19 of the Russian's twenty-one championships have been earned on hardcourt
A comeback the Russian player won his first trophy for nearly 30 months with success over Corentin Moutet in the tournament final.
Medvedev, a former number one, has experienced a challenging season, managing just one win at the major tournaments and experiencing a difficult moment at the US Open.
The player's unpredictability on the professional circuit - and difficulties with his serving in especial - resulted in him dropping out of the elite rankings and ultimately splitting with long-term mentor Cervara.
Currently training with his coach and his other coach, he has gradually progressed in the last few weeks - climaxing in a closely contested three-set victory over opponent Moutet.
It is Medvedev's first title following the Italian tournament and maiden on a hard court from that period of the previous year.
Victory also means Medvedev has achieved twenty-one championships at twenty-one different competitions.
"For the first time I have attended a event with my children simultaneously, so to secure a title is especially meaningful," stated tennis professional the champion.
"This championship is in tribute of my child Victoria, because the first title I won when my child Alisa was born was for her."
The athlete, the former major winner, had lost his last six finals, including in that event previously this season.
The player's defensive approach and frequent emotional displays on the playing surface had led observers to doubt if his skill to perform at the elite level was concluded.
However the player has made changes in the past month, striving to advance forward and play positively, reinforced by an better serving game.
Medvedev fought back from a disadvantage in the initial set against the difficult opponent, securing four of the final five exchanges to take the lead.
The pair swapped break points in the following set before Moutet, bidding for his maiden ATP Tour victory, took control to push for a final set.
The opponent defended 4 initial break points in a tight deciding set before Medvedev secured a break to fifteen to secure the win.
Appropriately, Medvedev earned the win with a rally at the front of the court, with Moutet unable to handle a volley after two hours and 38 minutes.
