GSD Healthcare

GSD Healthcare Italy’s leading private hospital group and among the largest in Europe, with 21 hospitals, 5300 beds

Great things happen when visionaries align! We were honored to have GSD Healthcare and GKSD Healthcare join forces at th...
10/02/2026

Great things happen when visionaries align! We were honored to have GSD Healthcare and GKSD Healthcare join forces at the World Health Expo (WHX) in Dubai this week.
Our General Manager, Massimiliano Stimamiglio, and Consultant Jossil Nazareth were delighted to welcome the GKSD leadership team to explore the latest frontiers in global health technology and supply chain excellence.

Special thanks to our esteemed GKSD guests for the insightful exchange:
1. Abdullah Bin Siran (Head of Supply Chain)
2. Sajid Yusuf Khan (Chief of Sourcing and Digitalization)
3. Soliven McHenny (Head Nurse)

Together, we are exploring new synergies to elevate patient care and streamline healthcare delivery on a global scale. The future of health is collaborative.

Robotic surgery is a computer-assisted surgical technique. It involves a mechanical arm that, in knee replacements, uses...
06/02/2026

Robotic surgery is a computer-assisted surgical technique. It involves a mechanical arm that, in knee replacements, uses sensors placed on the tibia and femur to provide the surgeon with a comprehensive view of the joint, indicating where to cut the bone and where to position the prosthesis.
It does not aim to teach the surgeon how to apply a prosthesis, but it is extraordinarily useful to have it inserted in the best possible way (exploiting three-dimensionality) to respect the force vectors and subjective loads, avoiding wear.

Currently, robotics is applied in:
• Knee replacement surgery, both noncompartmental (when only one portion of the knee is replaced) and total
• Hip replacement surgery
• Shoulder replacement surgery

Today, interventions performed with robotic support have increased alongside traditional surgical procedures.

Using a robot gives the surgical procedure greater precision than other techniques. While sitting comfortably at the console, robotics allows you to:
• Perform movements in space with multiple degrees of freedom
• Perform rotations with an amplitude greater than the surgeon's wrist

Prosthetic surgery, particularly joint surgery, is a surgery that uses a navigator: through this navigator, the computer perceives the position of the joint and, based on the data collected, provides:
• The degrees of angle of a knee during movement
• The axial deviations it presents
• The range of motion and stability of the inserted prosthesis
• The axes of the prosthetic joint

A well-fitting prosthesis does not necessarily mean that the patient is well, but positioning it correctly is certainly the first step towards a satisfactory result.

The most significant limitation is that it is an operator-dependent technology. The robot does not replace the surgeon, since it is the surgeon who sets the navigator and consequently decides where to place a prosthesis. The robot simply executes.
Therefore, if the settings recorded by the surgeon are incorrect, there could be complications:
• Short term (rare): bleeding risks, fractures, instability
• In the medium and long term: infectious risk

Before reaching a fully customized scenario, it's best to standardize processes as much as possible. Medicine is an art that, even though illuminated by science, remains manual: the robot translates the surgeon's movements intuitively, but it is the specialist who operates the machine.

The robotic platform in use at the S. Anna Clinical Institute in Brescia assists the surgeon by offering a significant contribution:
• During bone resection procedures
• In the evaluation of the condition of soft tissues

The device consists of 2 units, positioned respectively on each side of the operating table:
• A robotic unit consisting of a compact robotic arm and a touchscreen
• An optical drive equipped with another touchscreen

This is an extremely advanced robotic system that enables a surgical procedure to be better planned and a three-dimensional anatomical model tailored to the patient to be built.


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Knee replacement surgery helps reduce pain and improve mobility in patients with osteoarthritis or other degenerative co...
03/02/2026

Knee replacement surgery helps reduce pain and improve mobility in patients with osteoarthritis or other degenerative conditions. The two main options are unicompartmental and total knee replacement.

The knee is made up of three compartments: medial, lateral, and patellofemoral. Degeneration, most often due to osteoarthritis, may affect one or all compartments, leading to pain, swelling, and reduced mobility. Surgical treatment may therefore involve replacing one compartment or the entire joint.
This procedure replaces only the damaged compartment—most commonly the medial one—while preserving ligaments and much of the knee’s natural anatomy, allowing for a less invasive operation and faster recovery.
Performed under spinal anesthesia with sedation and lasting about 60 minutes, the surgeon accesses the affected compartment through an anterior incision, removes arthritic tissue, implants metal components with a polyethylene insert, fixes them with cement, and closes the incision after checking stability.

Advantages:
• Quicker recovery
• Preservation of bone, tissue, and ligaments
• Reduced surgical impact
• Possible future conversion to total replacement

Total knee replacement involves replacing the entire femoral-tibial joint and, if necessary, the patellofemoral surface. It is the preferred solution when osteoarthritis is extensive.
Usually lasting about 1 hour, the surgery involves a larger anterior incision, complete joint preparation, correction of limb alignment, and implantation of the prosthesis with or without cement, depending on bone quality.

Advantages:
• effective in advanced osteoarthritis
• restores joint stability
• corrects significant deformities
• provides substantial pain relief

The choice depends on the extent of osteoarthritis, knee stability, and the patient’s overall condition, following a thorough orthopedic evaluation.
Indications:
• Unicompartmental: localized osteoarthritis, intact ligaments, good alignment
• Total: multi-compartment disease, deformities, instability, or failed previous treatments

Rehabilitation is essential after both procedures and begins within hours after surgery to restore movement and muscle strength.
Recovery times:
• Unicompartmental: walking in 24–48 hours; daily activities in 4–6 weeks
• Total: walking within 48 hours; daily activities in 6–12 weeks; full recovery may take up to 12 months


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GKSD-GSD President and Chairman of GSD Healthcare, Mr. Kamel Ghribi, had the honor of attending a meeting in Dubai with ...
30/01/2026

GKSD-GSD President and Chairman of GSD Healthcare, Mr. Kamel Ghribi, had the honor of attending a meeting in Dubai with the President of the Italian Republic during his State Visit to the United Arab Emirates.
President Sergio Mattarella embodies Italy with exceptional authority, and his presence further reinforces the already strong and well-established relations between Italy and the UAE.
This was evident in the enthusiasm expressed by our Emirati partners and in discussions with representatives of leading national companies. The visit reflects the results of years of growing commercial exchanges and high-level bilateral engagement between the two countries.
We also wish to acknowledge the outstanding work carried out by Ambassador Lorenzo Fanara and the Italian Government delegation, represented during the State Visit by the Vice Minister of Foreign Affairs and International Cooperation, Edmondo Cirielli. President Mattarella’s visit, marked by his moral authority and leadership, represents a significant milestone and an important step forward in strengthening bilateral cooperation.

Sport is healthy, but without balance, technique, and listening to your body, it can harm the hip through overload, micr...
26/01/2026

Sport is healthy, but without balance, technique, and listening to your body, it can harm the hip through overload, microtrauma, and pain.

High-intensity activities and excessive or poorly managed training can cause overuse injuries. Sports involving running, jumping, and repeated landings increase hip stress. Repeating the same movement thousands of times also contributes to joint wear, especially without adequate preparation and recovery.

Sports that put the hip at risk:
• Running
• Football
• Athletics
• Basketball
• Volleyball

Pain is the first indicator and should never be ignored. Training through pain can worsen the condition and lead to chronic problems. Swelling in other joints (knee, ankle) is also a sign to watch.

Main hip problems:
• Chondropathies: cartilage wear that can progress to osteoarthritis, often favored by anatomical variations like impingement.
• Groin Pain Syndrome: multifactorial pain radiating to the groin, linked to muscle imbalances (formerly called pubalgia).
• Tendinopathies: such as trochanteritis, caused by repetitive microtraumas.
• Traumatic injuries: fractures (including stress fractures) and muscle or tendon injuries from falls or direct trauma.

Diagnosis begins with a clinical examination and evaluation of habits. Tests may include:
• X-ray (useful for microfractures)
• Ultrasound (muscle/tendon issues)
• MRI or arthro-MRI (complex cases)

Both professionals and amateurs. Anyone who trains intensely, improperly, or ignores symptoms can develop overload injuries.

Surgery is a last resort except for fractures. Most issues improve with:
• Targeted physiotherapy
• Rest
• Modifying training habits

Proper equipment (e.g., correct running shoes), good physical preparation, correct technique, and respecting recovery times are essential to prevent hip problems.


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

Acne scars are scars that can form after years of inflammatory acne. They are one of the most common and often most diff...
20/01/2026

Acne scars are scars that can form after years of inflammatory acne. They are one of the most common and often most difficult to manage cosmetic blemishes: in its most severe forms, inflammatory acne can leave permanent marks that impact quality of life, self-esteem, and self-perception.
Among the most advanced treatments, the fractional CO₂ ablative laser for acne scars is currently one of the most effective ways to treat them and is also available at the Zucchi Skin Centre, the Aesthetic Medicine Centre of Zucchi Wellness Clinic in Monza. Dr. Sabrina Brambilla, head of the Centre, explains how it works.

Acne scars result from an incorrect repair process of the skin following deep inflammation. When the pilosebaceous follicle becomes severely inflamed, the skin tissue can be damaged down to the dermis. At this stage, the body attempts to repair the injury by producing new collagen fibres, but this process may be insufficient or uneven, resulting in:
• Depressions, called atrophic scars
• More rarely thickenings, defined as hypertrophic scars

The fractional CO₂ laser is currently one of the most effective laser treatments for acne scars thanks to its ability to improve:
• Texture
• Compactness
• Regularity of skin affected by acne scars

This technology works:
• By removing a micro-portion of the skin surface in a controlled manner
• While simultaneously stimulating the production of new collagen
In most cases, 3-4 sessions are necessary, every month or month and a half, although the number can vary based on the type and severity of the scars.

The results of the fractional CO₂ laser for acne scars are progressive and become more evident over time, as the skin produces new collagen.

After treatment, the following may generally appear:
• Redness
• Mild swelling
• Sensation of heat

These effects may be followed by a period of peeling. These are temporary symptoms that can be managed with moisturizing products and proper sun protection.

The fractional CO₂ laser is indicated for adult patients with stabilized scarring. It cannot be performed on tanned skin or on active acne, which is why a specialist evaluation is essential. For this reason, at the Zucchi Skin Centre, a leading aesthetic medicine centre in Monza, a diagnostic phase is performed following a specialist examination.


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

With winter now in full swing, many people are once again noticing minor joint discomfort: stiffer knees, less agile han...
14/01/2026

With winter now in full swing, many people are once again noticing minor joint discomfort: stiffer knees, less agile hands, and a stiff neck. But does the cold really affect joint pain, or is it just a cliché?
Dr. Gabriella Santalena, a rheumatology specialist at the Orthopedic Rehabilitation Unit of the San Siro Clinical Institute, sheds light on the situation, explaining what happens to the body when temperatures drop and how to protect ourselves during the coldest months.

With age, cartilage loses elasticity and shock-absorbing ability. Cold temperatures further stiffen cartilage, joints, muscles, and tendons, making movement more painful. This is why people with osteoarthritis often experience worse symptoms in fall and winter: temperature and humidity directly affect cartilage and bones, intensifying pain.

Cold causes muscles to contract, producing heat. If contraction persists, it leads to tension, pain, and reduced function. Muscle stiffness and inflammation increase in winter, even among young people, especially those working outdoors or participating in sports.

Cold strongly worsens fibromyalgia symptoms, increasing widespread muscle pain and stiffness, particularly in the neck, shoulders, knees, and elbows. Muscle stiffness increases joint tension, creating a cycle of worsening pain.

In rheumatoid and psoriatic arthritis, cold is not a direct cause of flare-ups, but many patients feel worse in winter due to reduced physical activity and less light exposure.

Cold constricts blood vessels, causing fingers to turn white, then blue, then red, often with pain and possible fingertip ulcers. It is common in autoimmune diseases, but can also appear in healthy people (primary Raynaud’s). Even stress or sudden temperature changes can trigger it.
How to protect yourself:
• Dress warmly and keep the body dry, especially the neck
• Exercise regularly with gentle activities (walking, stretching)
• Use heat therapies (hot baths, mud therapy, massages)
• Keep hands and feet warm; avoid sudden, intense heat on frozen skin
• Severe cases may require vasodilator treatments in winter

If pain is severe, persistent, or limits daily activities. Raynaud’s phenomenon should always be evaluated to rule out autoimmune diseases.


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

According to 2025 data from the National Agency for Regional Health Services (AGENAS), the IRCCS San Raffaele Hospital i...
05/01/2026

According to 2025 data from the National Agency for Regional Health Services (AGENAS), the IRCCS San Raffaele Hospital in Milan confirms its position among the best facilities in Italy in the following areas:
• cardiovascular, including heart attack procedures, angioplasty, bypass surgery, and emergency cardiac treatments
• of the nervous system, offering very high standards in the neurological field

The results, reported in the National Outcomes Program (PNE) 2025, confirm the excellence of the healthcare provided at our hospital, as evaluated against volume, outcomes, and process criteria.

One of the elements that distinguishes San Raffaele Hospital is its ability to care for even the most complex patients, those who may be difficult to treat in other specialized facilities. In cardiac surgery, in particular, results are excellent across all categories monitored by the PNE (National Outcomes Plan), with a particular focus on valvular pathologies.
The data show that, in patients who come to our facility, the reduction in mortality risk - compared to the national average - for valves is 30% while for coronary interventions it is 50%: a significant indicator of the quality of the clinical pathway.
This level of excellence is possible thanks to a highly specialized team and the use of advanced technologies that enhance procedural precision, reduce complications, and shorten recovery times.

San Raffaele Hospital has a state-of-the-art Neurology, Neurorehabilitation, and Neurophysiology department, capable of following neurological patients through every phase of the treatment process: from admission to the Emergency Room to rehabilitation.
Thanks to specialized skills and advanced technologies, the team of neurologists—led by Professor Massimo Filippi—works daily to ensure timely care and the most effective and personalized diagnostic and therapeutic processes possible. The departments have a total of approximately 90 beds.
Areas of excellence include:
• Multiple Sclerosis Center
• CARD Center - Alzheimer's and related pathologies
• Stroke Unit
• Regional Epilepsy Center
• Neuromuscular Pathology Center
• Headache and Facial Pain Center

Thanks to a team of highly skilled specialists and healthcare professionals, we work every day to maintain the standards of quality, expertise, and innovation that have always distinguished our facility.
In addition, there is extensive and innovative clinical research activity. This recognition is a source of great satisfaction for us and encourages us to always do our best.


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

The Policlinico San Marco and Policlinico San Pietro confirm their position as Italian leaders in the musculoskeletal fi...
15/12/2025

The Policlinico San Marco and Policlinico San Pietro confirm their position as Italian leaders in the musculoskeletal field. This is what emerges from the data in the 2025 edition of the National Outcomes Program (Pne)—curated by the National Agency for Health Services and submitted to the Ministry of Health—covering hospital services provided in 2024 by 1,117 public and private hospitals.

The two Bergamo hospitals of the Gruppo San Donato have once again been ranked among the Italian hospitals with a "very high level" in this area. The musculoskeletal area was assessed synthetically using six indicators:
• Surgery within 48 hours of admission to the hospital for a femoral neck fracture
• Volume of hospital admissions for femoral neck fracture
• 30-day readmissions after hip replacement surgery
• Volume of hip replacement hospital admissions
• 30-day readmissions after knee replacement surgery
• Volume of hospital admissions for knee replacements

This important recognition recognizes the professionalism and dedication of the Orthopedic teams at the two hospitals, led by Professor Marco Bigoni and Dr. Michele Massaro for the Policlinico San Pietro and Dr. Davide Molisani for the Policlinico San Marco, as well as their ongoing research into improving techniques and materials and the promptness of emergency procedures, such as those for femur fractures.
“Being among the hospital facilities recognized by Agenas for a very high level of care and assistance in the musculoskeletal area is a source of great satisfaction for our two hospitals,” comments Eleonora Botta, Medical Director of the Istituti Ospedalieri Bergamaschi.
This important result, further improving on last year, is the result of the daily commitment of all our medical, nursing, and healthcare staff to provide our patients with the best care, whether scheduled or emergency, such as for femoral neck fractures. It also confirms the crucial role our two hospitals play in the region, responding appropriately and with quality to the population's healthcare needs, including in emergency settings, in coordination with the regional network in which they are located.


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

Raynaud's phenomenon, often perceived as a simple "cold hands" complaint, can be the first sign of more complex conditio...
11/12/2025

Raynaud's phenomenon, often perceived as a simple "cold hands" complaint, can be the first sign of more complex conditions that deserve special attention. In some cases, it can represent a warning sign of autoimmune or rheumatic diseases.

Raynaud's phenomenon is characterized by recurrent episodes in which the fingers (and sometimes the toes) become pale, bluish, or red, often accompanied by tingling or pain, particularly in response to cold or stress.
It's often perceived as a minor annoyance, but it can actually be a sign of systemic diseases. This is why it's essential not to ignore the signs. The problem arises when patients downplay their symptoms, attributing them solely to the cold; the risk is wasting valuable time in making a diagnosis.

Periungual capillaroscopy, a rapid, noninvasive, and painless test, is now a fundamental tool for the early diagnosis of certain autoimmune and rheumatological diseases, as it allows visualization of microcirculation at the nail level.
Thanks to this technique, we can distinguish:
• “Primary” Raynaud’s is more common and generally benign.
• “Secondary” Raynaud’s, linked to rheumatological diseases or autoimmune diseases such as scleroderma, lupus or rheumatoid arthritis.

An early diagnosis allows to:
• Activate targeted clinical monitoring
• Prevent complications
• Start any therapies promptly
In rheumatology, as in many other branches of medicine, early intervention significantly improves patients' prognosis and quality of life.

Capillaroscopy enables visualization of the capillaries at the nail root using a high-resolution digital microscope. This allows us to:
• Identify any alterations in the microcirculation that may indicate the onset of a systemic disease.
• Identify vascular abnormalities early before the onset of clinical symptoms of autoimmune diseases.

It is a safe test, free from contraindications, and can be performed immediately.
Its importance is also recognized by international guidelines: the European League Against Rheumatism (EULAR) recommends capillaroscopy as the first-line investigation in patients with suspected Raynaud's disease.

Capillaroscopy is particularly indicated for:
• Anyone who experiences frequent episodes of discoloration of the fingers.
• Young women between 20 and 40 years old (they are the most affected, even though it is not an exclusively female disorder).
• Those who have a family history of autoimmune diseases or already suffer from rheumatological disorders.


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

Bilateral pneumonia is a bacterial, viral, or (more rarely) fungal infection that affects both lungs, involving the alve...
10/12/2025

Bilateral pneumonia is a bacterial, viral, or (more rarely) fungal infection that affects both lungs, involving the alveoli, which fill with fluid or pus and make breathing difficult. Although serious, it can be effectively treated with early diagnosis and proper therapy. Monitoring symptoms and seeking prompt medical care are essential.
With insights from pulmonologist Dr. Anna Angela Rachele Beretta, the condition and its risks are explained.

Types:
• Bacterial: e.g., Streptococcus pneumoniae, Staphylococcus aureus
• Viral: influenza viruses, SARS-CoV-2
• Fungal: rare, mainly in immunocompromised individuals

Early Symptoms, often like flu or bronchitis are:
• High fever (>38°C), chills, sweating
• Dry → productive cough (yellow-green sputum)
• Chest pain, dyspnea, fatigue
• Loss of appetite; possible nausea or confusion (especially elderly)
Dyspnea often signals more severe, widespread involvement.

Bilateral pneumonia is more aggressive, involving both lungs and raising the risk of:
• Hypoxemia
• Respiratory failure
• Hospitalization
Unilateral cases are typically managed with antibiotics and home rest if caught early.

More severe due to weaker immunity. Higher risk of respiratory failure, sepsis, and organ failure. Symptoms may include low or absent fever, confusion, apathy, appetite loss, and worsening chronic diseases (e.g., COPD, heart failure).

Causes include bacteria (pneumococcus, mycoplasma, legionella) and viruses (e.g., COVID-19).
Risk factors: advanced age, chronic diseases, previous respiratory issues, recent hospitalization, immune compromise, smoking, alcoholism.

Diagnosi requires a pulmonary exam and evaluation of oxygen saturation.
Key tests:
• Chest X-ray and CT scan
• Laboratory tests to identify the infectious agent
• Sputum exam or blood culture
In severe cases: additional tests to assess organ involvement and blood gas analysis.

Depending on cause:
• Antibiotics for bacterial infections
• Antivirals or supportive therapy for viral forms.
May require hospitalization for severe symptoms or at-risk patients.
Other treatments: oxygen therapy, rest, hydration.
Therapy lasts 7–21 days, depending on response.

Home-treated cases need repeat medical evaluations and blood/radiology tests.
Hospitalized patients require daily monitoring.
Most acute forms resolve in a few weeks if no complications occur.

Possible Complications
• Acute respiratory failure
• Sepsis
• Lung abscess
• Pleural effusion
• Permanent lung damage
Prognosis depends on age, speed of diagnosis, infectious agent, and comorbidities. Young, healthy individuals usually recover completely; elderly or frail patients may take longer.

Seek medical evaluation for:
• Persistent fever not improving with medication
• Shortness of breath
• Chest pain


#صحة #وقاية #تميز #دبي #ابوظبي #السعودية #الصحة #مستشفى #ايطاليا

The city's first multi-specialty Smart Clinic center, Smart Clinic Villa Borghese, opened on Via del Galoppatoio in Rome...
08/12/2025

The city's first multi-specialty Smart Clinic center, Smart Clinic Villa Borghese, opened on Via del Galoppatoio in Rome on Monday, November 17. The ribbon-cutting ceremony was attended by:

• The President of Smart Clinic, Attorney Vito Cozzoli
• The CEO of Smart Clinic, Eng. Elena Bottinelli
• The Country General Manager of Generali Italia and President of Generali Welion, Dr. Gianluca Perin
• The General Manager of Generali Italia, Dr. Massimo Monacelli
• The Chief Health & Welfare and Broker Management Officer of Generali Italia and CEO of Generali Welion, Eng. Francesco Bardelli
• The president of the GSD Foundation, Dr. Gilda Gastaldi
The opening in Rome represents a further step forward in the development of the network of healthcare facilities, born from the joint venture between Gruppo San Donato, the leading Italian healthcare group, Generali, the leader in the Italian insurance sector, and GKSD, an international authority in innovation.
A project destined to extend across the entire national territory and to combine clinical excellence, technological innovation and accessibility.
A new care model that combines prevention, quality, and accessibility
Smart Clinics represent an innovative health management proposal that integrates diagnosis and treatment across all medical specialties, with a significant focus on:
• Prevention and well-being
• Accessibility to services
• High quality standards
• Use of the best technologies
• Attention to customer experience

And precisely to respond to one of the main contemporary challenges, represented by the phenomenon of demographic aging, the new center in Rome has developed two programs that promote active longevity and prevention:
• Genos, the innovative program created by researchers and specialists at the San Raffaele Hospital in Milan, offers personalized diagnostic and treatment pathways designed to monitor general health, assess the main risk factors, and identify potential pathologies early.
• Smart Weight, the multidisciplinary path that integrates medical assessment, nutritional support, and continuous clinical monitoring in the prevention and treatment of obesity.



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