ALFREDO LUIZ JACOMO

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Departamento de Cirurgia, Faculdade de Medicina - Docente
LIM/02 - Laboratório de Anatomia Médico-Cirúrgica, Hospital das Clínicas, Faculdade de Medicina

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  • conferenceObject
    Lymph Drainage of the Upper Limb and Mammary Region to the Mille. Anatomical Study in Stillbirths
    (2015) CUADRADO, Guilherme; ANDRADE, Mauro; AKAMATSU, Flavia; JACOMO, Alfredo
  • conferenceObject
    Deltoid Muscle: Patterns of Innervation from Axillary Nerve
    (2015) LIMA, Larissa; ITEZEROTE, Ana; HOJAIJ, Flavio; ANDRADE, Mauro; JACOMO, Alfredo; AKAMATSU, Flavia
  • conferenceObject
    Impact of Clinical Anatomy League of University of Sao Paulo Medical School (FMUSP) on motivation and performance of anatomy learning
    (2015) IUAMOTO, Leandro; NOGUEIRA, Thiago; SOUZA, Braian; RIBEIRO, Joao; HOJAIJ, Flyvio; AKAMATSU, Flyvia; ANDRADE, Mauro; JACOMO, Alfredo
  • conferenceObject
    Anatomical Location of Motor Points of the Abductor Hallucis Muscles
    (2015) SCARPA, Jose; ITEZEROTE, Ana; HOJAIJ, Flavio; ANDRADE, Mauro; JACOMO, Alfredo; AKAMATSU, Flavia
  • article 17 Citação(ões) na Scopus
    Botulinum toxin type A on cutaneous flap viability in diabetic and tobacco-exposed rats
    (2015) CAMARGO, Cristina Pires; JACOMO, Alfredo Luiz; BATTLEHNER, Claudia Naves; LEMOS, Miriam; SALDIVA, Paulo Hilario; MARTINS, Milton Arruda; MUNHOZ, Alexandre Mendonca; GEMPERLI, Rolf
    PURPOSE: To investigate the effect of Botulinum toxin A (BoNTA) on skin flap viability in healthy, tobacco-exposed and diabetic rats. METHODS: Ninety male Wistar rats (250-300g) were randomly divided into six groups: control+saline (C1), control+BoNTA (C2), tobacco-exposed+saline (T1), tobacco-exposed+BoNTA (T2) diabetes+saline (D1) and diabetes+BoNTA (D2). A dorsal cutaneous flap (3x10cm) was performed. Survival area and total area of the flaps were measured. Lumen diameter, external arterial diameter and lumen/wall thickness ratio were recorded. RESULTS: Survival area increased in control group with BoNTA injection compared with control animals injected with saline (C2 x C1; 0.9 +/- 0.1 vs 0.67 +/- 0.15, p=0.001). A similar result was found in diabetes group injected with BontA (D2 x D1; 0.97 +/- 0.2 vs 0.61 +/- 0.24, p=0.018). No difference was observed in skin flap viability in tobacco-exposed groups (T2 x T1; 0.74 +/- 0.24 vs 0.64 +/- 0.21, p=0.871). Lumen diameter (p=0.004), external arterial diameter (p=0.0046,) and lumen/wall thickness ratio (p=0.003) were increased in diabetes+BoNTA-treated animals. This effect was not observed in control or in tobacco-exposed groups. CONCLUSIONS: Botulinum toxin A increased skin flap viability in control and diabetic rats on the seventh post-operative day. Increased lumen diameter, external arterial diameter, and lumen/wall thickness ratio were observed in the diabetes+BoNTA group. BoNTA had no effect in the tobacco-exposed group on the seventh postoperative day.
  • article 23 Citação(ões) na Scopus
    Trigger Points: An Anatomical Substratum
    (2015) AKAMATSU, Flavia Emi; AYRES, Bernardo Rodrigues; SALEH, Samir Omar; HOJAIJ, Flavio; ANDRADE, Mauro; HSING, Wu Tu; JACOMO, Alfredo Luiz
    This study aimed to bring the trapezius muscle knowledge of the locations where the accessory nerve branches enter the muscle belly to reach the motor endplates and find myofascial trigger points (MTrPs). Although anatomoclinical correlations represent a major feature of MTrP, no previous reports describing the distribution of the accessory nerve branches and their anatomical relationship with MTrP are found in the literature. Both trapezius muscles from twelve adult cadavers were carefully dissected by the authors (anatomy professors and medical graduate students) to observe the exact point where the branches of the spinal accessory nerve entered the muscle belly. Dissection was performed through stratigraphic layers to preserve the motor innervation of the trapezius muscle, which is located deep in the muscle. Seven points are described, four of which are motor points: in all cases, these locations corresponded to clinically described MTrPs. The four points were common in these twelve cadavers. This type of clinical correlation between spinal accessory nerve branching and MTrP is useful to achieve a better understanding of the anatomical correlation of MTrP and the physiopathology of these disorders and may provide a scientific basis for their treatment, rendering useful additional information to therapists to achieve better diagnoses and improve therapeutic approaches.