VERSIONE ITALIANA

Specialist in General Surgery Prof. Amato runs, along with academic teaching activities, important research studies specifically (but not exclusively) in surgery of the abdominal wall, whose results are published in the most important scientific international journals. Prof. Amato is the developer of the following advanced surgical techniques:

• The “minisurgical” technique for open mini-invasive cholecystectomy
• The fixation free ProFlor technique with open anterior approach
• The fixation free ProFlor technique with laparoscopic approach
• The fixation free incisional hernia repair technique with the tentacle shaped prosthesis Octomesh
• The fixation free ventral hernia repair technique with the tentacle shaped prosthesis Octomesh

PRE-DEGREE EXPERIENCES

• University of Seville (Spain), 1975
• University of Krakow (Poland), 1976
• University “La Sapienza” Roma (Italy) 1977

MEDICAL DEGREE & SPECIALIZATION

• 1977 Degree in Medicine and Surgery, University of Palermo with a thesis in experimental surgery.
• 1984 Specialization in General Surgery at the Ärztekammer of Münster in Westphalia, (Germany)

INTERNATIONAL PROFESSIONAL PATHWAY

• St. Petri Hospital Warburg (Germany) 1978-1980
• Academic Hospital of the University Frankfurt / Hanau (Germany) 1980 – 1982
• Hospital Halle / Westfalen (Germany) 1982 – 1985
• University of Göttingen (Germany) 1985 – 1987

PROFESSIONAL PATHWAY IN ITALY

• Since 1988 senior consultant in clinical environment in Palermo (Italy) active in clinical and experimental research.
• From 2004 until 2010 Professor at the Postgraduate School of General Surgery of the University of Palermo
• From 2016 until 2020 Professor of Hernia and Abdominal Wall Surgery at the Postgraduate School of General Surgery of the University Cagliari (Italy).
• Since 2020  Consultant Professor at the School of Medicine of the University of Palermo.
• From 2021 to 2022 visiting Professor at the University Jean Monnet Lugano, Switzerland

RESEARCH PROGRAMS IN EXPERIMENTAL SURGERY

• Director of the experimental surgical research in animal model of dynamic implant for inguinal hernia repair
• Director of the experimental surgical research in animal model of fixation free implant for incisional and ventral hernia repair
• Director of the experimental surgical research in animal model of prosthetic materials for laparoscopic incisional and ventral hernia repair
• Director of the experimental surgical research in animal model of devices for the endoscopic treatment of colonic diverticles
• Director of the experimental research in animal model for new materials for abdominal hernia prosthetics
• Director of the experimental research in animal model for laparoscopic inguinal hernia repair with dynamic responsive implant

SCIENTIFIC COOPERATIONS

• Institute of Pathological Anatomy, University of Trieste (Italy)
• Ketteler Krankenhaus in Frankfurt / Offenbach (Germany)
• Experimental Zooprophylactic Institute of Sicily A. Mirri – Palermo (Italy)
• Medical Clinic University of Vienna (Austria)

INDUSTRIAL COLLABORATIONS

• Insightra Medical Inc. Irvine – Los Angeles, Ca – USA
• Minos Inc. Irvine – Los Angeles, Ca – USA
• Assut Europe SpA Rome – Italy
• Dipromed S.r.l. Torino – Italy

SPOKEN LANGUAGES

Prof. Amato speaks English, German and Spanish. Has good knowledge of French language

INTELLECTUAL PROPERTIE’S

To date Prof. Amato has filed 15 patents on devices related to specific innovative surgical techniques

CONGRESS ATTENDANCE (GUEST SPEAKER, MODERATOR, SPEAKER)

European Hernia Society 2008 – Seville (Spain)
European Hernia Society 2009 Berlin (Germany)
Asia Pacific Hernia Society 2009 – Bali (Indonesia)
Italian Society for Research in Surgery 2009 – Palermo (Italy)
European Hernia Society 2010 – Istanbul (Turkey)
Italian Society of Surgery 2010 – Rome (Italy)
Australasian Hernia Society 2011 – Gold Coast  (Australia)
12th International Workshop on inguinal Hernia Repair 2011 – Singapore
European Hernia Society 2011 – Gent (Belgium)
Asia Pacific Hernia Society 2011 – Bangkok (Thailand)
5th International Hernia Congress Joint Meeting AHS/EHS 2012 – New York (USA)
1° National Congress of the Italian Surgeons 2012 – Rome (Italy)
Asia Pacific Hernia Society 2012 – Cebu (Philippines)
European Hernia Society 2013 – Gdansk (Poland)
Asia Pacific Hernia Society 2013 – Hong Kong (China)
SIPAD National Congress 2013 – Palermo (Italy)
European Hernia Society 2014 – Edinburgh (United Kingdom)
Deutsche Hernien Gesellschaft Kongress 2014 – Wiesbaden (Germany)
Asia Pacific Hernia Society 2014 – Jaipur (India)
1st World Conference on Abdominal Wall Hernia Surgery – 2015 Milan (Italy)
SICU National Congress 2015 – Palermo (Italy)
SIFIPAC National Congress 2015 – Palermo (Italy)                                                                                                                                                        European Hernia Society Congress 2016 – Rotterdam (Holland)

RECENT SCIENTIFIC PRODUCTION

• Sphincter-like motion following mechanical dilation of the internal inguinal ring during indirect inguinal hernia procedures. Hernia 2009; 13:67-72
• Histological findings of the internal inguinal ring in patients having indirect inguinal hernia. Hernia 2009, 13, 259-62
• The use of a new kind of low profile retractor for arteriovenous fistula procedures simplifies and speeds up the intervention. J Vasc Access 2009; 10 (1) :33-6
• A new kind of disposable autostatic surgical retractor in inguinal hernia repair. The International Journal of Artificial Organs 2009; 32 (7): 446-7
• Reply to letter to the editor by Prof. Desarda: inguinal hernia repair: the hypothesis postulated in the article is not true. Hernia 2009; 13:455-457
• Dynamic implant for inguinal hernia repair in porcine experimental model. A feasibility study. Hernia 2009; 13: S1-332
• Prosthetic strap system for simplified ventral hernia repair: results of a porcine experimental model. Hernia 2010; 14:389-95
• Total intradermal sutures. G Chir. 2010; 1 / 2 :48-54
• Reply to the letter: “Histology of the internal inguinal ring: it is really a novelty?”. Hernia 2010; 14:665-7
• A new shape of mesh to simplify and standardize the implantation procedures in ventral hernia repair. Hernia 2010; 14: S-43
• Dynamic autostatic implant for inguinal hernia repair. Early results in an explorative cohort of patients. Hernia 2010; 14: S55-S100
• Ligature of inferior thyroid artery terminal branches total thyroidectomy for multinodular goiter is associated with higher postoperative calcium and PTH levels. Journal of Visceral Surgery 2010, 147, 329-332
• Open minimally invasive cholecystectomy in high risk elderly. G Chir 2010; 11/12 :518-22
• Nerve degeneration in inguinal hernia specimens. Hernia 2011; 15:53-58
• Pathological anatomy of hernia disease. Hernia 2011; 15: S46-4765-7
• Fixation free open ventral hernia repair  using  a new mesh with integrated  placement straps. Hernia 2011; 15: S21
• Damage to the vascular structures in inguinal hernia specimens. Hernia 2012 16:63–67
• New mesh shape and improved implantation procedure to simplify and standardize open ventral hernia repair. A preliminary report. Hernia 2011 15:659–665
• A new prosthetic implant for inguinal hernia repair: its features in a porcine experimental model. Artificial Organs 2011;35(8):E181–E190
• Muscle degeneration in inguinal hernia specimens. Hernia 2012 16:327–331
• Fixation-free inguinal hernia repair using a dynamic self-retaining implant. Surg Technol Int. 2012 Sep 30;XXII:22/17
• Fixation free prosthetic repair of large umbilical hernia granting a  broad defect overlap. Hernia (2012) 16: Sl43-S240
• Muscle degeneration in inguinal hernia specimens. Hernia 2012 16:327–331
• Physiopathology of hernia disease. Hernia (2012) 17 (Suppl 1):  S159-160
• Fixation-free inguinal hernia repair, using a dynamic self-retaining implant inducing enhanced biologic response. Results of a midterm follow up Hernia 2012 (Suppl 1):S85-S87
• Fixation free incisional hernia repair with a newly designed mesh with integrated bands. Hernia (2012) 16 (Suppl 1): 569-572
• Fixation-free inguinal hernia repair using a dynamic self-retaining implant. Surg Technol Int. 2012 Sep 30;XXII:22/17
• Histological findings in direct inguinal hernia. Hernia (2012) 16:327-331
• Enhanced biologic response using a fixation-free, dynamic implant for inguinal hernia repair. Results of a midterm follow up. Hernia (2013) 17 (Suppl 2): S31-S70
• Defect obliteration vs. coverage: new concepts in the surgical treatment of inguinal hernia. Hernia (2013) 17 (Suppl 2): S31-S70
• Fixation free prosthetic repair of large umbilical hernia Hernia (2013) 17 (Suppl 2): S1-S26
• Modified fixation free plug technique using a new 3D multilamellar implant for inguinal hernia repair. Hernia 2014; 18(2):243-50
• Multiple ipsilateral inguinal hernias. If undetected source of complications and re-interventions. Hemia 2014; 18 (Suppl 2):26
• Addressing hernia genesis. It’s impact in the surgical management of inguinal protrusions. Hemia 2014; 18 (Suppl 2):87
• Biologic Response of Inguinal Hernia Prosthetics: A Comparative Study of Conventional Static Meshes Versus 3D Dynamic Implants Artificial Organs. 2015 Jan;39(1):E10-23
• Vacuum inversion and securing of distal colonic pseudodiverticula with novel spiked O-rings. Gastrointest Endosc. 2015 Mar;81(3):749-55
• Comparing the biological response of conventional static meshes and dynamic responsive implants Hemia (2015) (SuppI2):S3-SI94
• Combined inguinal hernia, a progressive protrusion disease. Hernia (2015) (Suppl 2):SI95-S340
• Combined inguinal hernia in the elderly. Portraying the progression of hernia disease. Int J Surg. 2016 Sep;33 Suppl 1:S20-9. 
• External hernia of the supravesicalis fossa: a misidentified protrusion. More frequent than imagined, riskier than perceived. Hernia (2016) 20 (Suppl2):S198   
• The septum inguinalis: a neglected feature of the inguinal backwall showing significant implications in hernia genesis. Hernia (2016) 20 (Suppl 2):S175                                                                                                        
• External hernia of the supravesical fossa. A misidentified protrusion with high risk of incarceration. Hernia (2017) 21 (Suppl 2):S173             
• Physiopathology of inguinal region & hernia genesis. Highlighting the visceral impact theory. Hernia (2017) 21 (Suppl 2):S208                                                                                                                           
• External hernia of the supravesicalis fossa: a misidentified protrusion. More frequent than imagined, riskier than perceived. Int J Surg. 2017 May;41:119-126
• Fixation free incisional hernia repair in the elderly: our experience with a tentacle-shaped implant. Aging clinical experimental research. Aging Clin. Exp. Res.2017 Feb;29(Suppl 1):173-177
• Long-term results of fixation free incisional hernia repair using a tentacle shaped implant. Surg. Technol. Int. 2017 Jul 25;30:175-181.
• Fixation free femoral hernia repair with a 3D dynamic responsive implant. A case series report. Int J Surg. Published online April 2018
• Lipoma of the fossa femoralis mimicking a femoral hernia. Report of 2 cases Int J Surg Case Rep. 2018; 49: 223–227
• Neomyogenesis in 3D dynamic responsive prosthesis for inguinal hernia repair. Artif Organs. 2018 Dec;42(12):1216-1223
• Tentacle‑shaped mesh for fixation‑free repair of umbilical hernias. Hernia. 2019 Aug;23(4):801-807
• The ProFlor Technique: An innovative concept change in inguinal hernia repair. Hernia (2019) 23 (Suppl 2):S216
• Fixation free laparoscopic inguinal hernia defect obliteration with ProFlor. Simple, quick and effective. Hernia (2019) 23 (Suppl 2):S126
• Fixation free inguinal hernia repair with the 3D dynamic responsive prosthesis ProFlor: Features, procedural steps and long-term results. International Journal of Surgery Open 2019; 21:34-4 
• Inguinal Hernia: The Destiny of the Inferior Epigastric Vessels and the Pathogenesis of the Disease. Surg Technol Int. 2020 Mar 18;36. 
• Neo-nervegenesis in 3D dynamic responsive implant for inguinal hernia repair. Qualitative study. International Journal of Surgery Volume 76, April 2020, Pages 114-119
• First-in-man permanent laparoscopic fixation free obliteration of inguinal hernia defect with the 3D dynamic responsive implant ProFlor-E®. Case report. Int J Surg Case Rep. 2020;77S(Suppl):S2-S7
• Is prophylactic central neck dissection justified in patients with cN0 differentiated thyroid carcinoma? An overview of the most recent literature and latest guidelines. Ann Ital Chir. 2020;91:451-457
• Successful laparoscopic management of congenital diaphragmatic relaxation: A case report. Int J Surg Case Rep. 2020;77S(Suppl):S25-S28
• Small bowel volvulus due to a large intestinal lipoma: A rare case report. Int J Surg Case Rep. 2020;77S(Suppl):S101-S104
• Enhanced angiogenesis in the 3D dynamic responsive implant for inguinal hernia repair ProFlor Artificial Organs. 2021;45:933–942.
• A regenerative 3D scaffold for inguinal hernia repair. MR imaging and histological cross evidence. Qualitative study International Journal of Surgerythis 2021, 96, 106170
• Reply to “A commentary on “A regenerative 3D scaffold for inguinal hernia repair. MR imaging and histological cross evidence. Qualitative study” (Int J Surg 2021;96:106170)”
• Preventive HIPEC in combination with perioperative FLOT versus FLOT alone for resectable diffuse type gastric and gastroesophageal junction type II/III adenocarcinoma – the phase III “PREVENT”- (FLOT9) trial of the AIO /CAOGI /ACO. BMC Cancer, 2021, 21(1), 1158
• Difficult laparoscopic cholecystectomy and preoperative predictive factors. Scientific Reports 2021, 11(1), 2559
• Feasibility and Safety of Laparoscopic Complete Mesocolic Excision (CME) for Right-sided Colon Cancer: Short-term Outcomes. A Randomized Clinical Study. Annals of Surgery 2021, 274(1), pp. 57–62
• Inguinal Hernia: Defect Obliteration with the 3D Dynamic Regenerative Scaffold Proflor™. Surgical Technology International 2021, 38, pp. 199–205
• Antibiotic Prophylaxis for Thyroid and Parathyroid Surgery: A Systematic Review and Meta-analysis. Otolaryngology – Head and Neck Surgery 2021, 164(3), pp. 482–488Uterine Involvement in Klippel–Trenaunay Syndrome: A Rare But Relevant Event. Review of the Literature. Front Surg. 2022; 9: 893320
• Giant uterus in a patient with Klippel-Trenaunay syndrome. Report of a case. International Journal of Surgery Case Reports 2022, 96, 107376
• Totally laparoscopic treatment of intestinal tuberculosis complicated with bowel perforation: the first case report in worldwide literature with a brief review. Front. Surg., August 2022
• Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report. Frontiers in Surgery, 2022, 9, 1021944
• Fixation free laparoscopic obliteration of inguinal hernia defects with the 3D dynamic responsive scaffold ProFlor. Scientific Reports 2022, 12(1), 18971
• Dynamic Responsive Inguinal Scaffold Activates Myogenic Growth Factors Finalizing the Regeneration of the Herniated Groin. J Funct Biomater. 2022 Nov 18;13(4):253 
• Physiologic Cyclical Load on Inguinal Hernia Scaffold ProFlor Turns Biological Response into Tissue Regeneration Biology, 2023, 12(3), 434
• Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap Journal of Clinical Medicine, 2023, 12(12), 3866  
• Acute appendicitis and situs viscerum inversus: radiological and surgical approach—a systematic review. European Journal of Medical Research 2023, 28(1), 85 
• A rare presentation of gastric phytobezoar: Simultaneous bleeding and perforation. Combined laparoscopic and endoscopic approach. Report of a case. Volume 112, November 2023, 108841
• Acute appendicitis and situs viscerum inversus: radiological and surgical approach—a systematic review. European Journal of Medical Research, 2023, 28(1), 85
• Surgical Management of Complicated Abdominal Tuberculosis: The First Systematic Review—New Treatments for an Ancient Disease and the State of the Art. Journal of Clinical Medicine, 2024, 13(16), 4894
• Evaluation of predictive factors for i-CLARAS (intraoperative complications in laparoscopic renal and adrenal surgery): a multicentre international retrospective cohort study. Scientific Reports, 2024, 14(1), 1372