ROLF GEMPERLI
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Cirurgia, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/04 - Laboratório de Microcirurgia, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/04 - Laboratório de Microcirurgia, Hospital das Clínicas, Faculdade de Medicina - Líder
27 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 27
bookPart Iniciação científica em cirurgia plástica na graduação médica(2015) MUNHOZ, Alexandre Mendonça; GEMPERLI, Rolf- Chimerical anterolateral thigh flap for plantar reconstruction(2015) OLIVAN, Marcelo V.; BUSNARDO, Fabio F.; FARIA, Jose C.; COLTRO, Pedro S.; GRILLO, Victor A.; GEMPERLI, RolfObjectiveThe purpose of this study is to evaluate the results of reconstruction and rehabilitation of patients with plantar defects by using a chimerical flap of muscle and skin from anterolateral thigh. MethodsTwenty-five patients with plantar defects were reconstructed with a chimerical anterolateral thigh (ALT) flap, composed by a vastus lateralis muscle segment and a thinned skin island. Neurorrhaphy between lateral femoral cutaneous nerve and calcaneal nerve was performed in 7 patients. Evaluation of flap contour and stability and patient ambulation was performed 6 and 12 months after surgery. Evaluation of cutaneous sensiblity of ALT flap and contralateral thigh was performed 12 months after surgery using Pressure Specified Sensory Device (PSSD). ResultsFlap viability was complete in 23 patients and 2 patients had complications with partial flap loss of its cutaneous component. Six months postoperatively, flap contour, and stability was considered good in 19 and 21 patients respectively, and all 25 patients presented good ambulation. Twelve months postoperatively, all 25 patients presented good flap contour and stability, as well as good ambulation. All 7 flaps undergoing to reinnervation partially recovered cutaneous sensibility in comparison to donor site (contralateral thigh). Cutaneous tactile thresholds (g/mm(2)) of static one-point test and moving one-point test from the ALT flap and the contralateral thigh presented statistically significant differences, for both comparisons (P=0.009, P=0.002). ConclusionThis flap is suitable for reconstruction of plantar defects, with good flap contour and stability, proper patient ambulation and low complication rates. (c) 2015 Wiley Periodicals, Inc. Microsurgery 35:546-552, 2015.
bookPart Reconstrução da mama(2015) MUNHOZ, Alexandre Mendonça; FONSECA, Alexandre Siqueira; MONTAG, Eduardo; GEMPERLI, Rolf- Surgical Treatment of Extracranial Arteriovenous Malformations after Multiple Embolizations: Outcomes in a Series of 31 Patients(2015) GOLDENBERG, Dov C.; HIRAKI, Patricia Y.; CALDAS, Jose Guilherme; PUGLIA, Paulo; MARQUES, Tatiana M.; GEMPERLI, RolfBackground: Surgical resection after embolization is the most accepted approach to treating arteriovenous malformations. The authors analyzed the outcome of surgically treated patients and how surgical resection was influenced by multiple embolizations. Methods: Thirty-one patients were included from January of 2000 to December of 2012. The mean patient age was 24.9 years. Anatomical involvement, definition of limits, functional impairment, number of embolizations, type of resection, reconstruction method, blood transfusion, and hospital stay were evaluated. Morbidity, mortality, and regrowth rates and need for additional procedures were evaluated. Results: Lesions were preferentially located at the orbits, cheeks, and lips. The number of embolizations per patient increased with lesion complexity. In 22 cases, total excision was accomplished, and in nine, subtotal resections were performed to favor function. After multiple embolizations, better lesion identification was observed. Primary closure was performed in 20 cases, local flaps were performed in seven cases, axial flaps were performed in two patients, and free flaps were performed in two cases. There were no deaths. Regrowth rates were influenced by limits between arteriovenous malformations and surrounding tissues (15.8 percent of cases with precise limits versus 58.3 percent of lesions with imprecise limits; p = 0.021) and by type of resection (18.2 percent of cases after total resection versus 66.7 percent after subtotal resections; p = 0.015). Conclusions: Multiple therapeutic embolizations seem to increase safety in the treatment of arteriovenous vascular malformations and suggest an additional positive effect besides bleeding control. Preoperative definition of limits and establishment of conditions for total resection are critical to determine management and risk of regrowth.
- Transaxillary Subfascial Augmentation Mammaplasty with Anatomic Form-Stable Silicone Implants(2015) MUNHOZ, Alexandre Mendonca; GEMPERLI, Rolf; GOES, Joao Carlos SampaioThis article presents an overview of the transaxillary subfascial approach to primary breast augmentation with the latest-generation anatomic form-stable silicone implants. Although the axillary approach is a well-described technique for breast augmentation, there have been few reports concerning the subfascial pocket, especially in association with anatomic form-stable texturized silicone gel implants. The authors present their experience with the present technique, along with technical details concerning the placement of the superior pole of the anatomic implant underneath the superficial fascia of the pectoralis major.
bookPart Tumores cutâneos(2015) COLTRO, Pedro Soler; BUSNARDO, Fábio de Freitas; GEMPERLI, RolfbookPart Cicatrização de feridas(2015) MUNHOZ, Alexandre Mendonça; MARQUES NETO, Ary de Azevedo; KAMAMOTO, Fábio; GEMPERLI, Rolf- The Subfascial Approach to Primary and Secondary Breast Augmentation with Autologous Fat Grafting and Form-Stable Implants(2015) GOES, Joao Carlos Sampaio; MUNHOZ, Alexandre Mendonca; GEMPERLI, RolfThis article presents an overview of the subfascial approach to primary and secondary breast augmentation with form-stable implants associated with autologous fat grafting. Although breast augmentation is a well-studied procedure, there are few previous reports concerning the subfascial technique and, especially, this technique associated with lipofilling. Consequently, the authors present their experience with a form-stable, anatomically shaped silicone gel breast implant, which has recently been approved in the United States following FDA clinical trials. Primary and secondary breast augmentations using form-stable implants resulted in satisfactory outcomes.
bookPart Contorno corporal após cirurgia bariátrica(2015) CINTRA, Wilson; MODOLIN, Miguel; GEMPERLI, Rolf; MUNHOZ, Alexandre MendonçabookPart Técnica cirúrgica em cirurgia plástica(2015) GEMPERLI, Rolf; MUNHOZ, Alexandre Mendonça; MODOLIN, Miguel
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