surg. 112: 1179, Sep 2003. (Eng)
The AA present an economic and cheap way to obtain tissue expanders for laboratory research on rats, using second-hand materials easily obtainable in a plastic surgery ward: small injection domes and steel connector systems of Becker prostheses not used in surgery, suture threads, pediatric Foley catheters.

18) Basaliomatosis without a genetical disorder in a young female patient: a case report. Valdatta L., Mortarino C., Thione A., Buoro M., Fidanza C. Riv. Ital Chir Plast and Exper. Surg. Quaderni di Chirurgia Plastica 2002. (Eng) The AA present the case of a caucasian woman affected, since she was 40 years old, by multiple basaliomas of the trunk. Considering her relative young age, after surgery the patient was genetically studied: the most common chromosomical and genetical alterations responsible of well-known basaliomatosis syndromes could not be detected.

19) A double pocket for tissue expander implantation in breast reconstruction. Valdatta L., Mortarino C., Thione A., Buoro M., Fidanza C. Plast. Reconstr. Surg. 112 (7): 1974, Dec 2003. (Eng)
The Authors present a new technique used in postmastectomy breast reconstruction by a tissue expander implantation: we created two pockets, a submuscular one to accommodate the expandable device and a second one placed between muscle and skin in order to create a mobile layer in the chest wall, helping soft tissues to expand.

20) Free fasciocutaneous lateral arm flap: a versatile option for reconstruction of foot weight bearing areas. Z.M. Arnez, L. Valdatta, V. Giacomarra, et al. Brit. Jour. Plast Surg (In Preparation). (Eng)
The AA propose the lateral arm fasciocutaneous free flap as reconstructive option for the traumatized foot weight bearing area instead of myocutaneous unit more frequently adopted. Strumental data concerning gait analysis on patients operated by both reconstructive options are reported to confirm this premise.

21) The effect of smoking on skin temperature of replanted and healthy fingers. F. Planinsek, Z. Arnez, L. Valdatta, U. Achan.
Plast. Rec. Surg. (In Preparation). (Eng)

The AA present an experimental study to evaluate the vascular sensibility to cigarette smoke and the following clinical implications on the microvascular anastomoses for digital reimplants.

22) A transposition outer rhomboid flap over an inner deepithelialized one for covering subcutaneous devices.
Valdatta L., Tuinder S., Barbieri B., Thione A., Buoro M.
Plast. Reconstr. Surg. 113(4): 1303, 2004 (Eng)

We present a case in which a 75-year-old woman, affected by an istyocitoma, treated with radiotherapy and chemotherapy, was sent to our attention because the port-a-cath she had in the right mammary region was nearly extruded; a modified Dufourmentel flap was sculptured including a part of the capsula of the port-a-cath; the device could be use the day after surgery.

23) Opportunity to perform intraoperative histological examinations in suspect lipomas? A case report. Valdatta L., Buoro M., Thione A., Mortarino C., Fidanza C., Dainese E. Riv.Ital.Chir.Plast. – Clin. and exp. plastic surgery, 34 (3-4): 139, 2002. (Eng) The AA present a case of a subcutaneous mass, clinically and ecographically diagnosed as a lipoma, that was revealed to be a well differentiated lipoma-like liposarcoma at histological examination; opportunity to perform intraoperative frozen sections of hard and vascularized lipomas is discussed.

24) Lichen planus cutis and squamous cell carcinoma.
Valdatta L.,Tuinder S.,Thione A., Buoro M., Barbieri B., Pozzi B., La Rosa S. Plast. Reconstr. Surg. 113(3): 1085, Mar 2004. (Eng)
Lichen planus is a cell mediated immune response characterized by a papular eruption with a mucous or a cutaneous localization. Malignant transformation of lichen planus is more frequent in the mucous type than in the cutaneous type. The authors present a case of a woman in which a squamous cell carcinoma developed on a previous lesion of hypertrophic lichen on a leg.

25) Idiopathic circumscripta calcinosis cutis of the knee: a case report.Valdatta L., Buoro M., Thione A., Mortarino C., Tuinder S., Fidanza C. Dermatol. Surg. 29(12): 1222-24, Dec. 2003 (Eng)
Idiopathic circumscripta calcinosis cutis is a rare disease, typically involving the extremities, associated to trauma and sclerodermia. Treatment is medical or surgical, but benefits are limited and temporary. The Authors present the atypical case of a 46-year-old woman, affected by idiopathic circumscripta calcinosis cutis of the knee, successfully treated by surgical removal.

26) Evaluation of the efficacy of polydeoxyribonucleotides (PDRN) in the healing process of autologous skin grafts donor sites: a pilot study.
Valdatta L., Thione A., Mortarino C., Buoro M., Tuinder S.
Curr. Med. Res. Opin. 20(3): 403-408, 2004 (Eng)The AA present the results of a pilot study performed to evaluate the efficacy of polydeoxyribonucleotides in shortening the healing times of autologous skin grafts donor sites: re-epithelialisation occurred earlier and there were no infections.

27) The Medial Sural Artery Perforators. Anatomic Basis For a Surgical Plan.
Thione A., Valdatta L., Buoro M., Tuinder S., Mortarino C., Putz R.
Ann Plast Surg 53: 250-5, 2004 (Eng)

The AA present an anatomical study on medial sural artery perforator flaps performed on 20 legs of fresh cadavers. The average dimension of flaps were 12.9 x 7.9 cm; the 38 perforators were muscolocutaneous and were found between 7 and 18 cm from the popliteal crease; the 34.2% of perforators arose on the midline of the medial head of gastrocnemius muscle and their average caliber was 0.5 mm before entering the fascia; 66% of perforators originated from the lateral branch of the medial sural artery and 34% from the medial branch. This study improves the anatomic knowledge of the medial calf region, making flap planning and sculpturing easier.

28) Mandibular reconstruction with fozen autologous mandibular bone and radial periosteal fasciocutaneous free flap:preliminary repot
Roselli R., Muscatello L., Valdatta L., Pavan G., Spriano G.
Annals of Otolarhingology December 2004 (Eng)

The authors present a new method of mandibular reconstruction with frozen autologous mandibular bone. Vascular supply to the neomandible is ensured by the periosteal layer of a microvascular radial periosteal fasciocutaneous free flap. We decribe two cases of oral carcinoma involving the mandible. This technique allows good functional and aesthetic results, avoiding complications related to the use of composite free flaps.

29) Modified deepithelialized bilateral triangular v-y flaps for the correction of posttracheostomy scar
Valdatta L., Mortarino C., Thione A., Buoro M.
Plast. Reconstr. Surg. 115(1): 351-3, 2005
Impact Factor= 1.436 (Eng)

The Authors present their technique for the esthetique treatment of depressed scar after tracheostomy; in a day-surgery admission we used the the classic deepithelialized bilateral triangular flaps composed by dermis, subcutaneous fat and fascia with 3 everting vertical absorbable mattress stitches under the flaps: after a 6 months follow-up the scar was still flat.30) A Modified inverted omega incision for surgical treatment of gynecomastia.
Thione A., Valdatta L., Gottardi A.
Ann. Plast. Surg. 55 (4): 437, 2005 (October)
Impact Factor=0.714 (Eng)

 

Clinical interests

 It was carried out within the competence of the students enrolled in the School of Specialization in Plastic and Reconstructive Surgery of Pavia University. It consisted in in attending the operating-room, in attending the ward and the out-patient clinic.

The hospital and university Department he attended in Italy was in Milano, Pavia, Verona and Como.

The foreign Department attended can be ruled out by the analysis of the correspondent stays abroad.

Dr. Valdatta is now working as permanent Clinical Assistant at the Plastic and Reconstructive Surgery Section of the Surgical Department of Pavia University and he is contributing to the clinical, scientific and didactic direction of the Section itself.

From January 1992 given the acknowledgement of the Assistential Functions, Dr. Valdatta worked as University Medical Assistant at the II Department of Plastic Surgery of Donato University Hospital in Milano.

From January 1996 Dr. Valdatta worked like assistant plastic surgeon c/o Varese University Hospital.

Starting January 1993-1996 Dr. Valdatta made a 3-years fellowship focused on Plastic Microsurgery c/o Plastic Reconstructive Surgery and Burn Unit Department of Ljubljana University (Slovenia).
 
   
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