Nineteen of the Russian's 21 championships have been earned on hard courts
A comeback the Russian player claimed his first trophy for over two years with a win over opponent Moutet in the competition championship match.
The athlete, a former world number one, has had a torrid year, winning just a single victory at the Grand Slams and suffering a difficult moment at the American major.
The player's varied form on the tennis tour - and issues with his service game in especial - caused him exiting of the top ten and eventually separating with former trainer his previous coach.
Presently collaborating with Johansson and Rohan Goetzke, he has gradually improved in the recent weeks - peaking in a closely contested three-set victory over opponent Corentin Moutet.
It is Medvedev's maiden trophy following the Italian tournament and first on a hard surface after March of the previous year.
Victory also indicates Medvedev has secured 21 championships at 21 various tournaments.
"For the first time I am participating in a competition with my two daughters together, so to get a championship is especially meaningful," commented tennis professional Medvedev.
"This title is in tribute of my second daughter my daughter, because the first title I achieved when my first daughter my daughter was born was for her."
The tennis star, the former major winner, had failed in his last six title deciders, featuring in the German tournament earlier this year.
The player's retrieving play style and recurring reactions on the tennis court had caused observers to question if his ability to compete at the highest level was finished.
Yet the player has implemented adjustments in recent weeks, making an effort to come to the net and play assertively, supported by an improved serving game.
The champion fought back from a deficit in the opening set against the difficult Moutet, securing 4 of the final five games to take the lead.
The competitors traded service breaks in the middle set before Moutet, striving for his initial professional championship, seized the initiative to create a third set.
He defended four early-game opportunities in a close third set before Medvedev won the break to that score to serve for the match.
Appropriately, he secured victory with a rally at the net area, with his opponent unable to manage a return after over two and a half hours.
