MIGUEL LUIZ ANTONIO MODOLIN

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Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico

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Agora exibindo 1 - 10 de 23
  • article 0 Citação(ões) na Scopus
    Aos autores do artigo: “Estudo prospectivo da resposta inflamatória em pacientes submetidas à abdominoplastia pós-cirurgia bariátrica”
    (2021) OLIVEIRA, PEDRO RODRIGUES DE; DO-NASCIMENTO, LUDMILA CORRêA; DOS-SANTOS, ELIANE MAZZUCO; GOMES, ELONIR; GIULIANI, NáDIA DE ROSSO; MODOLIN, MIGUEL; CINTRA-JUNIOR, WILSON; ROCHA, RODRIGO ITOCAZO; GEMPERLI, ROLF
  • article
    Braquioplastia pós-gastroplastia: avaliação da satisfação dos pacientes
    (2014) CINTRA JUNIOR, WILSON; MODOLIN, MIGUEL; KASABKOJIAN, STEPHANIE TOSCANO; ROCHA, RODRIGO ITOCAZO; ZAMPIERI, LÍGIA; GEMPERLI, ROLF
    ABSTRACT Introduction: Upper limb deformity caused by massive weight loss can be corrected by brachioplasty. This plastic surgery improves limb contour, facilitates hygiene, and enables use of certain clothing. Objective: To present the cases, describe interventions and complications, and evaluate the satisfaction of patients who underwent brachioplasty after bariatric surgery. Method: Herein, 34 patients (including 33 females) aged 46.6 ± 12 years, who underwent brachioplasty after bariatric surgery, were recruited for the study. Interventions and complications associated with the surgical procedure were described, and the satisfaction of 33 patients was evaluated by a qualitative interview and specific questionnaire. Results: As a minor complication, slight dehiscence was observed in five patients (14.7%), but no major surgical complications were seen. Some degree of satisfaction was reported by 81.8% of the patients, and the outcome achieved in 69.7% was close to that expected. Conclusions: The brachioplasty techniques that were used restored proper arm contour with a low rate of minor complications, and a high degree of satisfaction among the patients evaluated.
  • article
    Cirurgias plásticas para readequação de contorno corporal de pacientes submetidos a cirurgia bariátrica durante a adolescência
    (2012) ROCHA, Rodrigo Itocazo; GEMPERLI, Rolf; MODOLIN, Miguel Luiz Antonio; CINTRA JUNIOR, Wilson; VELHOTE, Manoel Carlos Prieto; FERREIRA, Marcus Castro
    BACKGROUND: Surgical treatments for obesity in adolescents were introduced in the 1990s, resulting in individuals undergoing bariatric surgery, and exhibiting weight loss and dysmorphic body features. This produced a demand for plastic surgery in order to readjust the body contour. The aim of this study was to identify factors associated with morbidity and mortality for these corrective body contouring plastic surgeries in patients who underwent bariatric surgery during adolescence. METHODS: Between January 2008 and January 2011, 5 adolescent patients underwent gastric bypass surgery, with a consequent loss and stabilization of weight, and then underwent plastic surgery for correcting body contours. The average age of the patients at the time of plastic surgery was 19.7 years; 3 (60%) patients were female. Abdominoplasty was performed in all patients (100%), crural dermolipectomy in 4 (80%) patients, brachial dermolipectomy in 2 (40%) patients, thoracoplasty in 2 (40%) patients, torsoplasty in 2 (40%) patients, and a reverse abdominoplasty in 1 (20%) patient. In addition, mammoplasty with inclusion of silicone implants was performed in 2 (40%) female patients, whereas the other female patient (20%) underwent mastopexy. A male patient (20%) underwent correction of gynecomastia. An average of 3 surgical interventions were performed on each patient (range, 2 - 5), and the number of surgical sites was 20. RESULTS: Dehiscence occurred in 3 (15% of the surgical sites) cases, and it was necessary to revise the resection because of residual skin laxity in 3 (15% of the surgical sites) patients. CONCLUSIONS: Some factors associated with body contouring plastic surgeries in adolescents were identified and compared with the literature data.
  • article 5 Citação(ões) na Scopus
    Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results
    (2018) MENDES, ROGÉRIO RAFAEL DA SILVA; ZATZ, RAFAEL FERREIRA; MODOLIN, MIGUEL LUIZ ANTONIO; BUSNARDO, FÁBIO DE FREITAS; GEMPERLI, ROLF
    ABSTRACT Objective: to evaluate the primary outcome of local complications and late recurrence in patients with hidradenitis suppurativa undergoing radical resection and specific reconstruction. Methods: we conducted a retrospective analysis of the medical records of patients attended by the Plastic Surgery Service of the Clinics Hospital, Medical School, USP, between 2010 and 2016. We included patients who underwent radical resection of hidradenitis suppurativa in advanced stage and reconstruction through primary closure, grafts or flaps. Results: we analyzed 34 lesions in 19 patients, of which 64.5% had local complications, though with 73.5% efficient healing after 12 weeks postoperatively. We observed late recurrence in 47%, but in isolation, 22.2% of the reconstructions with locoregional flaps had recurrence after one year. Conclusion: extensive and radical resection of the disease associated with locoregional flap coverage (pedicled or perforating) has been shown to be the best management in terms of late results.
  • article 1 Citação(ões) na Scopus
    Prospective study of inflammatory response in patients submitted to abdominoplasty after bariatric surgery [Estudo prospectivo da reposta inflamatória em pacientes submetidas à abdominoplastia pós-cirurgia bariátrica]
    (2021) GIULIANI, N. D. R.; MODOLIN, M.; JUNIOR, W. C.; ROCHA, R. I.; GEMPERLI, R.
    Introduction: Obesity is a chronic inflammatory disease associated with changes in inflammatory markers such as interleukins and CRP. This study evaluates the inflammatory response, through variations in interleukins and CRP, in patients undergoing abdominoplasty. Methods: Fourteen patients underwent abdominoplasty after weight loss achieved through bariatric surgery to maintain weight loss for at least18 months. Il4, IL6, IL10 and PCR levels were verified at times: preoperative, during surgery, 24 hours after surgery, 7th postoperative day and 14th postoperative day. Results: IL4 increased in the 24 hours postoperatively and continued on the rise until the 14th day. IL10 went up during surgery and began to fall in the 24 hours postoperatively to levels lower than the initial ones. IL6 began to rise during surgery, being more expressive in the 24 hours postoperatively, followed by a fall until the 14th day. CRP increased 24 hours postoperatively and remained discharged until the 14th day. Conclusion: Abdominoplasty reduced the chronic inflammatory systemic condition. © 2021, Sociedade Brasileira de Cirurgia Plastica (SBCP). All rights reserved.
  • article 6 Citação(ões) na Scopus
    Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients
    (2021) CINTRA JUNIOR, WILSON; MODOLIN, MIGUEL LUIZ ANTONIO; COLFERAI, DIEGO RICARDO; ROCHA, RODRIGO ITOCAZO; GEMPERLI, ROLF
    ABSTRACT Introduction: bariatric surgery is the main treatment for cases of severe obesity and body contour surgery to correct body dysmorphia resulting from weight loss. However, these procedures are associated with a significant number of postoperative complications. Objective: this study aims to analyze complications in post-bariatric patients undergoing body contour surgeries and correlating them with the age and BMI of these patients. Methods: the current study is a retrospective study evaluating 180 consecutive patients undergoing body contour surgery after bariatric surgery within a period of three years (2014-2016). Data such as age, gender, Body Mass Index before bariatric and plastic surgeries, type of surgery performed and complications were collected, and correlated the age as well as the BMI of the patients in the pre-bariatric (PB) and pre-plastic (PP) periods with the complications presented. Results: of the 180 patients evaluated, 91.7% were females (n = 165), and the mean age was 46.3 ± 1.7 years. The most performed surgery was abdominoplasty (48.9%), followed by mammaplasty (21.1%). Some complications occurred in 26.1% of the patients with partial dehiscence (40.4%) and seroma (14.9%) being the most frequent. Patients who presented complications had a higher mean age (50.8 years) than those who presented with no complications, and major complications accounted for 2.7% of the sample. Conclusions: a statistically significant number of surgeries progressed without complications and, when they occurred, there were minor complications in most of the sample. Complications were more frequent in older patients with some of them having a BMI over 30 Kg/m2.
  • bookPart
    Contorno corporal após cirurgia bariátrica
    (2015) CINTRA, Wilson; MODOLIN, Miguel; GEMPERLI, Rolf; MUNHOZ, Alexandre Mendonça
  • bookPart
    Técnica cirúrgica em cirurgia plástica
    (2015) GEMPERLI, Rolf; MUNHOZ, Alexandre Mendonça; MODOLIN, Miguel
  • article 4 Citação(ões) na Scopus
    Augmentation mastopexy after bariatric surgery: evaluation of patient satisfaction and surgical results.
    (2016) JUNIOR, WILSON CINTRA; MODOLIN, MIGUEL LUIZ ANTONIO; ROCHA, RODRIGO ITOCAZO; GEMPERLI, ROLF
    ABSTRACT Objective: to evaluate patient satisfaction and surgical results obtained after mastopexy with breast implant inclusion. Methods: we conducted a prospective study of 20 consecutive female patients with a mean age of 39.9 years, submitted to augmentation mastopexy. We applied semi-directed psychological interviews pre and postoperatively. The answers to the evaluations were tabulated, categorized, and allowed patient satisfaction analysis. We evaluated surgical results through photographic analysis of three independent plastic surgeons, in the pre and postoperative periods, when scores were attributed to the following items: breasts shape, breasts volume, breasts symmetry, nipple-areolar complex position, and scar quality and extent. Results: nineteen patients (95%) referred satisfaction with the surgical results attained (p<0,001). The mean sum of the scores attributed by the three surgeons to each patient varied between 4.7 and 10, with an overall mean of 7.28. The results were considered good or great for 65% of the sample and poor for 8.4%. Conclusion: there was a 95% satisfaction rate among patients with the results obtained through augmentation mastopexy. The photographic analysis of the results obtained a mean score of 7.28, considered as a good result, albeit the weak correlation among evaluators.
  • article
    Tratamento das dismorfias coxofemorais em pacientes ex-obesos
    (2012) CINTRA JUNIOR, Wilson; MODOLIN, Miguel; ROCHA, Rodrigo Itocazo; MULATTI, Sheila Carvajal; GEMPERLI, Rolf; FERREIRA, Marcus Castro
    BACKGROUND: Patients showing massive weight loss eventually develop excessive skin and fat in several body parts, including the lower extremities. Given the diversity of the localization, shape, and content of coxofemoral dysmorphia, this study proposes guidelines for planning and systematizing the treatment of each deformity. METHODS: Twenty-eight female patients who underwent thigh lifts and showed 3 types of deformities were assessed. The deformities encompassed the upper third of the thigh alone, the upper and middle thirds, or the entire medial aspect of the thighs. A specific technique was used for treating each type of deformity. Moreover, when necessary, suspension of the lateral thigh was combined with liposuction. Patient satisfaction with the surgical results was assessed by a graded questionnaire. Unexpected events, complications, and treatments were recorded. RESULTS: Mobility, hygiene, sexual performance, use of clothing, and scars were assessed as excellent (80.5%), good (14.5%), and regular (5%). CONCLUSIONS: Considering the broad heterogeneity of thigh dysmorphia in formerly obese patients, therapeutic guidelines correlating each type of deformity with a specific treatment are necessary.