Intervention for Restoration of the MAmmae

The IRMA Team

All of the different breast reconstruction procedures share the common goal to restore a breast as much similar as possible to the patient’s native breast. Such procedures, especially if performed with autologous tissues, can be defined as Intervention for Restoration of the MAmmae. The IRMA team takes its name from the acronym formed by the initials of the previous words; it is a multidisciplinary group of specialists, located in Rome, with the goal to offer patients all of the possibilities available nowadays from medical science, to face the disease, attack the tumor and come back to a normal life.

The equipe’s experience started on march 2004 with the Breast Unit of the Sant’Andrea Hospital in Rome, where the majority of the procedures have been performed, then increased from 2009 to 2017 with the Breast Unit at Casa di Cura Quisisana, and later to the Casa di Cura Sanatrix.

The IRMA team, directed by Prof. Fabio Santanelli di Pompeo, performed from march 2004 untill today more than 1.500 breast reconstructions with different techniques, of which more then 30% with free microsurgical DIEP flap (80% immediately with breast cancer removal) and 28% with Latissimus Dorsi flap.

Of the remaining reconstructive procedures, the majority (20%) have been performed with expander and prosthesis, then others with Wise pattern + prosthesis, immediate prosthesis following conservative mastectomy, Wise pattern reduction mammaplasty, SIAE (from Superficial Inferior Epigastric Artery, similar to DIEP but using superficial vessels), LTD (Lateral Toraco Dorsal flap), TRAM (Transverse Rectus Abdominis Muscolocutaneous), TDAP (ToracoDorsal Artery Perforator), fat tissue transplantation (lipofilling) and finally with TMG (Transverse Muscolocutaneous Gracilis), as showed in the slide to the right. Type of procedure has been selected according to the physical and clinical situation and patient’s desires.

Click here to contact Prof. Fabio Santanelli di Pompeo for further information.

Our Team

Chief of IRMA Equipe

Professor Fabio Santanelli di Pompeo is considered one of the major world-experts on breast reconstruction with autologous tissues. He has specifically contributed to the development and affirmation of DIEP (Deep Inferior Epigastric Perforator) flap procedure, being the first to perform a DIEP flap in Sweden and in Italy back on 1998 and then persisting on a more regular basis with the establishment of the Breast Unit at Sant’Andrea Hospital, counting more than 700 procedures performed till nowadays. The technique of using abdominal tissues from the patient itself to reconstruct the breast, has been described first in Sweden – where he started – and later improved in United States and Europe, with Santanelli’s contribute.

Professional effort of Professor Fabio Santanelli di Pompeo has produced not only clinical but also scientific results with more than 150 original publications on international and national reviews and 35 chapters on international and national books.

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Plastic surgery

breast General surgery



Breast diagnosis




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Healing is a process that can be considered complete when, finally, you might recognize yourself into your own body, despite unavoidable changes...

In the last decades Plastic Surgery, has become part of the oncologic treatment protocol, as the importance of the reconstructive stage following resection of a diseased body part has been universally recognized. Concerning breast tumor, most advanced hospitals set up a “Breast Unit”, multidisciplinary functional unit composed by different specialists who cooperate to offer to the patient the best opportunity available from medical science, to contrast tumor disease and return to normal life.

There are several breast reconstructive procedures, even though expander and prosthesis is the most known. This web-site is dedicated to women undergoing mastectomy and willing to know all reconstructive opportunities. Main goal is to present “autologous” procedures using live tissues from the patient itself as a sort of “auto-transplant”. Advances in vascular microsurgery and in peri-operative patient care have allowed for outstanding steps forward to restore the female body image.

Once all aspects have been taken into proper consideration, a woman should be assisted during choice with broad information, evaluating pro and cons among any surgical procedure, so she can decide what is best for her.