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Milan, Italy

Grande Ospedale Metropolitano Niguarda




The Grande Ospedale Metropolitano Niguarda is one of the main clinics in Milan, Italy. It is a scientific and educational center that combines the treatment of complex pathologies and patient care.
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About Niguarda

Ir is a large general hospital. Its highly qualified specialists provide medical care at the highest level, from diagnostics to rehabilitation, even in emergency and very complex cases. Thus, by contacting this clinic, a foreign patient will receive the full range of necessary services.

Since opening on October 10, 1939, the clinic has been constantly improved. Especially in recent decades, it has undergone complex structural organizational changes, which has made communication and treatment efficiency only higher.

Peculiarities of Niguarda Hospital
Medical Spheres
Research at Niguarda Hospital
How to start treatment at Niguarda

The Grande Ospedale Metropolitano Niguarda clinic offers patients advanced solutions and individualized treatment through the use of diagnostic technologies and innovative methods. It is popular not only among Italian patients, but foreign citizens as well. The clinic does its best to provide medical care at the highest level, has state-of-the-art technical equipment and highly qualified staff.
Comprehensive Help
The Niguarda Hospital provides treatment with a multidisciplinary approach for all diseases of adults and children.
Treatment of Complex Pathologies
The hospital treats very complex pathologies thanks to the high qualification of specialists, skills in emergency care and a multidisciplinary approach.
Continuity of Care
Through local services and facilities, as well as collaboration with external organizations, Niguarda provides both inpatient and outpatient care at a high level.
Scientific and Educational Center
In an effort to improve their knowledge and skills in providing medical care, professionals are ready to learn, experiment and conduct research. Niguarda is a medical research center for physicians who require highly qualified accredited training.

The Niguarda Hospital is a medical institution of a wide profile and provides treatment for various diseases in both adults and children. All medical areas and technologies are present here, from diagnostics to rehabilitation. This ensures high-quality treatment in emergency and complex cases.
Ophthalmology
Orthopedics and Traumatology
Neurosurgery
Nephrology
Cardiology
Oncology

Ophthalmology

The Department of Ophthalmology at the Niguarda Clinic performs surgical treatment of all major ocular pathologies. A special place occupies vitreo-retinal surgery for the treatment of retinal detachment, diabetic retinopathy, macular pathologies.

Diagnostics of eye diseases is carried out using fluoangiography and angiography with indocyanine green to study diseases of the retina, for which OCT technology (optical coherence tomography) and corneal topography are also used.
Main Pathologies and Treatment Methods
  • orbits (inflammatory orbitopathies, general diseases, neoplasms, injuries);
  • eyelids (torsion, ectropion, lagophthalmos, inflammatory blepharopathies, neoplasms, injuries);
  • lacrimal apparatus (injuries, malformations);
  • conjunctiva;
  • corneas (inflammatory, degenerative, traumatic, congenital);
  • sclera (inflammatory, degenerative, traumatic, congenital);
  • choroid (inflammatory, degenerative, traumatic, congenital);
  • retina (vascular, inflammatory, associated with general, degenerative, neoplastic, traumatic, congenital diseases, retinal detachment, macular tubercle);
  • lens (cataract);
  • vitreous body (inflammatory, degenerative);
  • hydrodynamics (glaucoma of all types, hypotension of all types);
  • optic nerve and visual pathways (vascular, inflammatory, toxic, degenerative, tumor, traumatic);
  • musculoskeletal system (strabismus);
  • refractions (myopia, farsightedness, astigmatism, presbyopia, aphakia);
  • eye pathology related to systemic diseases;
  • corneal surgery (perforated keratoplasty, deep anterior lamellar keratoplasty-DALK, refractive keratoplasty, keratoprosthesis with implant);
  • anterior segment surgery surgical treatment of cataracts, which allows you to restore the missing diopters; glaucoma using advanced techniques such as viscocanalostomy, deep sclerectomy and implantation of drainage channels)'
  • lacrimal surgery'
  • surgery of the orbital and anophthalmic cavity, extraocular muscles'
  • refractive surgery.

Dr. Marcelo Pisani

Head of the Department of Ophthalmology

Worked in Niguard's adult ophthalmology. Conducts refresher courses. Since 2016, he has been the Head of the Ophthalmological Department. Performed over 6,000 surgeries.

Orthopedics and Traumatology

The activities of the Department are mainly aimed at helping patients with polytrauma and patients with fractures. Specialists also provide assistance with major orthopedic pathologies that can affect different parts of the body. This structure has accumulated special experience in the treatment of diseases in the early stages and is able to provide assistance even in cases where intervention is needed in a multidisciplinary emergency care regime.
Main Pathologies and Treatment Methods
  • pelvic and acetabular surgery;
  • shoulder, knee and ankle ligament reconstruction;
  • sports trauma surgery;
  • first and revision orthopedic surgery;
  • arthroscopic surgery and cartilage grafting;
  • traumatic and non-traumatic spine surgery;
  • hand surgery and microsurgery;
  • orthopedic surgery in patients with hemophilia, on dialysis, allergic to latex, or suffering from disabling, systemic and chronic diseases;
  • foot surgery, pediatric orthopedics and functional orthopedic surgery for cerebral palsy.

Dr. Dario Capitani

Head of the Department of Orthopedics and Traumatology

Worked at the Center for Sports Traumatology. G. Pini as a researcher and then an assistant in orthopedics and traumatology.


Orthopedic traumatologist for professional and non-professional athletes in various sports disciplines (cycling, rugby, American football, basketball, etc.).

Neurosurgery

The Department of Neurosurgery at the Niguarda Clinic treats the entire spectrum of neurosurgical pathologies, from neurooncology to cerebral arteriovenous malformations, for patients of all age groups.

Minimally invasive procedures are applied, the most sophisticated reconstructive techniques are used.
The most commonly treated tumors are brain and spinal cord, of any localization, origin and size.
The department of neurosurgery conducts advanced development of innovative methods for the treatment of vascular malformations and brain tumors.

Minimally invasive surgical techniques have been developed (e.g. targeted skull base techniques, gamma knife radiosurgery, and endoscopic techniques in collaboration with otorhinolaryngology). Among the procedures developed are also interventions with anterior access to the spine and neuroendoscopy for the treatment of hydrocephalus, intracranial cysts and tumors of the ventricles.
Main Pathologies and Treatment Methods
  • skull base surgery;
  • brain aneurysm treatment;
  • cerebral arteriovenous malformations and dural arteriovenous fistulas of the brain and spinal cord;
  • complex pathologies (tumors, injuries, infections) of the spine;
  • malformations (Arnold-Chiari malformation);
  • spine (lipomas and myelomeningocele);
  • neuroendoscopic treatment of hydrocephalus and intracranial cysts;
  • complex craniosynthesis, including the method of hard osteosynthesis.

Dr. Marco Cenzato

Head of the Department of Neurosurgery

Since 2011, he has been the Head of the Department of Neurosurgery at the Niguarda Clinic.

He has extensive experience in all areas of cranial and spinal neurosurgery, as well as in vascular neurosurgery, in particular in the treatment of arteriovenous malformations (AVMs), cavernous angiomas of the brainstem, complex intracranial aneurysms and in brain revascularization (bypass) procedures.

Nephrology


The institution is intended for the prevention, diagnostics and treatment of kidney diseases. The Department of Nephrology at the Niguarda Clinic also plans suitable therapy for individual cases with constant monitoring. When kidney function is definitively impaired, it is the task of the nephrologist to identify and suggest better alternatives, such as dialysis treatment (in the hospital or at home) or kidney transplant.

The institution participates in national and international clinical trial protocols, new approaches to the treatment of anemia and uremia-related osteodystrophy, as well as new immunosuppressive drugs in kidney transplantation. She is part of a multidisciplinary team that performs pancreatic islet transplantation in patients with type 1 diabetes, experimenting with new sites of engraftment.
Main Pathologies and Treatment Methods
  • all forms of renal failure (primary and secondary to systemic diseases);
  • kidney stones;
  • renal tubulopathy, including congenital;
  • pathology of electrolytes and calcium metabolism;
  • dialysis to artificially compensate for the loss of function of natural organs;
  • kidney transplantation to fully restore the quality of life of patients. Priority is given to a kidney transplant from a living donor (related or unrelated);
  • combined kidney and pancreas transplantation in diabetic patients with renal insufficiency;
  • isolated transplantation of the pancreas or pancreatic islets to restore endocrine function in patients with type 1 diabetes;
  • rare diseases: cystinuria, Gitelman's syndrome and Bartter's syndrome, nephrogenic diabetes insipidus, kidney with spongy medulla, Alport's syndrome, vasculitis with kidney damage, cryoglobulinemia, primary and familial amyloidosis.

Dr. Enrico Eugenio Minetti

Head of Nephrology Department

Membership in associations:

  • Italian Society of Nephrology (SIN);
  • European Association for Dialysis and Transplantation - European Renal;
  • Association (EDTA - ERA);
  • European Society for Organ Transplantation (ESOT);
  • Italian Society for Organ Transplantation (SITE);
  • American Society of Nephrology (ASN)

Cardiology

The Department of Cardiology of the Niguarda Clinic provides hemodynamics, treatment of heart failure, electrophysiological studies, diagnostics and rehabilitation.

Hemodynamic cardiology. Engaged in the treatment of all acute ischemic syndromes, in particular acute myocardial infarction. The most modern technologies of endocoronary thromboaspiration and new systems for circulatory support in case of severe heart pump insufficiency are used.

Main Pathologies and Treatment Methods

Main pathologies:

  • structural heart disease;
  • reference center for treatment of complex coronary artery disease;
  • percutaneous treatment of aortic stenosis and valve prosthesis dysfunctions (both biological and mechanical) using minimally invasive surgery;
  • monitoring of patients undergoing percutaneous aortic prosthesis implantation or patients with aortic or mitral valve disease;
  • through collaboration with other teams, the specialists of the cardiology department treat persistent arterial hypertension with ablation of the renal sympathetic innervation.

Heart failure. It monitors patients with heart failure, transplant patients, transplant recipients and patients with mechanical assist systems in the circulation ("artificial hearts").


Main pathologies and methods of treatment:

  • acute and chronic heart failure of any origin;
  • primary and secondary cardiomyopathies, myocarditis, rare heart diseases;
  • carriers of mechanical circulatory support ("artificial heart");
  • heart transplant.

Electrophysiology. The structure deals with the diagnosis and therapy of cardiac arrhythmias and is characterized primarily by interventional electrical stimulation and electrophysiology.

Main pathologies and methods of treatment:

  • clinical and interventional arrhythmology;
  • implants and replacement of conventional pacemakers;
  • implants and replacements of biventricular pacemakers for cardiac resynchronization therapy;
  • implants of leadless pacemakers;
  • implants and replacements for automatic defibrillators;
  • external and internal electrical cardioversion.

Diagnostics and rehabilitation. Hospitalization, diagnostic and rehabilitation zones are provided here. Cardiac hospitalization mainly deals with ischemic heart disease and valvular pathologies, but, in cooperation with other structures, it deals with all cardiac pathologies — from diagnosis to the interventional phase.


The main pathologies and methods of treatment:

  • cardiac ischemia;
  • heart valve disease;
  • hypertension and diabetic heart disease;
  • dilated cardiomyopathy;
  • heart failure;
  • congenital heart defects in adults;
  • arrhythmias.

Dr. Giuseppe Cattafi

Head of the Department of Electrophysiology

Gained considerable experience and knowledge in the field of implantation and replacement of single-, dual-chamber and atriobiventricular pacemakers (PM) and automatic defibrillators (ICD), loop recorder implants, transcatheter radio frequency avialations, cryoablation of atrial fibrillation, electrical cardioversion. Extensive experience in the implantation of devices for cardiac resynchronization therapy (CRT).

Oncology

Specialists of the oncology department of the Niguarda Hospital conduct clinical trials for the treatment of solid tumors. The Department of Oncology is collaborating with the Niguarda Center for Sterility in the field of gamete cryopreservation to ensure reproductive options for people whose cancer or treatments threaten their ability to have children.

The department also specializes in oncological diseases with a lesser prevalence, such as tumors of the nasopharynx, germline neuroendocrine tumors.

Treatment of solid tumors is conducted with the help of an interdisciplinary method of work, high-tech diagnostic methods are used, such as advanced radiological diagnostics, integrated nuclear diagnostics.

Dr. Salvatore Siena

Head of Oncology Department

He worked at the National Cancer Institute in Milan as a researcher, assistant and deputy head of the department of oncology, and then at the IRCCS Istituto Clinico Humanitas in Milan as head of the department of bone marrow transplantation and development of oncological therapies.


He is currently Head of the Falck Oncology Department, the Department of Hematology and Oncology and the Niguarda Senser Center of the Niguarda Hospital in Milan. Professor of Medical Oncology at the University of Milan.

Niguarda is a public hospital specializing in the treatment of a wide range of diseases. Grande Ospedale Metropolitano Niguarda conducts extensive research into new treatments supported by international collaborations. In recent years, there has been a positive trend in clinical research in the field of neurology, diabetology, pain therapy, gene therapy, cardiovascular diseases, hematology, oncology, which has led to the improvement of therapy in these areas.

Professional skills, technological competencies, certified laboratories and patients of high complexity make Niguarda a unique and interesting partner for cooperation. It offers specific opportunities for pharmaceutical and biotechnology companies looking for a reliable and experienced clinical/scientific partner.

The main advantage is the large volume of diagnostic/therapeutic interventions which ensures optimal integration of research and patient care. This makes Niguarda one of the best clinical sites for translational research.



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