tag:blogger.com,1999:blog-32396793603364451452024-03-13T08:53:09.387-07:00Prof.Dr. Alexandre Mendonça Munhoz (www.prof-alexandremunhoz.com)Prof.Dr Alexandre Mendonça Munhoz, cirurgião plástico e Professor Livre Docente da Faculdade de Medicina da Universidade de São Paulo. Atuação na Sociedade Brasileira de Cirurgia Plástica como Coordenador da Comissão Nacional de Cirurgia Oncológica e Reconstrução da Mama. Atualmente Presidente do Moriah Instituto de Ensino e Pesquisa (MIPE) e Docente Pleno do Instituto de Ensino e Pesquisa do Hospital Sírio-Libanês (IEP-HSL)
(www.prof-alexandremunhoz.com)alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.comBlogger28125tag:blogger.com,1999:blog-3239679360336445145.post-77475330835887828772019-06-13T05:36:00.000-07:002019-06-13T08:19:51.608-07:00Prof. Alexandre Mendonça Munhoz em Cirurgia ao Vivo, Hospital Moriah, Periareolar Hybrid Breast Augmentation<br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: large;">Prof.Dr. Alexandre Mendonça Munhoz</span></span></div>
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PERIAREOLAR HYBRID AUGMENTATION-MASTOPEXY WITH ERGONOMIC IMPLANT</div>
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<li style="text-align: justify;"><span style="background-color: white; color: #0a0a0a; font-family: "roboto" , "arial" , sans-serif; white-space: pre-wrap;">Prof.Dr Alexandre Mendonça Munhoz, plastic surgeon in Brazil and his team, in a Live surgery at Hospital Moriah/São Paulo, Brazil, complex case of tuberous breast, ptosis and hypomastia : Hybrid Periareolar Augmentation Mastopexy with Motiva Ergonomix Implant (6th generation of Silicone breast implants). </span></li>
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<li><span style="background-color: white; color: #0a0a0a; font-family: "roboto" , "arial" , sans-serif; white-space: pre-wrap;">Combined approach with previous pocket evaluation throw subfascial transaxillary augmentation, sizer insertion, skin laxity checking, new areola dimension definition, areolar reduction with Hammond technique (interlocking suture) following with breast fat grafting using closed system PURE-GRAFT and with Munhoz Technique (S.E.A.H.: subfascial ergonomix, axillary hybrid breast surgery). Hospital Moriah, Pure-Graft, Establishment Labs, TAB Instruments. </span></li>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBJOLLnI7unBlsAVXt_z89R6RxDy9ExvueS_G1VAfSEmBmzWZI2eJRinoEiBusPUglPw0-itbG7nmaEwE5yRl6CyPp_Q2VLI15-Ofu9bY1GBAOte7J4MfA95EpVHykzo7yDNWElvhUYOsE/s1600/Captura+de+Tela+2019-06-12+a%25CC%2580s+21.08.56.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="768" data-original-width="1366" height="358" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhBJOLLnI7unBlsAVXt_z89R6RxDy9ExvueS_G1VAfSEmBmzWZI2eJRinoEiBusPUglPw0-itbG7nmaEwE5yRl6CyPp_Q2VLI15-Ofu9bY1GBAOte7J4MfA95EpVHykzo7yDNWElvhUYOsE/s640/Captura+de+Tela+2019-06-12+a%25CC%2580s+21.08.56.png" width="640" /></a></div>
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<a href="https://www.blogger.com/"></a><span id="goog_825026310"></span><span id="goog_825026311"></span><a href="https://youtu.be/3AymsJ6tLqA">LINK TO LIVE SURGERY https://www.youtube.com/watch?v=_vNjgycStp0&t=13s</a><br />
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<li><span style="background-color: white; color: #0a0a0a; font-family: "roboto" , "arial" , sans-serif; white-space: pre-wrap;">Prof. Dr. Alexandre Mendonça Munhoz em Cirurgia ao vivo no Hospital Moriah com sua equipe em São Paulo/Brasil, caso complexo de mama tuberosa com ptose e hipomastia: Mastopexia periareolar com enxerto de gordura com purificação com sistema fechado PURE-GRAFT e implante de silicone de 6a. geração, Motiva Ergonomix. </span></li>
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<li><span style="background-color: white; color: #0a0a0a; font-family: "roboto" , "arial" , sans-serif; white-space: pre-wrap;">Acesso combinado com checagem prévia da posição do implante pela técnica de Munhoz (S.E.A.H.: subfascial, ergonomic, axilar e híbrida) associado com a técnica de Hammond (Interlocking) para fechamento da aréola. Hospital Moriah, Pure-Graft, Establishment Labs, TAB Instrumentos</span></li>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-23002938716683121212017-11-27T08:37:00.002-08:002017-11-27T08:37:35.928-08:00Prof. Dr. Alexandre Mendonça Munhoz, palestra em Nova York/EUA, sobre Breast Implants: Recent Technologies, Trends and Critical Reflections.<div style="text-align: justify;">
<span style="text-align: center;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-large;">Breast Implants: Recent Technologies, Trends and Critical Reflections. </span></span></div>
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<span style="text-align: center;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Prof. Dr. Alexandre Mendonça Munhoz</span></span></div>
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<span style="text-align: center;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">CORE Club</span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Dr. Alexandre Mendonça Munhoz, palestra no CORE Club de Nova York/EUA, sobre Breast Implants: Recent Technologies, Trends and Critical Reflections. Prótese de Mama, Prótese de Silicone, Aumento Mamário, Aumento de Mama, Motiva, Prótese com Chip, Cirurgia de Mama, Cirurgia Estética de Mama, Plástica de Mama. Alexandre Mendonça Munhoz, Alexandre Munhoz.</span></td></tr>
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<span style="text-align: center;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-large;"><br /></span></span>alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-2074906398937072672017-11-12T09:43:00.000-08:002017-11-12T09:43:10.430-08:00Entrevista Prof. Alexandre Mendonça Munhoz para Domingo Espetacular<div style="text-align: center;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">NOVAS TECNOLOGIAS EM CIRURGIA DE PRÓTESE DE MAMA</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">APLICAÇÃO DO SCANNER 3D</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Prof. Dr. Alexandre Mendonça Munhoz</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEja4yPfENzOzMq7cZ1eghjr4s231Dc66NfECZXROkCtbVOuz8HA9Uv80uV7HyeKxGEtaI4knTjWAk4Prz4dr20qZtGeW5bftwViVk4m1cdZm1oSTQO0PfV12k7ZK0Linlc-7HKmCWNZgPLV/s1600/_MG_0556.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="1067" data-original-width="1600" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEja4yPfENzOzMq7cZ1eghjr4s231Dc66NfECZXROkCtbVOuz8HA9Uv80uV7HyeKxGEtaI4knTjWAk4Prz4dr20qZtGeW5bftwViVk4m1cdZm1oSTQO0PfV12k7ZK0Linlc-7HKmCWNZgPLV/s640/_MG_0556.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Alexandre Mendonça Munhoz, prótese de mama, prótese de silicone, scanner 3D, Alexandre Munhoz, Hospital Moriah, Centro Motiva Moriah, mamoplastia, implante de silicone, planejamento 3D.</span></td></tr>
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<span style="color: #0b5394; font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; text-align: justify;">Entrevista Prof. Alexandre Mendonça Munhoz, coordenador do Centro de Cirurgia de Mama Motiva Moriah, sobre novas tecnologias relacionadas à prótese de mama no Hospital Moriah. Na matéria foram abordados aspectos relacionados à importância da estética da mama na auto-estima da mulher e novas tecnologias já disponíveis para a programação cirúrgica mais efetiva na cirurgia de prótese de silicone. Introduzido no Brasil em maio de 2017, o Scanner 3D de avaliação de forma de volume das mamas é atualmente uma importante ferramenta para a programação e planejamento da cirurgia uma vez que permite a digitalização em 3D de toda a região mamária, a identificação e diagnóstico de pequenas assimetrias, o cálculo volumétrico e a realização de simulações de resultado com diferentes formas e volumes de próteses de mama. O Dr. Alexandre Mendonça Munhoz apresenta esta tecnologia que está disponível no Hospital Moriah, o primeiro Hospital da América Latina a oferecer esta nova ferramenta como aliado na planificação da cirurgia de mama.</span><br />
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<span style="color: #0b5394; font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; text-align: justify;">LINK:</span><br />
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<span style="color: #0b5394; font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; text-align: justify;"><a href="https://www.youtube.com/watch?v=A9DV76VgGGM">ENTREVISTA PROF. ALEXANDRE MENDONÇA MUNHOZ</a></span></div>
<span style="color: #0b5394; font-family: "Helvetica Neue", Arial, Helvetica, sans-serif; text-align: justify;"><br /></span>alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-8031100286870201862016-11-26T09:10:00.000-08:002017-02-10T14:59:01.469-08:00Prof. Alexandre Mendonça Munhoz na Comissão de Concursos e Concessão de Prêmios<div align="center" class="MsoSubtitle" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 0cm; margin-right: -7.15pt; margin-top: 0cm; text-align: center;">
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BRASILEIRO DE CIRURGIA PLÁSTICA / 2016<o:p></o:p></span></div>
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<span lang="X-NONE" style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: 14pt;"><i><b>Prof.Dr. Alexandre Mendonça Munhoz</b></i><o:p></o:p></span></div>
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<span lang="X-NONE" style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: 14.0pt; font-weight: normal;">Coordenador Biênio 2016-2017</span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, Biênio 2016-2017, Dr. Alexandre Mendonça Munhoz, Hospital Sírio-Libanês. Alexandre Munhoz.</span></td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, Biênio 2016-2017, Dr. Alexandre Mendonça Munhoz, Hospital Sírio-Libanês. Alexandre Munhoz.</span></td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, Biênio 2016-2017, Dr. Alexandre Mendonça Munhoz, Hospital Sírio-Libanês. Alexandre Munhoz.</span></td></tr>
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<span style="font-size: large; line-height: 115%;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">A Comissão
de Concursos e Concessão de Prêmios (CCCP) da nossa SBCP, biênio 2016-2017 realizou
suas atribuições na seleção e julgamento dos melhores trabalhos enviados para o
nosso grande Congresso Brasileiro de Cirurgia Plástica em novembro, em
Fortaleza/CE. Semelhante aos 50 anos anteriores, nosso congresso é realizado
com o trabalho e esforço de várias gerações de cirurgiões que dirigiram a SBCP
e que nos proporcionaram expertise científica e produção de conhecimento na
nossa grande especialidade cirúrgica. O resultado é a progressão da excelência
cientifica, o reconhecimento internacional, e mais ainda com um número crescente,
ano a ano, de trabalhos científicos enviados.</span></span></div>
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<span style="font-size: 14pt;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"> Na Comissão de Prêmios não seria
diferente, e o mesmo cuidado e zelo realizado pelo nosso DEC, chefiado pela
Profa. Lydia Masako Ferreira na elaboração científica do nosso congresso, foi
aplicado na estruturação da presente Comissão de Prêmios. Neste ano alguns
aspectos inovadores possibilitaram avanços em relação aos anos precedentes.
Todos os trabalhos enviados ao congresso foram avaliados de maneira criteriosa em
duas etapas distintas. A etapa inicial, e independente da Comissão de Prêmios,
foi realizada pelo DEC, o qual de maneira criteriosa selecionou os melhores de
todos os trabalhos enviados ao Congresso Brasileiro. Nesta fase foram
contabilizados 535 trabalhos científicos recebidos pela SBCP, e selecionados 66
pelo DEC (taxa de aprovação de aproximadamente 11,2%) (Infográfico no. 1).</span></span><!--EndFragment-->
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXm_MSABuDYXTKS_bIFMEHhrLwF6ir1hXHzaRaewc4_WhW0LKTt7V5Q9zwkQ5pIqsDAG83-Apog3u2AIEc4auiZHFxuo7Wwr7xs0SVgHh4-kQM6RQae650qW21Y71HsKWzzVtufaokBm27/s1600/INFOGRAFICO+COMISSA%25CC%2583O+DE+PREMIOS+2016.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXm_MSABuDYXTKS_bIFMEHhrLwF6ir1hXHzaRaewc4_WhW0LKTt7V5Q9zwkQ5pIqsDAG83-Apog3u2AIEc4auiZHFxuo7Wwr7xs0SVgHh4-kQM6RQae650qW21Y71HsKWzzVtufaokBm27/s640/INFOGRAFICO+COMISSA%25CC%2583O+DE+PREMIOS+2016.jpg" width="272" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, Biênio 2016-2017, Dr. Alexandre Mendonça Munhoz, Hospital Sírio-Libanês. Alexandre Munhoz.</span></td></tr>
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nossa comissão (Foto 1), os quais foram "limpos", de maneira
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que tange a autoria e a instituição onde o estudo foi realizado, processo este
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<span style="font-family: "arial narrow";"><span style="font-size: xx-small;">Foto 1. Prof. Alexandre Mendonça Munhoz, na Cerimônia de Entrega do
Prêmios da Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica,
Biênio 2016-2017</span></span><span style="font-family: "arial narrow";"><span style="font-size: xx-small;">.</span></span></div>
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<span style="font-size: medium;"><br /></span></div>
<div style="text-align: justify;">
<span style="font-size: medium;"><br /></span></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<br /></div>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span lang="EN-US" style="font-size: 14pt;">Este sistema é atualmente o mais aceito na
maioria dos periódicos, sendo as publicações e/ou premiações que não são
submetidas ao processo de arbitragem, tendem a ser vistos com desconfiança
pelos acadêmicos e profissionais da área pertinente. </span><span style="font-size: 14pt;">Desta forma, todos os 66 trabalhos foram
analisados por todos os membros da comissão e por meio de escalas e critérios
já consagrados na maioria das revistas de alto impacto, realizou-se a segunda
seleção a qual triou os 22 trabalhos selecionados para a apresentação oral para
a comissão em Fortaleza (Box 1 e 2). </span><span style="font-size: 14pt;"> </span></span></div>
<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: 14pt;"><br /></span></span>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyiEAK-p8enTo1ycWduUf-f-gYEXlFCzKuCKQkm7yswK6xpKbxcbBYZk41UPXn456iWEHzrXaduGLtRtRZBc3bpvzjEsW1mKxt7-t_kwrKgpycnJHIDdD3oXK_6RPliKCdOYq_FcphbewY/s1600/Alexandre+Munhoz+Comissa%25CC%2583o+5.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyiEAK-p8enTo1ycWduUf-f-gYEXlFCzKuCKQkm7yswK6xpKbxcbBYZk41UPXn456iWEHzrXaduGLtRtRZBc3bpvzjEsW1mKxt7-t_kwrKgpycnJHIDdD3oXK_6RPliKCdOYq_FcphbewY/s640/Alexandre+Munhoz+Comissa%25CC%2583o+5.jpg" width="640" /></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjF8ceyM4MouF9fT-dNZBRbTHrw7El_GMdekxAypYSRxxEKJcvcIVFu5NxtgmXWvEk1rU6LH2DIveWHA8sRDnbbRwuGmFIoGxdlSeysPdG6jXaQUcZxCi2DLgigP_-PcXhewzBC1-JyKvuq/s1600/Alexandre+Munhoz+Comissa%25CC%2583o+6.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjF8ceyM4MouF9fT-dNZBRbTHrw7El_GMdekxAypYSRxxEKJcvcIVFu5NxtgmXWvEk1rU6LH2DIveWHA8sRDnbbRwuGmFIoGxdlSeysPdG6jXaQUcZxCi2DLgigP_-PcXhewzBC1-JyKvuq/s640/Alexandre+Munhoz+Comissa%25CC%2583o+6.jpg" width="640" /></a></div>
<br />
<div style="text-align: justify;">
<span style="font-size: large;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; line-height: 115%;">Com
base no rigor científico, metodologia casuística, inovação e ineditismo,
associado à um índice (score) com pontuações, os 11 membros da Comissão tiveram
a oportunidade, após a apresentação oral de identificar e classificar os
melhores trabalhos em cada categoria, e a contemplação com os prêmios
pertinentes. De acordo com as normas estatutárias, </span><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; line-height: 115%;">só tiveram a possibilidade de concorrer aos prêmios, os membros
quites com a tesouraria da SBCP (membros Titulares e Associados, Aspirantes a
membros), todos devidamente inscritos no Congresso Brasileiro.</span></span></div>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: large;">Associado à análise e julgamento dos
trabalhos selecionados pelo DEC, coube a
Comissão de Prêmios a entrega do Prêmio Farid Hakme julgado previamente
pela Comissão de Especialista da SBCP, coordenada pelo Prof. Miguel Sabino
Neto. Segundo o Artigo 30, do
Regimento da Comissão de Prêmios, O Prêmio FARID HAKME tem por finalidade
laurear o 1º colocado no exame de suficiência para obtenção do título de
especialista em cirurgia plástica. O ganhador foi aquele que obtive o melhor
resultado nas três fases do exame de suficiência para obtenção do título de
especialista, e designado pela Comissão de Especialista, na pessoa de seu
coordenador.</span></span></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 2. Entrega do Prêmio Farid Hakme pelo Prof.
Dr.</span><span style="font-family: "arial narrow";"> Alexandre Mendonça Munhoz e Profa. Lydia Masako Ferreira ao Dr. Ronny Gonçalves Rechine Feitosa, de Fortaleza/CE. Dr. Alexandre Munhoz, Hospital Sírio-Libanês.</span><!--EndFragment--> </span> </td></tr>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="font-size: 14pt;">Semelhante
aos anos anteriores, foram aplicados os critérios para divisão dos prêmios em
"galerias" de acordo com a temática principal do estudo. Denominou-se
de <b>Galeria de Pesquisas Laboratoriais e
Experimentais, </b>os trabalhos/estudos realizados envolvendo pesquisas em
modelos experimentais animais, trabalhos de dissecção anatômica, e trabalhos
associados com pesquisa laboratorial e exames relacionados ao diagnóstico de
avaliação de resultados em técnicas e procedimentos de cirurgia plástica. Nesta
galeria foram classificados dois prêmios principais: I-<b>Prêmio Evaldo D´Assumpção</b> – Conferido ao melhor trabalho
experimental, apresentado por membro Titular, Associado ou Aspirante a membro,
ao Dr. André Luiz B. Pazio com o trabalho "</span><span style="font-size: 12pt;"> </span><span style="font-size: 14pt;">EFEITO
DO CILOSTAZOL EM MODELO EXPERIMENTAL DE FERIMENTO DESCOLANTE DE MEMBROS
POSTERIORES DE RATOS" (foto 3), e o <b>Prêmio
Roberto Correa Chem</b> – Conferido ao melhor trabalho sobre pesquisa clínica e
laboratorial, apresentado por membro Titular, Associado ou Aspirante a membro,
ao Dr. Carlos Weck Roxo, com o trabalho "RESPOSTA ENDÓCRINA METABÓLICA EM
PACIENTES SUBMETIDOS A MÚLTIPLAS CIRURGIAS DE CONTORNO CORPORAL APÓS GRANDES
PERDAS PONDERAIS" (Foto 4).</span></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 3. Entrega do Prêmio Evaldo D'Assumpção, da
Galeria de Prémios de Pesquisas Laboratoriais e Experimentais, pelo Dr.</span><span style="font-family: "arial narrow";">
Alexandre Mendonça Munhoz e Dr. Max Pereira ao Dr. André Luiz Bilieri Pazio, de
Curitiba/PR. Alexandre Munhoz, Hospital Sírio-Libanês</span></span><!--EndFragment--></td></tr>
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<span style="color: black; font-family: "arial narrow"; line-height: 115%;"><span style="font-size: xx-small;">Foto 4. Entrega do Prêmio
Roberto Chem, da Galeria de Prémios de Pesquisas Laboratoriais e
Experimentais, pelo Dr.</span></span><span style="font-family: "arial narrow"; line-height: 115%;"><span style="font-size: xx-small;"> Alexandre
Mendonça Munhoz e Dr. Max Pereira ao Dr. Carlos Weck Roxo, Rio de Janeiro/RJ. Dr. Alexandre Munhoz, Hospital Sírio-Libanês</span><span style="color: black; font-size: 11pt;"><o:p></o:p></span></span></div>
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<span style="font-size: large;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="line-height: 115%;">Denominou-se de <b>Galeria de
Pesquisas em Cirurgias Reconstrutoras, </b>os trabalhos/estudos realizados
envolvendo pesquisas em cirurgia reparadora, em qualquer segmento corporal. Nesta
galeria foram classificados três prêmios principais, quais sejam: -<b style="mso-bidi-font-weight: normal;">Prêmio
Raul Couto Sucena</b> - Conferido ao melhor trabalho sobre queimaduras,
apresentado por membro Titular, Associado ou Aspirante a membro, ao Dr. Daniel
Alvarez Lazo com o trabalho "<span style="text-transform: uppercase;">O
emprego dos reTalhos livres em pacientes queimados: Experiência de 378 retalhos
em 360 pacientes</span>" (Foto 5), e o <b style="mso-bidi-font-weight: normal;">Prêmio Sílvio Zanini</b> – Conferido ao melhor trabalho sobre cirurgia
crânio maxilo facial, apresentado por membro Titular, Associado ou Aspirante a
membro, a Dra. Daniele Duarte com o trabalho "<span style="text-transform: uppercase;">Distração osteogência da mandíbula neonatal reduz a largura da fenda
palatina e alonga o palato mole, facilitando a palatoplastia em pacientes com
Sequência de Pierre Robin</span> (Foto 6). Ainda nesta categoria, o </span><b style="mso-bidi-font-weight: normal;"><span style="line-height: 115%;">Prêmio Sirlei Rinaldi </span></b><span style="line-height: 115%;">- Conferido ao melhor trabalho sobre
microcirurgia, apresentado por membro Titular, Associado ou Aspirante a membro,
que neste ano, não foi conferido pelos critérios de seleção na 1a. e 2a. fases
do DEC e da Comissão de Prêmios.</span></span><span style="color: black; font-family: "arial narrow"; line-height: 115%;"><o:p></o:p></span></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 5. Entrega do Prêmio Raul Couto Sucena, da
Galeria de Prémios de Cirurgia Reconstrutora,
pelo Dr.</span><span style="font-family: "arial narrow";">
Alexandre Mendonça Munhoz e Dr. Yuji Ikuta ao Dr. Daniel Alvarez Lazo, Ribeirão
Preto/SP. Dr. Alexandre Munhoz, Hospital Sírio-Libanês.</span></span><!--EndFragment--></td></tr>
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<span style="font-size: xx-small;"><span style="color: black; font-family: "arial narrow"; line-height: 115%;">Foto 6. Entrega do Prêmio
Sílvio Zanini, da Galeria de Prémios de Cirurgia Reconstrutora, pelo Dr.</span><span style="font-family: "arial narrow"; line-height: 115%;"> Alexandre
Mendonça Munhoz e Dr. Cassio Raposo Amaral a Dra. Daniele Duarte, Porto
Alegre/RS. Dr. Alexandre Munhoz, Hospital Sírio-Libanês.</span></span></div>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="font-size: 14pt;">Denominou-se
de <b>Galeria </b></span><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">de Pesquisas em Cirurgias Estéticas, Mama e
Ética Médica</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">, </span></b><span style="font-size: 14pt;">os trabalhos envolvendo
pesquisas em procedimentos estéticos não invasivos e laser complementares em
qualquer segmento corporal, a cirurgia mamária e suas variantes e estudos
relacionados à ética médica, responsabilidade social e segurança em cirurgia.
Nesta galeria foram classificados três prêmios principais, quais sejam: </span><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio Georges Arié </span></b><span style="font-size: 14pt;">- Conferido ao melhor
trabalho sobre cirurgia plástica da mama, apresentado por membro Titular,
Associado ou Aspirante a membro, a Dra. Renata G. Wanick de Almeida com o
trabalho "AVALIACAO VOLUMETRICA DA GLANDULA MAMARIA E MUSCULO PEITORAL
MAIOR APOS MAMOPLASTIA DE AUMENTO SUBGLANDULAR E SUBMUSCULAR"</span><span style="font-size: 14pt;"> (Foto 7), e o </span><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio
Jussara Personelle </span></b><span style="font-size: 14pt;">- Conferido ao melhor trabalho sobre
cirurgia não Invasiva e Laser, apresentado por membro Titular, Associado ou
Aspirante a membro, ao Dr. Henrique de Paula com o trabalho "</span> <span style="text-transform: uppercase;">Tradução, adaptação
cultural e validação do questionário de qualidade de vida americano</span><span style="font-size: 14pt;">
SKINDEX-29 </span><span style="font-size: 14pt;">(Foto 8). </span></span><span style="font-family: "arial narrow"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 7. Entrega do Prêmio Georges Ariê, da
Galeria de Prémios de Cirurgia Estética, Mama e Responsabilidade/Ética, pelo
Dr.</span><span style="font-family: "arial narrow";"> Alexandre Mendonça Munhoz e Dra. Ana Roxo, a
Dra. Renata G. Wanick de Almeida, Rio de Janeiro/RJ. Dr. Alexandre Munhoz, Hospital Sírio-Libanês</span> </span></td></tr>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 8. Entrega do Prêmio Jussara Personelle, da
Galeria de Prémios de Cirurgia Estética, Mama e Responsabilidade/Ética, pelo
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Salles, ao Dr. Henrique Ribeiro de Paula, São Paulo/SP. Dr. Alexandre Munhoz, Hospital Sírio-Libanês</span> </span></td></tr>
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<span style="font-size: large;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: 14pt;">Ainda
na <b>Galeria </b></span><b><span style="font-size: 14pt;">de
Pesquisas em Cirurgias Estéticas, Mama e Ética Médica</span><span style="font-size: 14pt;">, </span></b><span style="font-size: 14pt;"> temos a
presença d</span><span style="font-size: 14pt;">o </span><b><span style="font-size: 14pt;">Prêmio
Antonio Pinheiro</span></b><span style="font-size: 14pt;"> -
Conferido ao melhor trabalho sobre ética médica, responsabilidade médica e
social e segurança em cirurgia plástica, apresentado por membro Titular,
Associado ou Aspirante a membro. Neste ano foi laureado a Menção Honrosa do
Prêmio Antônio Pinheiro ao Dr. Fabiano Calixto Fortes de Arruda com o trabalho
"</span><span style="text-transform: uppercase;">Qualidade de vida do cirurgião plástico do estado de
Goiás</span><span style="font-size: 14pt;">"
</span><span style="font-size: 14pt;">(Foto 9)</span><span style="font-size: 14pt;">.</span> </span><span style="font-family: "arial narrow";"> </span></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 9. Entrega da Menção Honrosa do Prêmio
Antônio Pinheiro, da Galeria de Prémios de Cirurgia Estética, Mama e
Responsabilidade/Ética, pelo Dr.</span><span style="font-family: "arial narrow";">
Alexandre Mendonça Munhoz ao Dr. Fabiano Calixto de Arruda, Goiânia/GO. Dr. Alexandre Munhoz, Hospital Sírio-Libanês.</span> </span></td></tr>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="font-size: 14pt;">Na
sessão dos melhores trabalhos enviados ao Congresso Brasileiro, e não
classificados por categorias específicas e sim por abordar qualquer tema de
cirurgia plástica mas que tenha obtido alto nível de excelência, destaque,
metodologia e qualidade na apresentação oral, foi mantido a semelhança dos anos
precedentes, o </span><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio
Victor Spina</span></b><span style="font-size: 14pt;"> - Conferido ao melhor trabalho apresentado por
residentes de serviços credenciados da SBCP, a Dra. Mariana Alcantara Rodrigues
de Moraes com o trabalho "</span><span style="text-transform: uppercase;">Dermatofibrossarcoma protuberans:
análise dos resultados do tratamento cirúrgico radical isolado e da
radioterapia adjuvante em uma série de 29 casos</span><span style="font-size: 14pt;">" (Foto 10), e
o <b style="mso-bidi-font-weight: normal;">Prêmio Antônio Prudente - </b>Conferido
ao segundo melhor trabalho científico sobre qualquer tema de cirurgia plástica
(Foto 11), ao Dr. Pedro Coltro com o trabalho "</span><span style="text-transform: uppercase;">Resultados
da reconstrução imediata de defeitos perineais irradiados com o retalho
perfurante da artéria pudenda interna: experiência com 73 pacientes e 122
retalhos". </span></span><span style="font-family: "arial narrow"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span style="font-size: xx-small;"><span style="color: black; font-family: "arial narrow";">Foto 10. Entrega do Prêmio Vitor Spina, da Galeria de Melhores Trabalhos
do Congresso e apresentado por residentes de Serviços Credenciados, pelo Dr.</span><span style="font-family: "arial narrow";"> Alexandre Mendonça Munhoz
e pelo Dr. João Erfon, a Dra. Mariana Alcantara Rodrigues de Moraes, São
Paulo/SP. Dr. Alexandre Munhoz, Hospital Sírio-Libanês</span></span><span style="font-family: "arial narrow"; font-size: 14.0pt;"><o:p></o:p></span></div>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="font-size: 14pt;">Ainda na galeria dos melhores trabalhos tivemos o <b>Prêmio Ivo Pitanguy/SBCP - </b>Conferido ao
primeiro melhor trabalho científico sobre qualquer tema de cirurgia plástica ao
Dr. Rafael Denadai com o trabalho "</span> <span style="text-transform: uppercase;">Retalho miomucoso do músculo bucinador para o
tratamento da insuficiência velofaríngea em pacientes fissurados: Uma análise
prospectiva dos resultados de fala</span></span><span style="font-size: 14pt;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">" (Foto 12). Neste
ano, nenhum trabalho obteve a <b>Menção
honrosa</b> - conferida para o terceiro melhor trabalho científico apresentado
no congresso.</span><span style="font-family: "arial narrow"; font-size: 14pt;"><o:p></o:p></span></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 12. Entrega do Prêmio Ivo Pitanguy, da
Galeria de Melhores Trabalhos do Congresso, melhor trabalho, pelo Dr.</span><span style="font-family: "arial narrow";"> Alexandre Mendonça Munhoz e pelo Dr. José
Otávio de Freitas, ao Dr. Rafael Denadai, Campinas/SP. Dr. Alexandre Munhoz, Hospital Sírio-Libanês</span> </span></td></tr>
</tbody></table>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="font-size: 14pt;">Segundo o Capítulo 1 das </span><span style="font-size: 14pt;">Disposições
Gerais e Finalidades do Edital e Regimento da presente Comissão, e consoante o
Artigo 1o. deste Capítulo, a Comissão de Concurso e Concessão de Prêmios da
Sociedade Brasileira de Cirurgia Plástica (CCCP) tem por objetivo a avaliação e
o julgamento de trabalhos científicos inscritos e a concessão dos prêmios outorgados
pela SBCP. Consoante o a<span style="mso-bidi-font-weight: bold;">rtigo </span>2º,
a presente Comissão está diretamente ligada à Diretoria Executiva Nacional (DN)
da SBCP e está diretamente sujeita ao estatuto da SBCP. <o:p></o:p></span></span></div>
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<span style="font-size: 14pt;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"> No ano de 2016, foram 7 reuniões
realizadas com os membros da presente comissão, sendo 6 por meio de
video-conferência (presencial com coordenandor e secretários na sede da SBCP),
e 1 reunião presencial, com 90% dos membros da comissão, realizado na Jornada
Carioca de Cirurgia Plástica no Hotel Sofitel do Rio de Janeiro/RJ.</span><span style="font-family: "arial narrow"; font-size: 14pt;"><o:p></o:p></span></span></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhROPCwoHe1lw-TxJ0rGN6M-pnviCrA2NKm8mz72kzXfOZDH-2zQHAiLpnPjazGA3o6X-UAud_rVnbwqFL53hWFsMArly7r8VzwZjA0V5mhr8sieuHrhpkmvHu2KN-4IrMGa2xclIjEzdqA/s1600/Alexandre+Munhoz+PREMIOS+SBCP+2016+3.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="384" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhROPCwoHe1lw-TxJ0rGN6M-pnviCrA2NKm8mz72kzXfOZDH-2zQHAiLpnPjazGA3o6X-UAud_rVnbwqFL53hWFsMArly7r8VzwZjA0V5mhr8sieuHrhpkmvHu2KN-4IrMGa2xclIjEzdqA/s640/Alexandre+Munhoz+PREMIOS+SBCP+2016+3.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: "arial narrow"; text-align: justify;"><span style="font-size: xx-small;">Foto. Prof. Alexandre Mendonça Munhoz, na Cerimônia de Entrega do Prêmios da Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, Biênio 2016-2017</span></span><span style="font-family: "arial narrow"; text-align: justify;"><span style="font-size: xx-small;">. Dr. Alexandre Munhoz, Hospital Sírio-Libanês.</span></span></td></tr>
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<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span></div>
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<span style="font-size: 14pt;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Apesar
do processo de "limpeza" dos trabalhos com objetivo de se retirar
qualquer identificação da autoria dos estudos, dois membros da Comissão (Drs.
Ana Roxo e Cássio do Amaral) se apresentaram espontaneamente impedidos na
avaliação, pelo fato de terem participado de maneira direta e/ou indireta da
elaboração dos trabalhos a serem avaliados. Este aspecto ocorreu na 2a. fase
durante a avaliação por parte dos membros da Comissão, o qual englobou os 66
trabalhos recebidos da pré-seleção realizada pelo DEC. Desta forma, ambos os
colegas, com termo de impedimento, não participaram do julgamento dos referidos
trabalhos. Entre os presentes, coordenador e membros efetivos, todos avalizaram
os prêmios laureados, encerrando-se desta forma a Cerimônia de entrega dos
Prêmios da Comissão de Concursos e Concessão de Prêmios em Fortaleza/CE.<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"></span></div>
<div style="text-align: justify;">
<span style="font-size: large;"><br /></span></div>
</div>
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<span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="font-size: 14pt;"><span style="mso-tab-count: 1;"> </span>A presente Comissão da nossa SBCP,
biênio 2016-2017 (Foto 13) estará em plena atividade para o importante ato de
julgar os melhores trabalhos que serão enviados para o nosso grande Congresso
Brasileiro de Cirurgia Plástica no próximo ano. </span><span lang="X-NONE" style="font-size: 14pt;">Enfatizo
ainda que as informações sobre data de inscrição e entrega de trabalhos, seguem
a norma estabelecida pelo DEC, e serão divulgadas aqui no Plastikos e no site
SBCP. Saliento que só podem concorrer aos prêmios, os membros quites com a
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<span lang="X-NONE" style="font-size: 14pt;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Esperamos novamente pelos
seus trabalhos! <o:p></o:p></span></span></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"><a href="https://www.blogger.com/blogger.g?blogID=3239679360336445145" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-size: large;"><a href="https://www.blogger.com/blogger.g?blogID=3239679360336445145" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"></a></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 115%;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: large;">Prof.Dr. Alexandre Mendonça Munhoz</span><span style="font-size: medium;"><o:p></o:p></span></span></span></i></b></div>
<div class="MsoNormal" style="line-height: 115%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-size: 9pt; line-height: 115%;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Prof. Livre Docente da Faculdade de Medicina da
Universidade de São Paulo<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 115%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-size: 9pt; line-height: 115%;"><span style="color: #0b5394; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Chefe do Serviço de Reconstrução Mamária do Instituto
do Câncer do Estado de São Paulo (ICESP)<o:p></o:p></span></span></div>
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<!--StartFragment--><span style="font-size: xx-small;"><span style="font-family: "arial narrow";">Foto 13. Comissão de Prêmios da Sociedade
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Da esquerda para direita, Drs. Max Pereira, Lucio Marques da Silva, Yuji Ikuta,
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-46853592769837958322016-10-13T15:58:00.000-07:002016-10-13T17:48:51.663-07:00São Paulo Breast Symposium 2016 / Prof. Alexandre Mendonça Munhoz<h2>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #073763; font-size: x-large;">III São Paulo Breast Symposium</span></span></div>
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World Trade Center - WTC, São Paulo</div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVzAmE8ieV7FdgkycEAqUsz-9K9o_2lUz3BKPJ_pJYW_9Fhnp0x0OScnDakSK_3z_oxa-Hr0nRCKcelEOdHeY-WWqfATp8RoIb_92b-taeimgu71MxVuBRTm_M8LFGxOa6SVGxNN9sczo9/s1600/IMGL0269.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVzAmE8ieV7FdgkycEAqUsz-9K9o_2lUz3BKPJ_pJYW_9Fhnp0x0OScnDakSK_3z_oxa-Hr0nRCKcelEOdHeY-WWqfATp8RoIb_92b-taeimgu71MxVuBRTm_M8LFGxOa6SVGxNN9sczo9/s640/IMGL0269.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">São Paulo Breast Symposium, WTC-SP, Simpósio de Cirurgia de Mama Estética e Reparadora no World Trade Center 2016</td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">São Paulo Breast Symposium, WTC-SP, Simpósio de Cirurgia de Mama Estética e Reparadora no World Trade Center 2016</span></td></tr>
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<span style="color: #073763;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Realizado
no período de 29, 30 de setembro e 01 de outubro de 2016, o III São Paulo
Breast Symposium (III SPBSS), no World Trade Center (WTC) de São Paulo.
Semelhante aos anos anteriores, de 2015 realizado no Instituto Brasileiro de
Controle do Câncer (IBCC) e 2016 realizado no próprio WTC, o III SPBSS foi
formatado de maneira a manter uma maior interação possível entre palestrantes
consagrados na área de cirurgia estética e reparadora da mama, e a platéia
formada por essencialmente por cirurgiões plásticos com experiência na área
mamária. Este ano o evento contou com mais de 60 palestras, divididas em 20
sessões ou painéis com 3 apresentações cada, fato este que permitiu maior
ênfase a discussão entre os palestrantes e, sobretudo com a audiência.</span><o:p></o:p></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7Bwo50ONFkm2iy6HmYpzU0qjR3-uxYmOi58-_t2FF3CIUy66q-IgbZ77wxZO9IbSOVOoHWOHhICd1iqpjlgtmnnSU8XEYKTyHFTP9sX1DYQaN6aMoveRcRS-gdJoK_DUgmSpCLYAndGkv/s1600/SPBS+29+Alexandre+Munhoz.jpeg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7Bwo50ONFkm2iy6HmYpzU0qjR3-uxYmOi58-_t2FF3CIUy66q-IgbZ77wxZO9IbSOVOoHWOHhICd1iqpjlgtmnnSU8XEYKTyHFTP9sX1DYQaN6aMoveRcRS-gdJoK_DUgmSpCLYAndGkv/s640/SPBS+29+Alexandre+Munhoz.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante o São Paulo Breast Symposium (SPBSS), WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #073763;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">O
Professor <b><i>Alexandre Mendonça Munhoz</i></b>, co-chairmen do III SPBSS e um dos
responsáveis pelo programa científico, realizou no evento duas palestras
relacionadas à cirurgia estética da mama com o uso de implantes de silicone, e
duas moderações de painéis, relacionadas à novas tecnologias em cirurgia de
mama, e emprego de enxerto de gordura como procedimento em cirurgia mamária.</span><o:p></o:p></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_opLNWXl01V23r5n-3VjHWlfmoU5wovH3PfEwHE2odstez8LC0pgntTtM2uU1y-8-xupCHF1wLVNEpI7krrUO5jEt3HppK9lphjHjFdumGhED3iq7VIn1P24tyiwzoXGVW5glMcba9Ux0/s1600/unspecified-2.jpeg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj_opLNWXl01V23r5n-3VjHWlfmoU5wovH3PfEwHE2odstez8LC0pgntTtM2uU1y-8-xupCHF1wLVNEpI7krrUO5jEt3HppK9lphjHjFdumGhED3iq7VIn1P24tyiwzoXGVW5glMcba9Ux0/s640/unspecified-2.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
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<!--StartFragment--><span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Abordando sua experiência de 15 anos com a via
de acesso axilar, o Prof. Alexandre Munhoz, mostrou os aspectos técnicos,
indicações e resultados com o emprego da técnica no aumento mamário com
implantes de silicone, redondos e anatômicos (em gota). Segundo o Prof. Munhoz,
sua experiência apresentou constante mudanças e evoluções em relação a
preferência pela via de acesso e o formato do implante mamário. Desta forma, no
início da década de 2000 havia uma maior preferência por implantes redondos e
ausência de indicação para via de acesso axilar. </span></span></div>
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<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhT635gMig18LJ1jM62suiJZ5EsL7zxmFTtYKuHd9Nq9NthGQj2iXTwuCqGUDBR-CA7fcTA9ECaECuHpHzUWjcHQ1BRM7qxfp9UbhpHRe-tiiaSwHYKWnmTNG6KKxxMDvCHYf4K5SimW0Cy/s1600/IMGL1345.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhT635gMig18LJ1jM62suiJZ5EsL7zxmFTtYKuHd9Nq9NthGQj2iXTwuCqGUDBR-CA7fcTA9ECaECuHpHzUWjcHQ1BRM7qxfp9UbhpHRe-tiiaSwHYKWnmTNG6KKxxMDvCHYf4K5SimW0Cy/s640/IMGL1345.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, em palestra sobre Via de Acesso Axilar e Implantes de Silicone, no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
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<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Com o aprimoramento da
técnica, o advento do uso do endoscópico e a identificação de sub-grupos de
pacientes que teríam melhor benefício com formatos de implantes distintos,
houve um aumento do emprego do implantes anatômicos e o início do uso da via de
acesso axilar. Com a evolução destes aspectos, atualmente na experiência do
Prof. Alexandre Munhoz, o uso da via axilar representa 80% e o emprego de
implantes anatômicos quase 50% dos casos clínicos. </span></span></div>
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<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaysXFSDgMRLnAI6Lzb08XFHYmZ-l2A-umQ_PT_nVRzAMZ_AlUNZbHvZ0C6jntNmp9MyYecuhM65EyXmWccrRk6AF0LrILKsv4UoFy17Qskx0TXX3TxwHLhqm8gO-uGwdEztkBQMIFs_2b/s1600/IMGL1354.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaysXFSDgMRLnAI6Lzb08XFHYmZ-l2A-umQ_PT_nVRzAMZ_AlUNZbHvZ0C6jntNmp9MyYecuhM65EyXmWccrRk6AF0LrILKsv4UoFy17Qskx0TXX3TxwHLhqm8gO-uGwdEztkBQMIFs_2b/s640/IMGL1354.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante aula sobre Via de Acesso Axilar e Implantes de Silicone Redondos e Anatômicos, no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span><br />
<span style="font-size: xx-small;"><br /></span></td></tr>
</tbody></table>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4hYZdAh3V2P3fn0dFgs7z4iwmG9P7bt5lTl79NXfL7avqHlXIxmQIyzPrf29iK3hUaqFHLHsjMleVStuVPkVUZZrkWvWySevVe8PEiFkGTWr7mZ7_5BbUPFQ7jt7uh4qYIQzRwxjvXwFq/s1600/Publicac%25CC%25A7o%25CC%2583es+Alexandre+Munhoz+.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4hYZdAh3V2P3fn0dFgs7z4iwmG9P7bt5lTl79NXfL7avqHlXIxmQIyzPrf29iK3hUaqFHLHsjMleVStuVPkVUZZrkWvWySevVe8PEiFkGTWr7mZ7_5BbUPFQ7jt7uh4qYIQzRwxjvXwFq/s320/Publicac%25CC%25A7o%25CC%2583es+Alexandre+Munhoz+.jpg" width="320" /></a><span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span></span><br />
<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Essa experiência resultou em
duas publicações indexadas, quais sejam a experiência inicial com emprego de
implantes de silicone redondos e uso da via axilar (Aesth Plast Surg, 2005) e a
experiência mais tardia com uso dos implantes anatômicos e emprego da via de
acesso axilar (Clin Plast Surg, 2015). Em ambas as publicações, foram analisadas a técnica cirúrgica, aspectos relacionados ao planejamento e resultados cirúrgicos com evolução a curto, médio e longo prazo.</span></span></span><br />
<br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWQ7JhYQyzGAxsh6S6chdG8jqkeBwSKb8oV41tWQnurfI07oTXHsa7d_OOPnoeev7InLJtm8VUDRxbM7LUxU03gpa1uwwLkTe9OeEKcXAGozVYOK9dr3NMGgv1gVE3BingVGGHXCBRze3I/s1600/Vantagens+Axilar+Alexandre+Munhoz+.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWQ7JhYQyzGAxsh6S6chdG8jqkeBwSKb8oV41tWQnurfI07oTXHsa7d_OOPnoeev7InLJtm8VUDRxbM7LUxU03gpa1uwwLkTe9OeEKcXAGozVYOK9dr3NMGgv1gVE3BingVGGHXCBRze3I/s320/Vantagens+Axilar+Alexandre+Munhoz+.jpg" width="320" /></a><span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"></span></span><br />
<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Entre os principais benefícios relacionados a via de acesso pela axila, merece destaque o posicionamento da cicatriz em região distante da mama, e desta forma a completa ausência de cicatrizes pós a colocação do implante de silicone, nas áreas mamárias. Em pacientes com pouca definição do sulco infra-mamário ou em pacientes com assimetrias do sulco, a via axilar permite maior precisão na definição do neo-sulco uma vez que não há cicatrizes nesta região.</span></span></span><br />
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7np7B3hE3JhTlg4k7FqS6pqvhhEASJgUGfeV52uXL4dCc2mX6lO_mx2H1Uj0d_XperRSb_maSCBqIBU-ah8GdVIc6XXlp7sO8NCxZafsiPdZJMrgsY-OlWVBsOm38M-GK3GrzWVy8BmDb/s1600/SPBS+16+Alexandre+Munhoz.jpeg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7np7B3hE3JhTlg4k7FqS6pqvhhEASJgUGfeV52uXL4dCc2mX6lO_mx2H1Uj0d_XperRSb_maSCBqIBU-ah8GdVIc6XXlp7sO8NCxZafsiPdZJMrgsY-OlWVBsOm38M-GK3GrzWVy8BmDb/s640/SPBS+16+Alexandre+Munhoz.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante a moderação no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Associado a esses aspectos, e as vantagens relacionadas a via axilar e já enfatizadas em publicações prévia, o Dr. Munhoz salientou o consenso publicado previamente e já exposto neste blog, o DELPHI Consensus sobre o uso de implantes anatômicos, o qual coloca as principais indicações e contra-indicações dos implantes. </span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUwjfQGEBYr6iDKqSEEQYhY8FLzIgBtBFgw_kqDdxXsk3O-ScYM2u9RLGilJ414dbeX4gDtFdDVD4y6CRSaOTcD7jao2iboauUnGn-tSsgqjUuLk-RmYmhgbwmBRQhQLkjOfA2q_Tz_KQh/s1600/Delphi+Axilar+Alexandre+Munhoz+.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUwjfQGEBYr6iDKqSEEQYhY8FLzIgBtBFgw_kqDdxXsk3O-ScYM2u9RLGilJ414dbeX4gDtFdDVD4y6CRSaOTcD7jao2iboauUnGn-tSsgqjUuLk-RmYmhgbwmBRQhQLkjOfA2q_Tz_KQh/s320/Delphi+Axilar+Alexandre+Munhoz+.jpg" width="320" /></a></div>
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Neste consenso, pacientes que desejavam menores aumento de polo superior de mama, e que apresentavam insuficiência de polo inferior da mama, com constrição desta área ou mesmo aspectos relacionados à mama tuberosa ou semi-tuberosa apresentaram os maiores índices de concordância na opinião dos especialistas participantes em relação a indicação e contra-indicação destes implantes. Ademais, foram discutidos alguns aspectos relacionados à indicação atual dos implantes anatômicos e redondos. Desenvolvido pelo Prof. Alexandre Munhoz, o Diagrama de Critérios de Indicação, permite identificar sub-grupos específicos de pacientes de acordo com o volume do polo superior da mama, a espessura tecidual e o volume mamário desejado pela paciente. </span><br />
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIqDBfqVxnVhJxo2oT1hkRXwxo9A3fmcLO_PTFbxRLyLN-R1TIoRxFM6M2vh04l4mTZ2r-f34bmauWyAamAnF4k002jscToHYBulfjvQQjNoRDZw5csrFoArKEp5o1wKiUTDS138drAHom/s1600/IMGL1515.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="425" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIqDBfqVxnVhJxo2oT1hkRXwxo9A3fmcLO_PTFbxRLyLN-R1TIoRxFM6M2vh04l4mTZ2r-f34bmauWyAamAnF4k002jscToHYBulfjvQQjNoRDZw5csrFoArKEp5o1wKiUTDS138drAHom/s640/IMGL1515.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante a moderação no Painel de Implantes de Mama no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Neste sentido, há a possibilidade de identificação de um grupo de mulheres, denominadas na classificação de sub-tipo I, a qual desejam um maior volume no polo superior, apresentam maior espessura tecidual (glândula mamária e tecido adiposo), e não desejam grandes aumentos em relação ao volume do implante. No outro extremo, são as mulheres mais magras, preferencialmente atletas, com baixo índice de massa corpórea (IMC), e que não desejam grandes volumes ou maior proeminência do polo superior, denominadas estas de tipo IV, de acordo com o diagrama. </span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrab56h0CEPd8okoj5bqIl_FfKr1g-4FyPj3hpcMajbYx7KwLD5taXSFdUQzcR_qOtMRWjLvLlQQwp7ArujfnToLykiSeFRU0uLPEfN3xFByJswXHNCD7aYb8HoyzQ5jHTJEPEIefZgor7/s1600/Diagrama+Axilar+Alexandre+Munhoz+.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrab56h0CEPd8okoj5bqIl_FfKr1g-4FyPj3hpcMajbYx7KwLD5taXSFdUQzcR_qOtMRWjLvLlQQwp7ArujfnToLykiSeFRU0uLPEfN3xFByJswXHNCD7aYb8HoyzQ5jHTJEPEIefZgor7/s320/Diagrama+Axilar+Alexandre+Munhoz+.jpg" width="320" /></a></div>
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Desta forma, as pacientes do tipo I teriam maior benefício com os implantes redondos, já as mulheres do tipo IV, maior vantagem e resultado estético com os implantes anatômicos. Nos sub-grupos intermediários (II e III), cada caso deveria ser avaliado individualmente e empregando outros critérios associados, podendo nestes grupos, benefícios tanto com as matrizes redondas quanto com as anatômicas.</span><br />
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioPo1X4iWx5QFrRONKnVgoXVWX8vqlNGLI6lvgJH4DWd7qNX4i1cHbsm9csYTHHPykgnpF_G1qXpQt_1L7JbN7A3wE-me24V68FkHhJs_JMG4eHarPAWzPIICMFWXWBeTdtPn9qdRuSUDB/s1600/IMGL1376.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioPo1X4iWx5QFrRONKnVgoXVWX8vqlNGLI6lvgJH4DWd7qNX4i1cHbsm9csYTHHPykgnpF_G1qXpQt_1L7JbN7A3wE-me24V68FkHhJs_JMG4eHarPAWzPIICMFWXWBeTdtPn9qdRuSUDB/s640/IMGL1376.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante a palestra no Painel de Implantes de Mama no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
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<br />
<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span>
<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span><br />
<span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="background-color: white;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;"><span style="font-size: 12pt;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Apesar das vantagens pontuadas previamente, há como em qualquer técnicas algumas limitações inerentes ao procedimento. </span></span>Como em qualquer cirurgia, alguns fatores limitantes estão relacionados e que restringem a sua maior aplicação. A complexidade da técnica, os custos hospitalares e a necessidade de materiais especiais são mencionados como principais desvantagens da via axilar, sobretudo com o emprego da endoscopia na cirurgia de mastoplastia de aumento. </span></span></span><br />
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEifNvq2HY8ajSCEoPJGCKvEaEg7hST_1zyT5hI0ActwccTFV0tTvqEEIFgZr0AI45jEUjlpkmXTqYz85eBGZiggmNJRbxqqkkkGrKQRl4o7AUZeuplWCc7LbMxREJqWfEleXxdN-dnIolpN/s1600/IMGL1510.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEifNvq2HY8ajSCEoPJGCKvEaEg7hST_1zyT5hI0ActwccTFV0tTvqEEIFgZr0AI45jEUjlpkmXTqYz85eBGZiggmNJRbxqqkkkGrKQRl4o7AUZeuplWCc7LbMxREJqWfEleXxdN-dnIolpN/s640/IMGL1510.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante a moderação após palestra no Painel de Implantes de Mama no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="background-color: white;"><span style="color: #073763; font-size: large;">Apesar destas limitações, a técnica apresenta benefícios em relação às técnicas convencionais. Vale ressaltar a ausência de cicatrizes na região mamária e o melhor controle no posicionamento do sulco infra-mamário como as principais vantagens advindas da via de acesso axilar na mastoplastia de aumento. Ademais, com o advento da variante técnica sem o emprego da endoscopia, torna a técnica axilar mais acessível, fato este que implica também em redução de custos cirúrgicos. De fato, e já pontuado pelo Prof. Alexandre Munhoz na publicação de 2006, </span></span><span style="background-color: white; color: #073763; font-size: large;">a técnica promove modificações e estabelece a padronização da via axilar em mamoplastia de aumento, porém sem o emprego da endoscopia. </span></span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEju7tefeHxxucE4V1AWpZ9WYxdcGbyiJR91-bPfTCRYbimPZgEaaPvawUNipCQQAvyDrVotNSI2d8wgUjb72nZLGbOGn034PpF3JmJ586cmzo3vxzlqXHaTK3svqwZeY2OeKB4iOmrf9zpZ/s1600/SPBS+20+Alexandre+Munhoz.jpeg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEju7tefeHxxucE4V1AWpZ9WYxdcGbyiJR91-bPfTCRYbimPZgEaaPvawUNipCQQAvyDrVotNSI2d8wgUjb72nZLGbOGn034PpF3JmJ586cmzo3vxzlqXHaTK3svqwZeY2OeKB4iOmrf9zpZ/s640/SPBS+20+Alexandre+Munhoz.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, durante a palestra no Painel de Implantes de Mama no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="background-color: white; color: #073763; font-size: large;">Publicado em 2006 no periódico americano <i>Aesthetic Plastic Surgery</i>, o Prof. Munhoz descreve aspectos técnicos e a evolução do emprego da técnica em 60 pacientes submetidas a mastoplastia de aumento por via de acesso axilar e em posição subfascial. Por meio de afastadores especiais e marcações e posições pré-estabelecidas aprimora a dissecção na região da fáscia do músculo peitoral maior e na preservação dos vasos linfáticos e nervos da região axilar. </span></span><span style="background-color: white; color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Nesta variante técnica, sem o emprego do endoscópico, o posicionamento adequado na mesa de cirurgia além do uso de afastadores e, sobretudo, de descoladores "customizados" permitiu a completa visualização da loja retrofascial e a adequada hemostasia. </span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglGb7s5OlWsyb8Ru3sSkgosZz4amKR558sychUUsOI0GOL9YYXSwgCnsYZ3cNx4rKLWfm4oHylz08iKqKSoEnph0dMQbsZ4oESiEdMYWmd2SZxLiQGNtx7iOxdyWT4h2b4vE4h9x3C07rH/s1600/SPBS+19+Alexandre+Munhoz.jpeg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEglGb7s5OlWsyb8Ru3sSkgosZz4amKR558sychUUsOI0GOL9YYXSwgCnsYZ3cNx4rKLWfm4oHylz08iKqKSoEnph0dMQbsZ4oESiEdMYWmd2SZxLiQGNtx7iOxdyWT4h2b4vE4h9x3C07rH/s640/SPBS+19+Alexandre+Munhoz.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, em palestra no Painel de Implantes de Mama no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
<span style="background-color: white; color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span>
<span style="background-color: white; color: #073763; font-size: large;"><span style="font-family: helvetica neue, arial, helvetica, sans-serif;">Em pacientes brevilíneas e na colocação de implantes de médio volume, a técnica tem se mostrado exequível, com baixa morbidade e relativa simplicidade do ponto de vista técnico. Ademais, toda a dissecção é realizada em um plano cirúrgico entre a fáscia do músculo peitoral maior e o próprio músculo.</span><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"> </span></span><span style="background-color: white; color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Desta forma e frente a essas evidências e somando a inúmeras outras experiências de outros autores analisando casuísticas retrospectivas podemos ponderar que a técnica da via axilar para a colocação do implante mamário de silicone encontra-se estabelecida. </span><br />
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSo2qCq1wcQFCrIqaDDkeTqeDu1K8dcEWnA3kiz3nZGxuY-WhnlPxrIUS-oXGdz94gXZuazoGOnr9MU9afih5vfcRpKD1B2Aj9RqUcufk851v8-9JgXYOrN0GRQeRqFunsje9GwZtHKo4L/s1600/SPBS+34+Alexandre+Munhoz.jpeg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSo2qCq1wcQFCrIqaDDkeTqeDu1K8dcEWnA3kiz3nZGxuY-WhnlPxrIUS-oXGdz94gXZuazoGOnr9MU9afih5vfcRpKD1B2Aj9RqUcufk851v8-9JgXYOrN0GRQeRqFunsje9GwZtHKo4L/s640/SPBS+34+Alexandre+Munhoz.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof. Alexandre Mendonça Munhoz, em palestra no Painel de Implantes de Mama no São Paulo Breast Symposium, WTC-2016, Simpósio de Cirurgia de Mama Estética e Reparadora, Protese de Mama, Implante de Mama Silicone, Mastoplastia de Aumento, Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
<span style="background-color: white; color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;"><br /></span>
<span style="background-color: white; color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">A padronização da técnica cirúrgica, seja ela com ou sem endoscopia, o emprego da via subfascial em casos selecionados e, sobretudo a atenção a anatomia e a técnica cirúrgica no que que tange a preservação neural e linfática, permite lograr resultados estéticos muito satisfatórios e com índice de complicação baixo e semelhante ao observado nos demais procedimentos empregados na mamoplastia de aumento.</span><br />
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-45569230029719130362016-10-03T18:00:00.000-07:002016-10-03T18:00:10.821-07:00Cirurgia Inédita, Prof.Dr. Alexandre Mendonça Munhoz / Hospital Sírio-Libanês <div style="text-align: center;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-large;"><b>Reconstrução Mamária com Engenharia de Tecidos e Transplante de Gordura Autógena</b></span></div>
<div style="text-align: center;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;"><i>Prof. Dr. Alexandre Mendonça Munhoz</i></span></div>
<div style="text-align: center;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;"><b>Hospital Sírio-Libanês</b></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgktmxf-nHLoYOVOXFwDGzm0v7aGfWAWdq1GyxACcebxlBBIZObpX2miqr6SzcbEU3r2OwUrZ4JImenMw4Ya0qmCVXlLR4RO13UOV9abK0RzY0UhBmdieD1ETnjXaqU2mH7a-0FdMGYglq_/s1600/criacao-novo-logotipo-sirio-libanes.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="160" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgktmxf-nHLoYOVOXFwDGzm0v7aGfWAWdq1GyxACcebxlBBIZObpX2miqr6SzcbEU3r2OwUrZ4JImenMw4Ya0qmCVXlLR4RO13UOV9abK0RzY0UhBmdieD1ETnjXaqU2mH7a-0FdMGYglq_/s400/criacao-novo-logotipo-sirio-libanes.png" width="400" /></a></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;">O Prof. Dr.
Alexandre Mendonça Munhoz, cirurgião plástico e docente pleno do programa de
pós-graduação do Hospital Sírio-Libanês, realizou pela primeira vez no Brasil,
a reconstrução mamária com técnica de engenharia de tecidos e transplante de
gordura autógena purificada. A reconstrução da mama foi realizada de maneira
imediata após mastectomia redutora de risco executada pelo mastologista Prof.
Dr. José Roberto Filassi no mês de agosto no Hospital, fato inédito em nosso meio.</span></span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;"><br /></span></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiwCwWmFwB4siwANv0Au8mZ-vgwTJkocIMz6SPmg_d1PXD7AS7W4uhcnnMifOWz5yToxzSVXjH7ENrn1q6op9FrbubdTYWJ0cbEl56DsTpPBaIPq2FZZZsGBQ-G1KGzNnXP9szISQsaaLIo/s1600/Alexandre+Munhoz.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="351" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiwCwWmFwB4siwANv0Au8mZ-vgwTJkocIMz6SPmg_d1PXD7AS7W4uhcnnMifOWz5yToxzSVXjH7ENrn1q6op9FrbubdTYWJ0cbEl56DsTpPBaIPq2FZZZsGBQ-G1KGzNnXP9szISQsaaLIo/s400/Alexandre+Munhoz.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Prof.Dr. Alexandre Mendonça Munhoz, cirurgião plástico do Hospital Sírio-Libanês, Professor Livre-Docente Cirurgia Plástica pela Faculdade de Medicina da Universidade de São Paulo (FMUSP). Reconstrução da Mama, Reconstrução Mamária. Enxerto de Gordura. </td></tr>
</tbody></table>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Na cirurgia de redução de risco (adenomastectomia profilática) foi
empregado uma matriz de tecido biológico acelular com preservação da arquitetura
conjuntiva original (Strattice<sup>tm</sup>), o que proporcionou uma estrutura
de suporte para o implante de silicone e crescimento de células durante o
processo de integração. A matriz permitiu ainda a total cobertura inferior do
implante sem a utilização de retalhos musculares, os quais apresentam maior
morbidade, tempo cirúrgico e dor pós-operatória. <o:p></o:p></span></span></div>
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<span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5tCEweefMLt-9BRc6hs1lrthqdqaA4yu7vlaJrfTUn9dWUpJwBqOJUPwlT8f-ci_0F_62S3ud60QCPhMEUejq8xVGrjLRov_BYVkgfaOrsuCR1UiJZ8vvImlDhIFwkl-V-3oyGPfbXfMG/s1600/Alexandre+Munhoz+e+Strattice+Si%25CC%2581rio-Libane%25CC%2582s+1+Pagina+resumed.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5tCEweefMLt-9BRc6hs1lrthqdqaA4yu7vlaJrfTUn9dWUpJwBqOJUPwlT8f-ci_0F_62S3ud60QCPhMEUejq8xVGrjLRov_BYVkgfaOrsuCR1UiJZ8vvImlDhIFwkl-V-3oyGPfbXfMG/s640/Alexandre+Munhoz+e+Strattice+Si%25CC%2581rio-Libane%25CC%2582s+1+Pagina+resumed.jpg" width="419" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Prof.Dr. Alexandre Mendonça Munhoz, cirurgião plástico do Hospital Sírio-Libanês e Professor Livre-Docente Cirurgia Plástica pela Faculdade de Medicina da Universidade de São Paulo (FMUSP). Matéria de destaque no Hospital Sírio-Libanês como primeiro procedimento cirúrgico realizado no Brasil com nova tecnologia (engenharia de tecidos e transplante de gordura purificada). Reconstrução da Mama, Reconstrução Mamária. Enxerto de Gordura. </td></tr>
</tbody></table>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;">Associado ao
procedimento com emprego da matriz biológica, foi utilizado uma nova tecnologia para a captação e purificação
de tecido adiposo com o emprego de dispositivo fechado destinado a filtragem e
transferência imediata de gordura autógena (Revolve System™). Essa nova
tecnologia, permite o processamento de gordura em tempo rápido, em circuito
fechado e desta forma sem contaminação. </span></span><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: medium;">Os procedimentos, inéditos em nosso meio, mereceram destaque no Jornal do Hospital Sírio-Libanês (Entre Médicos) o qual enfatizou o pioneirismo no âmbito da reconstrução da mama pós câncer e cirurgias redutoras de risco. De modo semelhante, a cirurgia inédita foi motivo de "release" nos EUA como primeiro emprego da nova tecnologia no Brasil.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwFszLOlISxq7Y0zNyK20A_lcfBYYLoLzsoG3Faygu9Hq9ZSWM78fXP6Agdf5PXFvxWzOJe-NMZAKBB66yIMYdURY8MXXkphOlX9i8yc58syOjFDx2vKHh2PE5kjIBy2VOAc5KZc7CpSmw/s1600/Alexandre+Munhoz+Acelity.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="324" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhwFszLOlISxq7Y0zNyK20A_lcfBYYLoLzsoG3Faygu9Hq9ZSWM78fXP6Agdf5PXFvxWzOJe-NMZAKBB66yIMYdURY8MXXkphOlX9i8yc58syOjFDx2vKHh2PE5kjIBy2VOAc5KZc7CpSmw/s640/Alexandre+Munhoz+Acelity.png" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Release internacional (EUA) sobre Prof.Dr. Alexandre Mendonça Munhoz, cirurgião plástico do Hospital Sírio-Libanês e Professor Livre-Docente Cirurgia Plástica pela Faculdade de Medicina da Universidade de São Paulo (FMUSP). Matéria de destaque nos EUA como primeiro procedimento cirúrgico realizado no Brasil com nova tecnologia (engenharia de tecidos e transplante de gordura purificada). Reconstrução da Mama, Reconstrução Mamária. Enxerto de Gordura. </td></tr>
</tbody></table>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span lang="EN-US" style="font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-size: 12.0pt;">Estudos
demonstram que a retenção de tecido adiposo é equivalente à técnica de
centrifugação porém significativamente mais elevado do que o método de
decantação. Ademais, a presente tecnologia remove em maior volume o óleo livre
e células vermelhas do sangue quando comparado aos demais métodos de decantação
ou centrifugação, permitindo assim melhores resultados e menor índice de
complicações.</span><span style="font-size: 14.0pt; mso-bidi-font-size: 12.0pt;"><o:p></o:p></span></span></div>
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<span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Ambas as tecnologias
foram recentemente aprovadas no Brasil pela ANVISA e estão disponíveis há
alguns anos nos EUA e Europa. O Hospital Sírio-Libanês é o primeiro Hospital a aplica-las
no âmbito da reconstrução mamária pós câncer. </span></span></div>
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<span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="color: #191919; font-size: 14.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Calibri Bold Italic"; mso-bidi-font-size: 18.0pt;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">O Prof. Dr. Munhoz, também Livre-Docente
pela FMUSP, participa na orientação de pesquisas no programa de pós-graduação
do IEP com o emprego de enxerto de gordura na cirurgia mamária.</span></span><span lang="EN-US" style="color: #191919; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 16.0pt;"><o:p></o:p></span></div>
alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-67951723757368787082016-07-03T10:07:00.000-07:002016-07-03T10:07:27.558-07:00Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica / Prof.Dr. Alexandre Mendonça Munhoz<div style="text-align: center;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-large;">Comissão de Prêmios da Sociedade Brasileira de Cirurgia Plástica</span></div>
<div style="text-align: center;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;"><b>Prof.Dr. Alexandre Mendonça Munhoz</b></span></div>
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmwNLUNNkXC4pVF7TGJfUAQFVoDmafVuwWbdhb45SeoaddzZDhGvG_qUtRvENQjlaarQpvLqZ0QG4yhmgkC0casefzR-_sX9nNYOXe12ZPklqIEQqPi2i2TcP7i7CIo4AM7YYyB1zUb4ja/s1600/Alexandre+Munhoz+Foto.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmwNLUNNkXC4pVF7TGJfUAQFVoDmafVuwWbdhb45SeoaddzZDhGvG_qUtRvENQjlaarQpvLqZ0QG4yhmgkC0casefzR-_sX9nNYOXe12ZPklqIEQqPi2i2TcP7i7CIo4AM7YYyB1zUb4ja/s400/Alexandre+Munhoz+Foto.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;"><span style="font-size: xx-small;">Prof.Dr. Alexandre Mendonça Munhoz, Coordenador da Comissão de Concursos e Concessão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, biênio 2016-2017. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica. Hospital Sírio-Libanês.</span></td></tr>
</tbody></table>
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<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">A Comissão de Concursos e Concessão de Prêmios (CCCP)
da nossa SBCP, biênio 2016-2017 está em plena atividade e após diversas
reuniões semanais estamos todos alinhados para o importante ato de julgar os
melhores trabalhos enviados para o nosso grande Congresso Brasileiro de
Cirurgia Plástica em novembro, na belíssima Fortaleza/CE. Trata-se de mais de
meio século de congressos realizados com o trabalho e esforço de várias
gerações de cirurgiões que dirigiram a SBCP e que nos proporcionaram
congraçamento, expertise científica e produção de conhecimentos na nossa
especialidade. <o:p></o:p></span></span></div>
<div class="MsoBodyText3" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></span></div>
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<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">A crescente excelência cientifica é claramente
observada com o reconhecimento internacional, e com um número cada vez maior de
participantes estrangeiros e trabalhos enviados. Há seis anos ultrapassamos, em
número de inscritos, o maior congresso americano da ASPS, sendo atualmente o
Congresso Brasileiro de Cirurgia Plástica, o maior congresso do mundo na
Especialidade. <o:p></o:p></span></span></div>
<div class="MsoBodyText3" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Na CCCP não seria diferente e o mesmo cuidado, zelo e árduo
trabalho do DEC chefiado pela Profa. Lydia Masako na preparação científica do
nosso congresso, está sendo aplicado na estruturação da presente comissão de
prêmios. Semelhante aos anos precedentes, enfatizo que todos, sim todos, os
trabalhos enviados ao congresso serão avaliados de maneira criteriosa pela
nossa comissão com rigor científico e ênfase à metodologia científica,
casuística, inovação e ineditismo. Os melhores serão selecionados para análise
pela CCCP durante o Congresso Brasileiro, e a contemplação com os prêmios
pertinentes para os melhores de cada categoria.<o:p></o:p></span></span></div>
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmFIr2MPaiPhNzdo06dDT3vbjRkdlOf13MGZyeysgZAsWodheIwJB3tqPS5nrXNGqQle1XNoUmdVovpNapZWXiHoT4dx0dHRMub6dZF56hLo_VQ_Ub2s1WNpQO-rJ-ME_O28NzBq8TTSPW/s1600/Comissa%25CC%2583o+de+Premios+SBCP.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhmFIr2MPaiPhNzdo06dDT3vbjRkdlOf13MGZyeysgZAsWodheIwJB3tqPS5nrXNGqQle1XNoUmdVovpNapZWXiHoT4dx0dHRMub6dZF56hLo_VQ_Ub2s1WNpQO-rJ-ME_O28NzBq8TTSPW/s640/Comissa%25CC%2583o+de+Premios+SBCP.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td class="tr-caption" style="font-size: 13px; text-align: justify;"><span style="font-size: xx-small;">Prof.Dr. Alexandre Mendonça Munhoz, Coordenador da Comissão de Concursos e Concessão de Prêmios da Sociedade Brasileira de Cirurgia Plástica, biênio 2016-2017. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica. Hospital Sírio-Libanês.<br /></span></td></tr>
</tbody></table>
</td></tr>
</tbody></table>
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<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></span></div>
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<span style="color: #073763; font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: 14pt;">Assim, todos os trabalhos
científicos inscritos para o Congresso Brasileiro de Cirurgia Plástica, que
forem selecionados para apresentação durante o Congresso pelo DEC, e
autorizados pelos autores, estarão potencialmente concorrendo aos seguintes
prêmios:</span></div>
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<br /></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio Ivo Pitanguy/SBCP - </span></b><span style="font-size: 14pt;">Conferido
ao primeiro melhor trabalho científico sobre qualquer tema de cirurgia
plástica, apresentado no Congresso Brasileiro.<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio Antônio Prudente - </span></b><span style="font-size: 14pt;">Conferido
ao segundo melhor trabalho científico sobre qualquer tema de cirurgia plástica,
apresentado no Congresso Brasileiro.<o:p></o:p></span></span></div>
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<br /></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Menção honrosa</span></b><span style="font-size: 14pt;">
- para o terceiro melhor trabalho científico, sobre qualquer tema de cirurgia
plástica, apresentado no congresso brasileiro.<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-right: -5.95pt; text-align: justify; text-justify: inter-ideograph;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio Farid Hakme
</span></b><span style="font-size: 14pt;">- Conferido ao 1º colocado no concurso para obtenção do título
de especialista.<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-right: -5.95pt; text-align: justify; text-justify: inter-ideograph;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio Nemer
Chidid </span></b><span style="font-size: 14pt;">- Conferido ao melhor trabalho apresentado no exame
para ascensão a membro Titular.<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-right: -5.95pt; text-align: justify; text-justify: inter-ideograph;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;">Prêmio Victor
Spina</span></b><span style="font-size: 14pt;"> - Conferido ao melhor trabalho apresentado por
residentes de serviços credenciados.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-right: -5.95pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Prêmios da Galeria
de Pesquisas Laboratoriais e Experimentais: <o:p></o:p></span></span></b></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">I-<b style="mso-bidi-font-weight: normal;">Prêmio Evaldo D´Assumpção</b> – Conferido
ao melhor trabalho experimental, apresentado por membro Titular, Associado ou
Aspirante a membro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">II-<b style="mso-bidi-font-weight: normal;">Prêmio
Roberto Correa Chem</b> – Conferido ao melhor trabalho sobre pesquisa clínica e
laboratorial, apresentado por membro Titular, Associado ou Aspirante a membro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Prêmios da Galeria
de Pesquisas em Cirurgias Reconstrutoras: <o:p></o:p></span></span></b></div>
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<br /></div>
<div class="MsoNormal" style="margin-right: -5.95pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">I-<b style="mso-bidi-font-weight: normal;">Prêmio
Raul Couto Sucena</b> - Conferido ao melhor trabalho sobre queimaduras,
apresentado por membro Titular, Associado ou Aspirante a membro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">II-<b style="mso-bidi-font-weight: normal;">Prêmio
Sirlei Rinaldi </b>- Conferido ao melhor trabalho sobre microcirurgia,
apresentado por membro Titular, Associado ou Aspirante a membro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">III-<b style="mso-bidi-font-weight: normal;">Prêmio
Sílvio Zanini</b> – Conferido ao melhor trabalho sobre cirurgia crânio maxilo
facial, apresentado por membro Titular, Associado ou Aspirante a membro.<o:p></o:p></span></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 14.2pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Prêmios da Galeria
de Pesquisas em Cirurgias Estéticas e Ética Médica:<o:p></o:p></span></span></b></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">I-<b style="mso-bidi-font-weight: normal;">Prêmio Georges Arié </b>- Conferido ao
melhor trabalho sobre cirurgia plástica da mama, apresentado por membro
Titular, Associado ou Aspirante a membro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">II-<b style="mso-bidi-font-weight: normal;">Prêmio
Jussara Personelle </b>- Conferido ao melhor trabalho sobre cirurgia não
Invasiva e Laser, apresentado por membro Titular, Associado ou Aspirante a
membro.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-top: 6.0pt; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">III-<b style="mso-bidi-font-weight: normal;">Prêmio
Antonio Pinheiro</b> - Conferido ao melhor trabalho sobre ética médica,
responsabilidade médica e segurança em cirurgia plástica, apresentado por
membro Titular, Associado ou Aspirante a membro.<o:p></o:p></span></span></div>
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<div class="MsoBodyTextIndent" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="X-NONE" style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Enfatizo ainda que as
informações sobre data de inscrição e entrega de trabalhos, seguem a norma
estabelecida pelo DEC, e divulgada aqui no Plastikos e no site SBCP. A escolha
dos melhores trabalhos será feita pela CCCP, por meio de critérios próprios e
objetivos de seleção e em congruência com os métodos de avaliação das
principais revistas indexadas de cirurgia plástica internacional.<span style="mso-spacerun: yes;"> </span>Saliento que só podem concorrer aos prêmios,
os membros quites com a tesouraria da SBCP (membros Titulares e Associados,
Aspirantes a membros), todos devidamente inscritos no Congresso
Brasileiro.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
<div class="MsoBodyTextIndent" style="margin-bottom: .0001pt; margin: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="X-NONE" style="font-size: 14pt;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Esperamos pelos seus
trabalhos! <o:p></o:p></span></span></div>
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<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 14pt; line-height: 115%;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Alexandre Mendonça Munhoz<o:p></o:p></span></span></i></div>
<div class="MsoNormal" style="line-height: 115%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-size: 9pt; line-height: 115%;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Prof. Livre Docente da Faculdade
de Medicina da Universidade de São Paulo<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 115%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span lang="EN-US" style="font-size: 9pt; line-height: 115%;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Chefe do Serviço de Reconstrução
Mamária do Instituto do Câncer do Estado de São Paulo (ICESP)<o:p></o:p></span></span></div>
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<span lang="EN-US" style="font-size: 9pt; line-height: 115%;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Coordenador da </span></span><span lang="X-NONE" style="font-size: 9pt; line-height: 115%;"><span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Comissão de Concursos e
Concessão de Prêmios (CCCP) da SBCP (2016-2017)</span><b style="color: black; font-family: Tahoma;"><o:p></o:p></b></span></div>
alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-74143542038643266162016-05-30T15:41:00.000-07:002016-05-30T17:26:57.778-07:00Prof.Dr. Alexandre Mendonça Munhoz / Painel de Complicações em Implantes Mamários<div style="text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">Painel Complicações em Implantes Mamários</span></div>
<div style="text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><b>Jornada Paulista de Cirurgia Plástica</b></span></div>
<div style="text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">Problem Based Learning</span></div>
<div style="text-align: center;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">(PBL)</span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3BqfzH1IauBLJp4dxV5omdQDDe-Nh4B3urjYMN2arBfUuXUkdI2oucR9SdUN3eo_eF2-RDO7XSnKfNwv1ikiB8-ymCgP37vMwSO5xDe6YP-nVttnUTORkwdL61-z6A4C83rFuY4mR4X_x/s1600/JP+2016+CAPA.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3BqfzH1IauBLJp4dxV5omdQDDe-Nh4B3urjYMN2arBfUuXUkdI2oucR9SdUN3eo_eF2-RDO7XSnKfNwv1ikiB8-ymCgP37vMwSO5xDe6YP-nVttnUTORkwdL61-z6A4C83rFuY4mR4X_x/s640/JP+2016+CAPA.jpg" width="480" /></a></div>
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>O</b></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"> Prof.Dr. Alexandre Munhoz participou da coordenação/moderação do Painel de Complicações em Implantes de Mama durante a Jornada Paulista de Cirurgia Plástica (JP-2016). <span style="background-color: white;">A XXXVI Jornada Paulista de Cirurgia Plástica manteve seu modelo de sucesso dos últimos 4 anos, baseada em uma estrutura objetiva, alto nível científico e com ênfase para a discussão profunda sobre alguns temas que geram dúvidas e controvérsia no âmbito da cirurgia plástica estética. </span></span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><br /></span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6C4d4YKKz-enRmS7Ik3BPK5MHS0imseUdIVYKVGdLXbCb2cnFy83_Y3YEC0DJ6SsgnwmNWmhb1LlYlMX_2yv8Xu8RXK4G71kObt7I2PTmhbmLntXuvudRVNDCP6mqdN0-QoKkXFkTM4at/s1600/_CIR6914.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6C4d4YKKz-enRmS7Ik3BPK5MHS0imseUdIVYKVGdLXbCb2cnFy83_Y3YEC0DJ6SsgnwmNWmhb1LlYlMX_2yv8Xu8RXK4G71kObt7I2PTmhbmLntXuvudRVNDCP6mqdN0-QoKkXFkTM4at/s640/_CIR6914.JPG" width="640" /></a></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;"><br /></span></span></div>
<div style="text-align: justify;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;">Embasada no modelo PBL (Problem-Based Learning), a qual por meio da configuração específica de painéis com casos clínicos promove-se a discussão com experts e a platéia, promovendo assim o embate de condutas e soluções para o problema apresentado e, em última instância, a produção e fixação de conhecimento. </span></span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">O processo de
aprendizagem por meio de problemas ou Problem Based Learning (PBL), foi
introduzido na Universidade de McMaster no Canadá, no final da década de 60, no
ensino de Ciências da Saúde. Atualmente é uma proposta pedagógica alternativa
ao processo normal de ensino que consiste na solução de problemas, reais ou
simulados. </span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidXG5ABvZQwnQdm_-ugOEzWnCRintfnZqKKjNP1mLTPM4NRVrkEbjHTR6IEAfTPr3l4g_qvbYOaou3ScuOIJzaF7jJm6MkpR2oUd5ReF8tMXgcDC5Rfay1gOfe7pCKkTCHPyueXu_W5H8I/s1600/_CIR6940.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidXG5ABvZQwnQdm_-ugOEzWnCRintfnZqKKjNP1mLTPM4NRVrkEbjHTR6IEAfTPr3l4g_qvbYOaou3ScuOIJzaF7jJm6MkpR2oUd5ReF8tMXgcDC5Rfay1gOfe7pCKkTCHPyueXu_W5H8I/s640/_CIR6940.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;"><span style="font-size: xx-small;">Prof. Dr. Alexandre Mendonça Munhoz durante a moderação do Painel de Complicações em Implantes Mamários, durante a Jornada Paulista de Cirurgia Plástica (JP-2016), no Hotel Grand Hyatt São Paulo. Alexandre Mendonça Munhoz, Alexandre Munhoz. Prótese de Mama. Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></div>
<div style="text-align: justify;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Os alunos, para resolver um problema clínico ou cirúrgico, baseam-se
em conhecimentos prévios, discutem, adquirem e fixam os novos conhecimentos
desenvolvidos na resolução do problema. Essa forma de pedagogia, aliada à
aplicação prática, facilita a retenção do conhecimento. Portanto, o método PBL
oferece benefícios, quais sejam, a interdisciplinaridade, o desenvolvimento do
raciocínio crítico e de habilidades de comunicação, e a educação permanente. </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">No Brasil, alguns
cursos de graduação em Medicina vêm seguindo o contexto mundial de
transformação e adotado o PBL no programa curricular. No modelo pedagógico do
PBL, busca-se, principalmente, fornecer ao estudante condições de desenvolver
habilidades técnicas, cognitivas aplicáveis para o cuidado dos pacientes. </span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhR76l9J3H5MwfTvTb51RtTFW_oqn3xDBRNCcuCELijpQVvksry5dKFb4K7XzypkD2ms8DvOw0QWP1XwXNNIqCjUNtgALlAkZpNuYW8xy2ghB2ODAQXjOgRPrgJpLKMhnvzYHpk8esRWo1z/s1600/_CIR6912L.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhR76l9J3H5MwfTvTb51RtTFW_oqn3xDBRNCcuCELijpQVvksry5dKFb4K7XzypkD2ms8DvOw0QWP1XwXNNIqCjUNtgALlAkZpNuYW8xy2ghB2ODAQXjOgRPrgJpLKMhnvzYHpk8esRWo1z/s640/_CIR6912L.jpg" width="640" /></a></div>
<div style="text-align: justify;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><br /></span></div>
<div style="text-align: justify;">
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">No
modelo original canadense, o PBL tinha as principais características: ausência
de disciplinas, integração de conteúdo e ênfase na solução de problemas.</span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; position: relative; top: -5pt;"> </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Assim, o
método levaria ao desenvolvimento no estudante de habilidades para conduzir o
aprendizado, a integração de conhecimentos, gerenciamento da educação
permanente e capacidade de trabalhar em equipe.</span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; position: relative; top: -5pt;"> </span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXHHy8kRwWrov0qZLxEkqUukAVSsFW9EToOFqD06AkhZGTVO-jlD7a-Gfhj_UKjmKxTJHNBvQuJ3o0ZEAZOMmFVsUhRiJpNcIrUwdq1fbTUOxXavCatJTgUAyrepEL1S3qzKMK30CHXGj8/s1600/Alexandre+Munhoz+JP-2016+PBL.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXHHy8kRwWrov0qZLxEkqUukAVSsFW9EToOFqD06AkhZGTVO-jlD7a-Gfhj_UKjmKxTJHNBvQuJ3o0ZEAZOMmFVsUhRiJpNcIrUwdq1fbTUOxXavCatJTgUAyrepEL1S3qzKMK30CHXGj8/s640/Alexandre+Munhoz+JP-2016+PBL.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz durante a moderação do Painel de Complicações em Implantes Mamários, durante a Jornada Paulista de Cirurgia Plástica (JP-2016), no Hotel Grand Hyatt São Paulo. Alexandre Mendonça Munhoz, Alexandre Munhoz. Prótese de Mama. Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Após a Universidade de McMaster,
várias faculdades passaram a utilizar o método PBL total ou parcialmente, como
um currículo paralelo como a Faculté de Medicine - Université de Sherbrooke no
Canadá e Harvard Medical School nos EUA). </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Um dos aspectos mais importantes na estruturação do PBL basea-se na
adequada escolha do Professor de Grupo e na construção de problemas produtivos
e que se adequem a realidade do cirurgião plástico. </span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz durante a moderação do Painel de Complicações em Implantes Mamários, durante a Jornada Paulista de Cirurgia Plástica (JP-2016), no Hotel Grand Hyatt São Paulo. Alexandre Mendonça Munhoz, Alexandre Munhoz. Prótese de Mama. Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">O Professor de Grupo no
modelo da Jornada é representado pelo importante papel do Moderador. Já o
Problema são os casos clínicos apresentados durante os diferentes painéis e que
refletem o dia a dia do cirurgião plástico. No Painel de Complicações em Prótese de Mama, foram abordados casos clínicos relacionados a complicações tardias, como seroma e contratura capsular. Apresentados na sequência clínica de discussão com pré-operatório, intra-operatório e pós-operatório houve a possibilidade de discussão com toda os moderadores e a platéia a sequência de investigação diagnóstica, as principais hipóteses e a resolução do caso clínico.</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Entre as principais complicações apresentadas, uma em específico mereceu destaque com grande interação por parte da platéia e dos moderados, no caso o <b>Seroma Tardio. </b>D</span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">e fato, a ocorrência de seroma peri-implante tem despertado interesse crescente, não apenas na cirurgia estética mas também na reconstrução da mama pós câncer. Habitualmente associado ao trauma local ou a infecção subclínica como a contaminação com micobactérias, a preocupação atualmente está mais acentuada devido a dados recentes de um possível associação, rara, mas possível entre implantes mamários e Linfoma Anaplásico de Grandes Células (ALCL). </span><br />
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz durante a moderação do Painel de Complicações em Implantes Mamários, durante a Jornada Paulista de Cirurgia Plástica (JP-2016), no Hotel Grand Hyatt São Paulo. Alexandre Mendonça Munhoz, Alexandre Munhoz. Prótese de Mama. Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Define-se como seroma tardio, a ocorrência de derrame líquido peri-implante e clinicamente sintomático que desenvolve, pelo menos, 12 meses após a cirurgia de inclusão do implante mamário. Sabe-se que o seroma após a cirurgia de implante de mama é uma ocorrência rara, particularmente no período pós-operatório tardio, onde relatos na literatura têm sido principalmente como casos únicos (case-report) ou séries clínicas com pequenas amostras, geralmente seguido por especulação quanto à etiologia.</span><br />
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz durante a moderação do Painel de Complicações em Implantes Mamários, durante a Jornada Paulista de Cirurgia Plástica (JP-2016), no Hotel Grand Hyatt São Paulo. Alexandre Mendonça Munhoz, Alexandre Munhoz. Prótese de Mama. Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Muito discutido durante a moderação do painel, foi como conduzir adequadamente o seroma tardio. De fato, na literatura, há uma c</span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">rescente preocupação com o diagnóstico e tratamento do seroma devido a possibilidade de malignidade fato este que gerou novas recomendações ou algoritmos de tratamento. Em sua maioria, os algoritmos incluem a obtenção de fluido para citologia e culture. Há também mais recente recomendações específicas para o tipo de exames citológicos e patológicos apropriados para a análise dos achados do líquido e da cápsula. </span><br />
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-38681117320533925312016-05-29T12:59:00.000-07:002016-05-29T12:59:22.964-07:00Conferência Prof. Alexandre Mendonça Munhoz, na Jornada Paulista de Cirurgia Plástica/2016. Update em Próteses de Mama de Silicone.<div style="text-align: center;">
<span style="background-color: #eeeeee; color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">Conferência </span><br />
<span style="background-color: #eeeeee; color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">Update em Implantes Mamários de Silicone </span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><i style="background-color: #cccccc;">Prof. Dr. Alexandre Mendonça Munhoz</i></span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: #eeeeee;">XXXVI Jornada Paulista de Cirurgia Plástica</span></span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: justify;"><span style="font-size: xx-small;">Prof. Dr. Alexandre Mendonça Munhoz, Conferência sobre "Update em Implantes Mamários de Silicone Gel" na XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) durante o programa do do PEC (Programa de Educação Continuada) e sobre apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">A Jornada Paulista de Cirurgia Plástica (JP-2016) entra agora na sua 36a. edição, sob intensa re-modelação e estruturada em um conceito de estímulo à discussão e baseada em problemas clínicos observados no dia a dia da prática clínica e cirúrgica do cirurgião plástico. Neste ano, em 25 de maio de 2016, o Prof.Dr. Alexandre Mendonça Munhoz participou do Programa de Educação Médica Continuada (PEC) sob a coordenação do Dr. Renato Rocha Lage e realizado durante a programação da JP-2016. Com o tema sugerido pelo PEC, o Prof. Alexandre Munhoz apresentou uma revisão baseada em evidências do que se tem atualmente no que se refere ao emprego dos implantes de silicone gel no aumento mamário. </span><br />
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz durante a moderação do PEC e "Update em Implantes Mamários de Silicone Gel" realizado na XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) com apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Nos últimos anos é inegável a evolução e o aprimoramento da técnica da mastoplastia de aumento não apenas no tocante a física e química dos materiais mas também a compreensão por parte dos cirurgiões plásticos que inúmeros fatores estão relacionados com a melhor evolução e o baixo índice de complicações pós inclusão do implante de silicone. </span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Neste ano, durante a Jornada Paulista de Cirurgia Plástica na sua XXXVI edição, o Prof.Dr. Alexandre Mendonça Munhoz participou do PEC (Programa de Educação Continuada) com apoio do Instituto IDEAH com o tema que mais merece atenção atualmente, a mastoplastia de aumento com implantes mamários de silicone gel.</span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz durante a conferência sobre "Update em Implantes Mamários de Silicone Gel" realizado na XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) durante o programa do do PEC (Programa de Educação Continuada) e sobre apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">De fato considera-se hoje a inclusão do implante de silicone gel, como a cirurgia mais realizada no mundo quando analisamos exclusivamente procedimentos cirúrgicos de cirurgia plástica. Segundo dados provenientes da ISAPS de 2013, e contabilizando dados relacionados ao número de cirurgias/cirurgião/ano, a cirurgia de prótese de mama apresenta atualmente, a cirurgia mais realizada no Brasil e no mundo sendo em 2013, a ordem de um milhão e setecentos mil cirurgias realizadas ou 15,3% de todos os procedimentos cirúrgicos executados por cirurgiões plásticos em todo mundo. Vale ressaltar que são dados mundiais e envolvendo mais de 25 países membros da ISAPS (International Society of Aesthetic Plastic Surgery) e que de maneira geral a cirurgia de prótese de mama representa a cirurgia Top 3 na grande maioria dos países, e em 78% a cirurgia Top 1.</span><br />
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Quando analisamos dados provenientes exclusivamente do Brasil, as estatísticas apresentam comportamento semelhante e seguindo o perfil mundial. De fato, em 2013, a cirurgia plástica da mama representou 516 mil procedimentos sendo o aumento de mama com prótese de silicone aproximadamente a metade do número de cirurgias com 226 mil procedimentos, seguido da mastopexia (suspensão da mama) com 140 mil, e a redução mamária (mamoplastia redutora) com 115 mil cirurgias. Desta forma, e corroborando com dados mundiais, a colocação da prótese de mama hoje representa um aspectos significante no que se refere a atuação do cirurgião plástico não apenas na área de mercado de trabalho mas também de pesquisas relacionadas à segurança do paciente e a evolução pós cirúrgica a curto, médio e longo prazo.</span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, em sua Conferência sobre "Update em Implantes Mamários de Silicone Gel" realizado na XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) e no programa do do PEC (Programa de Educação Continuada) com apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Apesar da alta prevalência em nosso meio e no mundo, tal significância não é acompanhada de maneira proporcional ao número de estudos clínicos prospectivos e controlados analisando os resultados, a segurança e as complicações dos implantes a longo prazo. De fato, quando analisamos de maneira mais detalhada os diferentes aspectos e ítens relacionados às complicações pós aumento de mama com prótese de silicone, são poucos os dados que se apresentam construídos por meio de uma maior evidência científica e desta forma relacionados com fatores preditos e de risco para o seu desenvolvimento</span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">.</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Como exemplo de análise a contratura capsular, e elencando as principais complicações pós implante de mama podemos identificar na literatura fatores clínicos, anatômicos e físicos como potencializadores e inibidores do processo de desenvolvimento da contratura. Entre os potencializadores podemos mencionar a infecção pós cirúrgica, o tipo de elastômero do implante de silicone (liso, micro-textura, macro-textura), a via de acesso para inclusão da prótese, a presença de hematoma pós operatório, o uso de drenos pós cirurgia e fatores outros idiopáticos que se relacionaríam à reação imunológica de corpo estranho. </span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Entre estes fatores citados, a infecção e o tipo de revestimento do implante (texturizado x liso) apresenta a maior evidência científica no que se refere a causa x efeito. Todavia, o uso de drenos, a via de acesso e fatores idiopáticos apresentam a menor evidência no que se refere a etiologia da contratura capsular, sendo em sua maioria baseados em estudos retrospectivos, com casuística limitada e desta forma com baixo poder de evidência.</span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, Conferência "Update em Implantes Mamários de Silicone Gel" durante a XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) associado ao programa do do PEC (Programa de Educação Continuada) com apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Já quando analisamos os potenciais fatores inibidores, observamos alguns fatores que apresentam papel importante no bloqueio e/ou redução do desenvolvimento da contratura capsular. Entre os principais podemos destacar a superfície do elastômero texturizada (macro e microtexturas), a irrigação da loja do implante com soluções de iodo (PVPI, povidine ou Betadine) ou com antibióticos, e a proteção do CAP. Entres este fatores merece destaque com maior evidência científica, as superfícies texturizadas onde por meio de meta-análise <span style="color: #990000;"><b>(*)</b></span>, Barnsley et cols, em 2006 demonstrou por meio de análise sistemática que a superfície texturizada em papel na redução do evento de contratura capsular quando comparada às superfícies lisas.</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #990000; font-size: large;">(*) <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Barnsley+et+al.+Textured+Surface+Breast+Implants+in+the+Prevention+of+Capsular+Contracture+among+Breast+Augmentation+Patients%3A+A+Meta-Analysis+of+Randomized+Controlled+Trials.+Plast.+Reconstr.+Surg.+117%3A+2182%2C+2006.">Barnsley et al. </a></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #990000; font-size: large;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Barnsley+et+al.+Textured+Surface+Breast+Implants+in+the+Prevention+of+Capsular+Contracture+among+Breast+Augmentation+Patients%3A+A+Meta-Analysis+of+Randomized+Controlled+Trials.+Plast.+Reconstr.+Surg.+117%3A+2182%2C+2006.">Textured Surface Breast Implants in the Prevention of Capsular Contracture among Breast Augmentation Patients: A Meta-Analysis of Randomized Controlled Trials. </a></span></span><br />
<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="color: #990000; font-size: large;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Barnsley+et+al.+Textured+Surface+Breast+Implants+in+the+Prevention+of+Capsular+Contracture+among+Breast+Augmentation+Patients%3A+A+Meta-Analysis+of+Randomized+Controlled+Trials.+Plast.+Reconstr.+Surg.+117%3A+2182%2C+2006.">Plast. Reconstr. Surg. 117: 2182, 2006. </a></span></span></div>
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<span style="font-size: large;"><span style="font-family: helvetica neue, arial, helvetica, sans-serif;">Muito discutido atualmente, principalmente no tocante ao desenvolvimento de complicações, é o papel da via de acesso como fator preditivo para o desenvolvimento de complicações pós implante de mama. Apesar de inúmeros trabalhos mostrarem alguma relação da via de acesso, em sua totalidade são ensaios clínicos retrospectivos, não controlados, não randomizados, com casuísticas heterogêneas e de em algumas amostras com "n" não compatível com o desfecho a que se </span><span style="font-family: "helvetica neue", "arial", "helvetica", sans-serif;">propõem</span><span style="font-family: helvetica neue, arial, helvetica, sans-serif;"> a analisar. </span></span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBAA9EXzPPgitKuEEX8Tp89VnP3QpULqLOl2P_MS8bSVrAISRAt78vvMVYYbNC3a_Vm_tR4eiBB7sD8MEcOEGOPhY8XN1CPZQIYa8uvMDW5kEqM3RXG6nQ7BXRwhwv0iSfSmbV2ku7m9yT/s1600/Alexandre+Munhoz+Confere%25CC%2582ncia+V.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBAA9EXzPPgitKuEEX8Tp89VnP3QpULqLOl2P_MS8bSVrAISRAt78vvMVYYbNC3a_Vm_tR4eiBB7sD8MEcOEGOPhY8XN1CPZQIYa8uvMDW5kEqM3RXG6nQ7BXRwhwv0iSfSmbV2ku7m9yT/s640/Alexandre+Munhoz+Confere%25CC%2582ncia+V.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz realiza sua Conferência intitulada de "Update em Implantes Mamários de Silicone Gel" durante a XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) associado ao programa do do PEC (Programa de Educação Continuada) com apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-size: large;"><span style="font-family: helvetica neue, arial, helvetica, sans-serif;">Apesar disto, e mesmo com as limitações relacionadas ao poder de cada estudo, em sua maioria demonstram uma maior incidência de complicações na via periareolar e axilar no tocante ao desenvolvimento de complicações. É fato que a via periareolar favorece a maior exposição dos ductos mamários e que claramente estão colonizados por bactérias (streptococos epidermidis) e assim podem estar relacionados à contaminação, infecção subclínica e desenvolvimento a posteriori de contratura capsular. Não menos importante está implicado o papel da via axilar no desenvolvimento de contratura capsular, apesar de alguns estudos mostrarem não relação de causa x efeito. Um estudo importante realizado por Tebbetts et cols. <b><span style="color: #990000;">(X)</span></b>, mostra o emprego da via de acesso axilar pré e pós a introdução do emprego de assistência video-endoscópica. </span></span><br />
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<span style="font-size: large;"><span style="color: #990000; font-family: helvetica neue, arial, helvetica, sans-serif;">(*) <a href="http://www.ncbi.nlm.nih.gov/pubmed/17099484">Tebbetts JB. </a></span></span></div>
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<span style="font-size: large;"><span style="font-family: helvetica neue, arial, helvetica, sans-serif;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/17099484"><span style="color: #990000;">Axillary endoscopic breast augmentation: processes derived from a 28-year experience to optimize outcomes. </span></a></span></span></div>
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<span style="font-size: large;"><span style="font-family: helvetica neue, arial, helvetica, sans-serif;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/17099484"><span style="color: #990000;">Plast Reconstr Surg. 2006 Dec;118(7 Suppl):53S-80S. </span></a></span></span></div>
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<span style="font-size: large;"><span style="font-family: helvetica neue, arial, helvetica, sans-serif;">O autor demonstra que após o emprego da endoscopia, houve uma redução de aproximadamente 3x (4,5% x 1,3%) no desenvolvimento de contratura capsular. O emprego da endoscopia, a visualização direta da dissecção, além cauterização dos vasos sangüíneos e a prevenção de sangramento/hematoma estão implicados na menor incidência da contratura capsular.</span></span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLVQ2rYDb6fbkVntMDe-WPKnYg8hQ7K3Sro1fLwbKeKmM8q5MU16-22AehY3ebqToy87VkmuldxCGMSwNecXxUUmGZZrF2kw719BBkJ5oA63IUVE-I-omjJVoDoOn72P2KdkEw9IG-WTBG/s1600/Alexandre+Munhoz+COnfere%25CC%2582ncia+VI.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLVQ2rYDb6fbkVntMDe-WPKnYg8hQ7K3Sro1fLwbKeKmM8q5MU16-22AehY3ebqToy87VkmuldxCGMSwNecXxUUmGZZrF2kw719BBkJ5oA63IUVE-I-omjJVoDoOn72P2KdkEw9IG-WTBG/s640/Alexandre+Munhoz+COnfere%25CC%2582ncia+VI.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz em discussão após sua Conferência intitulada de "Update em Implantes Mamários de Silicone Gel" durante a XXXVI Jornada Paulista de Cirurgia Plástica (JP-2016) associado ao programa do do PEC (Programa de Educação Continuada) com apoio do Instituto IDEAH. Alexandre Mendonça Munhoz, Alexandre Munhoz, Prótese de Mama, Silicone, Hospital Sírio-Libanês.</span></td></tr>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-10211757916326100932016-05-29T05:48:00.001-07:002016-05-29T05:48:45.712-07:00Prof.Dr. Alexandre Munhoz e Economista Ricardo Amorim / Situação Econômica do Brasil e a Cirurgia Plástica<div style="text-align: center;">
<span style="background-color: #eeeeee; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: x-large;">Situação Econômica do Brasil e Cirurgia Plástica</span></div>
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<span style="background-color: #cccccc; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Ricardo Amorim na Jornada Paulista de Cirurgia Plástica/2016</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZuJkY9l4jtH6AMNaeHxkwdhlvr49sbcb0YlfHJJEhaualDVFCD3dX4ahJeD3T0muNtTrIKd_nlFt0VZxablvi_KUeVB7DygNnMPfmCxEQnGgnVAGFYDEtpuY-n4sa5Lnxt8KGg2slJlIT/s1600/PALESTRa+ricardo+amorim.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZuJkY9l4jtH6AMNaeHxkwdhlvr49sbcb0YlfHJJEhaualDVFCD3dX4ahJeD3T0muNtTrIKd_nlFt0VZxablvi_KUeVB7DygNnMPfmCxEQnGgnVAGFYDEtpuY-n4sa5Lnxt8KGg2slJlIT/s640/PALESTRa+ricardo+amorim.jpg" width="480" /></a></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">A XXXVI Jornada Paulista de Cirurgia Plástica manteve seu modelo de sucesso dos últimos 4 anos, baseada em uma estrutura objetiva, alto nível científico e com ênfase para a discussão profunda sobre alguns temas que geram dúvidas e controvérsia no âmbito da cirurgia plástica estética. Embasada no modelo PBL (Problem-Based Learning), a qual por meio da configuração específica de painéis com casos clínicos promove-se a discussão com experts e a platéia, promovendo assim o embate de condutas e soluções para o problema apresentado e, em última instância, a produção e fixação de conhecimento.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizIEyRXMcfC1oVw5lDzm9iAATy4-HRJ0-AJjkHHHDYi0TWXwmgmCrHhUWGX7sXJFs5jECb_fZ_4Smik6R2DOMa6_LeVLghxvtofzapv2Ej3B9lNMhE1LOLuMs1c-EqJpl8FhSuN6I0F1K3/s1600/Alexandre+Munhoz+DEC.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizIEyRXMcfC1oVw5lDzm9iAATy4-HRJ0-AJjkHHHDYi0TWXwmgmCrHhUWGX7sXJFs5jECb_fZ_4Smik6R2DOMa6_LeVLghxvtofzapv2Ej3B9lNMhE1LOLuMs1c-EqJpl8FhSuN6I0F1K3/s640/Alexandre+Munhoz+DEC.jpg" width="480" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;"><span style="font-size: xx-small;">Comissão do Departamento de Eventos Científicos (DEC) da Sociedade Brasileira de Cirurgia Plástica (SBCP) Regional São Paulo, organização da XXXVI Jornada Paulista de Cirurgia Plástica, Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz.</span></td></tr>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Neste ano trouxemos para a Jornada Paulista uma inovação em relação aos anos anteriores, qual seja a apresentação de temas relevantes por palestrantes consagrados e não necessariamente relacionados à cirurgia plástica. </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;">Presidente da Ricam Consultoria, o economista Ricardo Amorim já trabalhou em
Nova York, Paris e São Paulo, e foi pales-
trante-âncora e dividiu painéis com gurus
ilustres, de economistas ganhadores do
Nobel a ministros de estado e presidentes
de bancos centrais. </span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjr6EUSXoyFM41QWvgLA9rMvXHjqy7ODlbJ09LYkyUcXhHR9ImVLmDC10VLo0KByIPYdVOzE8ffw97WCrm8LYRFMx5K8jfGvHxIHn68NxvqIaCsCd_xk8dGvnYY3JwwkVuLnhiVGA5lxOYX/s1600/Alexandre+Munhoz+e+Ricardo+Amorim+4.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjr6EUSXoyFM41QWvgLA9rMvXHjqy7ODlbJ09LYkyUcXhHR9ImVLmDC10VLo0KByIPYdVOzE8ffw97WCrm8LYRFMx5K8jfGvHxIHn68NxvqIaCsCd_xk8dGvnYY3JwwkVuLnhiVGA5lxOYX/s640/Alexandre+Munhoz+e+Ricardo+Amorim+4.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz (Membro do DEC da SBCP-SP), economista Ricardo Amorim e Luis Henrique Ishida (Presidente da SBCP-SP), na XXXVI Jornada Paulista de Cirurgia Plástica, Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Ricardo Amorim é presidente da Ricam Consultoria, prestadora de serviços na área de negócios e economia global. </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;">Economista, formado pela Universidade de São Paulo (USP), é pós-graduado em Administração e Finanças Internacionais pela ESSEC de Paris, Ricardo atua no mercado financeiro desde 1992, onde trabalhou em Nova York, Paris e São Paulo, sempre como economista e estrategista de investimentos.</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"> </span><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><span style="font-size: large;">Atualmente é o único brasileiro incluído na lista de importantes spekers, </span><span style="font-size: large;">Ricardo Amorim profere, há anos,</span><span style="font-size: large;"> palestras </span><span style="font-size: large;">e tendências no Brasil e exterior e em áreas específicas que no caso da cirurgia plástica muito depende da situação econômica e do otimismo da população. </span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjc5nukb9D0QV3XRXbqXptaE7bUQJur9PIs9qwShICqvjPJ3mGRC-d4UTcAVf9wSe1oxn-5C2VPDRdAVALuqmqdi7JM28FOhmxMq1vx2m2S_8fHTG39XxK54EIoqqZEABtvCvDeXifNxWWD/s1600/Alexandre+Munhoz+e+Ricardo+Amorim.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="426" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjc5nukb9D0QV3XRXbqXptaE7bUQJur9PIs9qwShICqvjPJ3mGRC-d4UTcAVf9wSe1oxn-5C2VPDRdAVALuqmqdi7JM28FOhmxMq1vx2m2S_8fHTG39XxK54EIoqqZEABtvCvDeXifNxWWD/s640/Alexandre+Munhoz+e+Ricardo+Amorim.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: -webkit-standard; font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz (Membro do DEC da SBCP-SP), na moderação do economista Ricardo Amorim sobre a Situação Econômica e Política do Brasil e o Mercado da Cirurgia Plástica na XXXVI Jornada Paulista de Cirurgia Plástica, Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Na JP-2016, Ricardo Amorim nos apresentou uma profunda análise do cenário atual da economia e da política brasileira e como a situação atual chegou ao que está hoje. Apesar da grave situação econômica atual e da intensa falta de otimismo nos mais diversos segmentos da economia, e que de fato contribuem para o mercado de cirurgia plástica, Ricardo acredita como poucos que a retomada do crescimento será muito mais rápida do que a dos países desenvolvidos, em uma curva semelhante a um “V”, ou seja, acelerada expansão após queda acentuada. Enfatiza ainda a importância dos ciclos de desenvolvimento e crise no Brasil e em diferentes países e apesar da atual conjuntura política não favorável ao julgamento de mudanças, este ciclo voltará a se repetir com novo crescimento pujante. </span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz (Membro do DEC da SBCP-SP) na moderação do economista Ricardo Amorim durante sua palestra sobre Situação Econômica do Brasil e a Cirurgia Plástica, junto com Luis Henrique Ishida (Presidente da SBCP-SP), na XXXVI Jornada Paulista de Cirurgia Plástica, Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Amorim ainda compara o movimento a ser vivido pelo País a um bem mais contido, semelhante a seguidos “W” (leves retomadas que não se sustentam até alcançar o real crescimento), que deverá ocorrer na Europa e nos Estados Unidos. Diferente de seus pares, respeitados economistas com visão mais nebulosa do futura. Ricardo nos apresentou uma excelente e motivadora conferência, mostrando de maneira concreta e baseada em estatísticas e previsões, um caminho o</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;">timista, com aposta em grande expansão dos investimentos no País em curto e médio prazos, uma vez que os aplicadores estrangeiros buscarão destinos alternativos diante do baixo crescimento dos países desenvolvidos. </span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Entre os principais problemas apresentados por Ricardo há a falta de perspectiva de aumentar o potencial de crescimento de longo prazo </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;">para sair da crise conjuntural. O economista enfatiza problemas como</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;"> legislação trabalhista falha, corrupção e falta de infraestrutura. Isso não permite que o Brasil cresça rapidamente, mas não explica a crise atual. Segundo Amorim, esta atual situação foi sendo construída durante anos e principalmente após 2010 onde f</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;">oram gerados desequilíbrios macroeconômicos nas contas externas, na inflação e nas contas públicas. </span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz (Membro do DEC da SBCP-SP) na moderação do economista Ricardo Amorim durante sua palestra sobre Situação Econômica do Brasil e a Cirurgia Plástica, junto com Luis Henrique Ishida (Presidente da SBCP-SP), na XXXVI Jornada Paulista de Cirurgia Plástica, Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">As contas externas se deterioraram porque, desde o governo Lula, o consumo foi incentivado, mas não a produção. Assim, houve um aumento de custos para produzir e cresceu a importação e a inflação. Esses desequilíbrios já estão sendo resolvidos, de uma maneira ou de outra, com a megadesvalorização do real melhorando a balança comercial e a recessão tornando impossível o aumento dos preços e assim reduzindo a inflação, ressalta o economista. Ricardo acredita ainda de maneira muito otimista na brevidade da saída da crise e enfatiza que a </span><span style="background-color: white;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">virada da economia está muito mais próxima do que a maioria dos profissionais autônomos, no caso cirurgiões plásticos possam vislumbrar. </span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz (Membro do DEC da SBCP-SP), na moderação do economista Ricardo Amorim sobre a Situação Econômica e Política Brasileira e o Mercado da Cirurgia Plástica durante a XXXVI Jornada Paulista de Cirurgia Plástica, Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<span style="background-color: white;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">De maneira muito clara e segura, Amorim enaltece que iremos sentir os sinais no segundo semestre deste ano (2016), e, quando a recuperação vier, esta vai se mostrar mais consistente e potente do que o esperado. Indagado sobre quais seríam as medidas a serem implantadas pelo novo governo, Amorim </span></span><span style="background-color: white;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">enfatiza que todas as medidas do governo anterior foram voltadas ao curto prazo e sem perspectivas de pagamento da dívida pública, fato este que não cria segurança no empresariado e investidores internos e externos. Desta forma, há a necessidade de sair da discussão do déficit atual e demonstrar um horizonte mais confiável de pagamentos a longo prazo, e para isso há a necessidade de um projeto real de reformas entre as quais a da Previdência. </span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz (DEC da SBCP-SP), na moderação do economista Ricardo Amorim sobre a Situação Econômica e Política Brasileira e o Mercado da Cirurgia Plástica durante a XXXVI Jornada Paulista de Cirurgia Plástica, (JP-2016), Hotel Grand Hyatt São Paulo. Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<span style="background-color: white;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">O interessante da palestra do Ricardo Amorim foi a perspectiva para nós cirurgiões plásticos de novo ânimos, e que o momento é de fazer o caminho reverso e voltar a crescer, enfatizado de maneira muito clara que pela evolução histórica do nosso país, estamos no fim de um ciclo de queda e de pessimismo. Para entender o atual cenário, Amorim mostrou durante sua exposição a economia brasileira desde 1900 e descobriu que todas as vezes que o país atravessou recessões longas e profundas, na sequência houve um processo de crescimento acelerado. “É claro que vai mudar, isso é histórico desde o início do século passado onde alguns anos depois, a média de crescimento do PIB por três anos costuma subir a níveis de pelo menos 5 - 6% ao ano. </span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdxYeodmO050RfxRr9YSHxTHS1txY573wTnpuqgksK_jNN6qG6TNkxiOMrvOq7uIkPMTkH-CFreF-aYOrSJj-ezoIy_9qDbyN5rqhcCR0QqYThE093VYlbCOFZoJSLDGLwsDwyseDCj7i_/s1600/Auditorio+Amorim.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdxYeodmO050RfxRr9YSHxTHS1txY573wTnpuqgksK_jNN6qG6TNkxiOMrvOq7uIkPMTkH-CFreF-aYOrSJj-ezoIy_9qDbyN5rqhcCR0QqYThE093VYlbCOFZoJSLDGLwsDwyseDCj7i_/s640/Auditorio+Amorim.jpg" width="640" /></a></div>
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<span style="background-color: white;"><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">A razão para isto é habitualmente temos um período longo onde o crescimento cai porque não há mais confiança, os planos ficam parados, porque os empresários simplesmente seguram e não investem, ou por não terem segurança no atual momento ou simplesmente querem esperar mais” enfatiza Amorim. Há ainda mais um fator que é que o Brasil ainda é um ambiente atrativo para o resto do mundo pela demanda de consumo interno. Ricardo menciona ainda que </span></span><span style="background-color: white; font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: large;">empresa globais que querem ter uma presença realmente global, não podem deixar de ter uma presença no Brasil. Desta forma, considera-se o potencial de crescimento ao longo prazo, a queda do preço dos ativos decorrente da crise e que a alta do dólar barateou esses ativos para os estrangeiros. Não tenho certeza de quando a recuperação econômica começará, creio que ela será breve, mas o que tenho certeza é que ela terá muita força”, enfatiza Amorim. </span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, o economista Ricardo Amorim e Luis Henrique Ishida após a conferência no </span><span style="font-size: xx-small; text-align: justify;">Hotel Grand Hyatt São Paulo, </span><span style="font-size: xx-small; text-align: justify;"> sobre a Situação Econômica e Política Brasileira e o Mercado da Cirurgia Plástica durante a XXXVI Jornada Paulista de Cirurgia Plástica, (JP-2016), Prof.Dr. Alexandre Mendonça Munhoz. Alexandre Munhoz.</span></td></tr>
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-2142495883384196062016-05-13T14:50:00.000-07:002016-05-13T17:31:28.916-07:00Entrevista Prof.Dr. Alexandre Mendonça Munhoz / Pesquisa Científica em Medicina e Cirurgia no Brasil / Cenário Atual<div style="text-align: center;">
<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Entrevista Prof. Dr. Alexandre Mendonça Munhoz</span></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Cenário Atual e Desafios</span></div>
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<tr><td class="tr-caption" style="text-align: justify;"><span style="font-size: xx-small;">Prof.Dr. Alexandre Mendonça Munhoz, em entrevista sobre o cenário atual do Brasil em relação a pesquisa científica e investimentos em ciência e tecnologia. Alexandre Mendonça Munhoz, Intituto de Ensino e Pesquisa Hospital Sírio-Libanês, Moriah Instituto de Ensino e Pesquisa, Faculdade de Medicina da Universidade de São Paulo. Cirurgia Plástica.</span></td></tr>
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<span lang="EN-US" style="color: black; font-family: "calibri"; font-size: 14.0pt; line-height: 150%;">Link para Entrevista:</span></div>
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<span lang="EN-US" style="color: black; font-family: "calibri"; font-size: 14.0pt; line-height: 150%;"> https://www.youtube.com/watch?v=v-kyE1Xp6OY</span></div>
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<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; line-height: 150%;"><span style="font-size: x-large;"><b>O</b></span></span><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"> Brasil apresenta
posição de destaque no que tange os investimentos em pesquisa e ciência e
tecnologia em relação aos demais países da América Latina, fato este
representado pelo aumento de publicações científicas nos últimos anos, e
principalmente na última década. Dados provenientes do Banco Mundial e do
Ministério da Ciência e Tecnologia demonstram investimentos anuais do país em
pesquisa científica próximo a 60 bilhões de reais em 2012, somando as
iniciativas pública e privada. De fato, em comparação realizada pelo periódico
internacional </span><i><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;">Nature</span></i><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"> demonstra que <b style="mso-bidi-font-weight: normal;"><u>o
Brasil é o líder em publicações científicas na América do Sul,</u></b> onde com
aproximadamente <b style="mso-bidi-font-weight: normal;">40 mil em 2013,</b> o país
apresenta posição na dianteira e distante da Argentina, o segundo colocado com
aproximadamente 9 mil artigos. </span></span></div>
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<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><a href="https://youtu.be/v-kyE1Xp6OY">Link para Entrevista</a></span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioGuue-LoMiS6F8BKIdLx7vrcHcvFQtn8iOy51CjCkBdeIcb3CaQbkQJUGGVFZv310oiZElDMJttfCFKjoGW2ZPp2o5fomwdl5Zo_cT6bDu165ZTWXsy7EM0WQUEEZA-OZQpnScv3UKbBq/s1600/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+I.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEioGuue-LoMiS6F8BKIdLx7vrcHcvFQtn8iOy51CjCkBdeIcb3CaQbkQJUGGVFZv310oiZElDMJttfCFKjoGW2ZPp2o5fomwdl5Zo_cT6bDu165ZTWXsy7EM0WQUEEZA-OZQpnScv3UKbBq/s640/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+I.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, durante entrevista sobre a situação atual do Brasil em relação a pesquisa científica e investimentos em ciência e tecnologia. Alexandre Mendonça Munhoz, Intituto de Ensino e Pesquisa Hospital Sírio-Libanês, Moriah Instituto de Ensino e Pesquisa, Faculdade de Medicina da Universidade de São Paulo. Cirurgia Plástica.</span></td></tr>
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<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; line-height: 150%;"><span style="font-size: x-large;"><b><br /></b></span></span></span></div>
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<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; line-height: 150%;"><span style="font-size: x-large;"><b>J</b></span></span><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;">á os dados provenientes da última atualização
da <i style="mso-bidi-font-style: normal;">Nature</i> de 2015, demonstram o
Brasil como primeiro lugar na América Latina e 23º no ranking global. Nesta
avaliação a Argentina encontra-se em 30º lugar, o Chile em 32º e o México em
34º. Todavia, este dado merece ressalvas em uma avaliação mais criteriosa.
Segundo Van Noorden et al., o Brasil possui mais de dois terços das publicações
da América do Sul, todavia quando realiza-se a comparação em relação ao número
per capita, os dados são semelhante a Argentina, Uruguai e Chile em número de artigos.
Ademais, o volume de produção científica realizada na América do Sul pode estar
subavaliada uma vez que muitos dos periódicos não são indexados e assim não são
incluídos nas bases de dados que produzem as estimativas. </span></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><br /></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><a href="https://youtu.be/v-kyE1Xp6OY">LINK para entrevista</a></span></span></div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRv8m-cUvEU_RO0ZF7XYDCeWpvhwWg-shIFmlwM2Dgw2BhQKcoetv4qCi-miRgSqxeQjB_zIiSUfZ775ylcVxTCrQSmkk9Eh1VZ886pHLW-flCmQyCLdfN4TjgGb8kv9E5FBsrXn5Fn3_P/s1600/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+V.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRv8m-cUvEU_RO0ZF7XYDCeWpvhwWg-shIFmlwM2Dgw2BhQKcoetv4qCi-miRgSqxeQjB_zIiSUfZ775ylcVxTCrQSmkk9Eh1VZ886pHLW-flCmQyCLdfN4TjgGb8kv9E5FBsrXn5Fn3_P/s640/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+V.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, Qual é o cenário do Brasil em relação a pesquisa científica e investimentos em ciência e tecnologia. Alexandre Mendonça Munhoz, Intituto de Ensino e Pesquisa Hospital Sírio-Libanês, Moriah Instituto de Ensino e Pesquisa, Faculdade de Medicina da Universidade de São Paulo. Cirurgia Plástica.</span></td></tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><br /></span></span></div>
<div class="MsoNormal" style="line-height: 150%; mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><br /></span></span>
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: x-large; line-height: 150%;"><b>D</b></span><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;">esta forma, a
produção científica na América do Sul ainda apresenta um baixo índice de
citações (quando outros artigos fazem referência a um determinado estudo) em
relação aos demais países do hemisfério norte. No tocante ao montante de
recursos destinados à pesquisa em relação ao Produto Interno Bruto (PIB), o
Brasil também apresenta posição de destaque. De fato, o Brasil é o único país da
América do Sul que destina mais de 1% de seu PIB em pesquisa e desenvolvimento
segundo dados de 2011. Avaliações mais recentes demosntram que em 2013, o
investimento na área de pesquisa e desenvolvimento científico atingiu a marca recorde
de R$ 85,6 bilhões, o equivalente a 1,66% do PIB no mesmo período. No ano
anterior, foram aplicados R$ 76 bilhões (1,62% do PIB). Vale ressaltar que os
volumes de recursos tem aumentado de ano a ano nos últimos 15 anos onde em
2000, o investimento era de R$ 15 bilhões. Já análises em 2010 demonstram
aproximadamente R$ 62,2 bilhões aplicados em ciência, tecnologia e pesquisa
nacional. <o:p></o:p></span></span><br />
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><br /></span></span>
<div style="text-align: center;">
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><a href="https://youtu.be/v-kyE1Xp6OY">Link para Entrevista</a></span></span></div>
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><br /></span></span>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibjD94n-R3cMVAvKPK7fcUlXNEQALXVO2o3Poxc1sU5jdMGbZcyfoYme9niDsuUuTT6ykAjJzgaUpr1ybz-6dRqSTs1txzxehag8g1uNLE4kxUZvA1qHJBDtQ2TxoIys1N20e9gJE7DKJ4/s1600/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+III.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEibjD94n-R3cMVAvKPK7fcUlXNEQALXVO2o3Poxc1sU5jdMGbZcyfoYme9niDsuUuTT6ykAjJzgaUpr1ybz-6dRqSTs1txzxehag8g1uNLE4kxUZvA1qHJBDtQ2TxoIys1N20e9gJE7DKJ4/s640/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+III.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, Qual é o cenário do Brasil em relação a pesquisa científica e investimentos em ciência e tecnologia. Alexandre Mendonça Munhoz, Intituto de Ensino e Pesquisa Hospital Sírio-Libanês, Moriah Instituto de Ensino e Pesquisa, Faculdade de Medicina da Universidade de São Paulo. Cirurgia Plástica.</span></td></tr>
</tbody></table>
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;"><br /></span></span>
<span style="background-color: #f3f3f3; color: #274e13;"><span lang="EN-US" style="font-family: "calibri"; font-size: 14pt; line-height: 150%;">
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<span style="background-color: #eeeeee;"><span lang="EN-US" style="color: #274e13; font-family: Calibri; line-height: 150%;"><b><span style="font-size: x-large;">N</span></b><span style="font-size: medium;">o Brasil, a maior
parte do incentivo à pesquisa científica por meio de aporte de recursos é realizado
por fontes públicas, segundo dados </span></span></span><span lang="EN-US" style="font-family: Calibri; font-size: 14pt; line-height: 150%;"><span style="background-color: #eeeeee; color: #274e13;">do Ministério de Ciência, Tecnologia. Esse cenário
não se repete nos países que lideram a pesquisa no mundo, nos quais a parceria
com o setor privado é mais evidente em termos significativos de aporte de
recursos. De fato, em nosso meio merece destaque as Fundações de Amparo à
Pesquisa, também designadas de FAP, que tratam dos recursos de cada estado com
o objetivo de fomentar pesquisas, instaurar infraestruturas e promover a produção
de conhecimento de ponta. Na análise da revista Nature, há destaque para uma
das FAP do Brasil, qual seja a Fundação de Amparo à Pesquisa do Estado de São
Paulo (Fapesp), que em 2013 investiu 512 milhões no financiamento de pesquisas.
Em atividade desde a década de 60, a FAPESP tem um orçamento anual
correspondente a 1% do total da receita tributária do Estado, o qual de 37% do
total é destinado à pesquisa básica. Os demais componentes do orçamento estão
relacionados à infraestrutura e a pesquisa aplicada. Neste montante,
aproximadamente 30 % do total é aplicado em pesquisa na área médica.</span><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: Calibri; font-size: 14pt; line-height: 150%;"><span style="background-color: #eeeeee; color: #274e13;"><a href="https://youtu.be/v-kyE1Xp6OY">LINK PARA ENTREVISTA</a></span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhry2gb-Oit09ddotcGp-4O20jAbdzW5rv3H9w9ALkkxnXk8i7YbnxD-5-kW85DZ4wsQttKT-njjZz1bsJRju6N19oglvgfso9uBMnIfU8wl_fGQV1a9nzYvwz7mth0rpB9sxRCe1CuC4R3/s1600/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+II.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhry2gb-Oit09ddotcGp-4O20jAbdzW5rv3H9w9ALkkxnXk8i7YbnxD-5-kW85DZ4wsQttKT-njjZz1bsJRju6N19oglvgfso9uBMnIfU8wl_fGQV1a9nzYvwz7mth0rpB9sxRCe1CuC4R3/s640/Prof.+Alexandre+Mendonc%25CC%25A7a+Munhoz+-+Entrevista+Pesquisa+no+Brasil+II.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, aspectos atuais da pesquisa científica e investimentos em ciência e tecnologia no Brasil. Alexandre Mendonça Munhoz, Intituto de Ensino e Pesquisa Hospital Sírio-Libanês, Moriah Instituto de Ensino e Pesquisa, Faculdade de Medicina da Universidade de São Paulo. Cirurgia Plástica.</span></td></tr>
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<span lang="EN-US" style="background-color: #eeeeee; font-family: Calibri; font-size: 14pt; line-height: 150%;"><span style="color: #274e13;">Apesar destes dados,
merece destaque o atual contigenciamento de recursos para a pesquisa que se tem
observado nos últimos anos. De fato, em 2011, o governo federal contigenciou
22,3% do orçamento do Ministério da Ciência, Tecnologia e Inovação, que ficou
em R$ 6,5 bilhões, abaixo dos R$ 7,9 bilhões de 2010. Em 2012, os recursos
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metade do total, índice inferior ao de países como Estados Unidos (64%),
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-7598518009421514492016-05-12T08:03:00.000-07:002016-05-12T08:03:28.061-07:00Prof. Dr. Alexandre Mendonça Munhoz, Palestra na Sessão Plenária do CFM, Brasília/DF<div style="text-align: center;">
<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US" style="font-size: 20pt;">A Cirurgia da Mama e a Atuação da Sociedade Brasileira de Cirurgia Plástica (SBCP) no </span><span style="font-size: 27px;">Conselho Federal de Medicina (CFM)</span></span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><i>Alexandre Mendonça Munhoz</i></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMoaV6kc7PA8VD89QYxD_8xvRBwjQub4l64y50vp4t2PjsD8jf7l-fXtMsyFpSpIrc4bHqtjrg4POZui6_0E_XwA-aTgs3nie03C9AsU0XN9k4uabB9P1z5-JVUZBrQAaVhpPJKEkNwWs5/s1600/10644851_915577971790531_3531273736550921882_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMoaV6kc7PA8VD89QYxD_8xvRBwjQub4l64y50vp4t2PjsD8jf7l-fXtMsyFpSpIrc4bHqtjrg4POZui6_0E_XwA-aTgs3nie03C9AsU0XN9k4uabB9P1z5-JVUZBrQAaVhpPJKEkNwWs5/s400/10644851_915577971790531_3531273736550921882_n.jpg" width="400" /></a></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US" style="line-height: 24px;">Atendendo a convocação emitida pelo Conselho Federal de Medicina (CFM) e de acordo com o ofício CFM-3260/2014 PRESI, a Sociedade Brasileira de Cirurgia Plástica representada pela CNRM-SBCP esteve presente na sede do CFM em Brasília para a 2a. Sessão Plenária Extraordinária para a discussão do tema: <b><i>“Técnica Oncoplástica”.</i></b></span><span lang="EN-US" style="line-height: 24px;"><o:p></o:p></span></span></div>
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<span lang="EN-US"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: small;">Na presente Sessão participaram os membros efetivos/consultores da Comissão Nacional de Reconstrução Mamária da nossa Sociedade (CNRM-SBCP) designados pelo nosso Presidente na época, o </span><b>Dr. João de Moraes Prado Neto,</b><span style="font-size: small;"> quais sejam os colegas Drs. </span><b>Alexandre Mendonça Munhoz, Denis Calazans, João Carlos Sampaio Goes </b><span style="font-size: small;">e</span><b> Luciano Chaves.</b><span style="font-size: small;"> Coordenada pelo presidente do CFM, Dr. </span><b>Roberto Luiz D’Avila, </b><span style="font-size: small;">a presente reunião teve duração aproximada de 2 horas e meia e incluiu a apresentação teórica de 1 hora e meia por parte do coordenador da CNRM Dr. Alexandre Mendonça Munhoz, sobre a reconstrução mamária sob a ótica da nossa SBCP, seguida pela arguição e questionamentos por parte dos conselheiros do CFM, amplamente discutida pelos Drs. Calazans, Sampaio Goes e Luciano Chaves. </span></span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhHok0X98qx1sVqoFSRcP4Nn0oyJeyo0JwSl-HJ0JDRO6dLtfVhEOr07yNKNCfRSYCem-Lkz-mWwshfiCZxQbT6MfwZPnP-Qx1xUi1ZU1zWAwb9mft-hLMdvK1D_8W-0Ym00rvzZZ0Do_zN/s1600/10653789_915576731790655_8821351090197942613_n.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhHok0X98qx1sVqoFSRcP4Nn0oyJeyo0JwSl-HJ0JDRO6dLtfVhEOr07yNKNCfRSYCem-Lkz-mWwshfiCZxQbT6MfwZPnP-Qx1xUi1ZU1zWAwb9mft-hLMdvK1D_8W-0Ym00rvzZZ0Do_zN/s400/10653789_915576731790655_8821351090197942613_n.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small;">Prof.Dr. Alexandre Mendonça Munhoz, sessão plenária do CFM em Brasília</span></td></tr>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: small;">Como se tratava da última sessão plenária da gestão do CFM, tivemos a oportunidade de expor nosso ponto de vista para um plenário cheio com a totalidade dos conselheiros do CFM e inclusive com a presença e opnião do futuro presidente do CFM, o conselheiro </span><b style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">Carlos Vital Tavares Corrêa Lima </b><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: small;">e o Ex-Secretário de Saúde do Distrito Federal e conselheiro do CFM </span><b style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">Dr. Elias Fernando Miziara. </b><span style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">Esta reunião teve como objetivo principal a apresentação do ponto de vista da cirurgia plástica no que tange a reconstrução da mama, os diferentes aspectos da cirurgia mamária e em específico as áreas de atuação de ambas especialidades, enfatizando a qualidade da formação do profissional. Vale salientar que a presente reunião só se tornou possível devido ao árduo e eficaz trabalho realizado pelo nosso Vice-Presidente</span><span style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;"> </span><b style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">Denis Calazans </b><span style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif; font-size: small;">e Secretário-Geral </span><b style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">Luciano Chaves</b><span style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif; font-size: small;">, atuais representantes da nossa Sociedade no CFM. </span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZmdRF4R4n7wd-WgpMwyOV27Pi5hRGvmY4M_EIS1o857I3_dYqqYsErmEQ8MVL-FrAg8PC9b1KmhESx5ISf8caYC5a4NK0Qdg-IhkHKn9jj5L3vZbLEUZ7BF0MpJToMXA2r18FJM58oAsr/s1600/Dr+Alexandre+Mendonc%25CC%25A7a+Cirurgia+Oncopla%25CC%2581stica+3.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZmdRF4R4n7wd-WgpMwyOV27Pi5hRGvmY4M_EIS1o857I3_dYqqYsErmEQ8MVL-FrAg8PC9b1KmhESx5ISf8caYC5a4NK0Qdg-IhkHKn9jj5L3vZbLEUZ7BF0MpJToMXA2r18FJM58oAsr/s400/Dr+Alexandre+Mendonc%25CC%25A7a+Cirurgia+Oncopla%25CC%2581stica+3.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;"><span style="font-size: xx-small;">Prof.Dr. Alexandre Mendonça Munhoz, em palestra sobre tema "Reconstrução Mamária e Competências Técnicas do Cirurgião Plástico) durante a sessão plenária do Conselho Federal de Medicina (CFM) em Brasília. Alexandre Mendonça Munhoz, Cirurgia Oncoplástica, Reconstrução da Mama.</span></td></tr>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"><span style="font-size: small;">Não menos importante merece destaque ainda o grande apoio do nosso colega cirurgião plástico do Tocantins e conselheiro e coordenador da Câmara Técnica do CFM, </span><b>Dr. Pedro Eduardo Nader Ferreira </b><span style="font-size: small;">e dos demais membros da Câmara Técnica de Cirurgia Plástica do CFM, os </span><b>Drs. Ognev Cosak, Lydia Massako, Wanda Elizabeth, Carlos Jaimovitch, José Tariki e José Horácio Aboudib.</b></span></span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">De maneira geral, na exposição teórica foram abordados os seguintes temas já abordados em reuniões prévias e publicadas no Plastikós:</span></div>
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<b><span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">I. Papel atual do cirurgião plástico</span></span></b><span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> na cirurgia oncológica da mama (reconstrução na cirurgia conservadora, radical, cirurgias redutoras de risco e reconstruções torácicas), enfatizando os benefícios do procedimento e a crucial necessidade de formação plena, bases sólidas de cirurgia geral, aprimoramento e senso estético além de completo entendimento de procedimentos de alta complexidade.</span></span></div>
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<b><span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">II. Prevalência da reconstrução imediata da mama</span></span></b><span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> no mundo e no nosso meio e os fatores preditivos relacionados a maior ou menor indicação da reconstrução. Tal argumento se contrapôs a dados mencionados por mastologistas na Sessão Plenária prévia que enfatizaram a baixíssima prevalência de reconstrução em nosso meio, com taxas próximas a 2,5%, e em todas as regiões do Brasil. Atribuiu-se este fato ao baixo número de profissionais afeitos e disponíveis para a reconstrução e desta forma a necessidade de treinamento de mastologistas para a reconstrução. Em diversas reuniões realizadas na CNRM já havíamos entendido que a indicação da reconstrução é multifatorial e decorrente de outros fatores além do número de profissionais com experiência em reconstrução, mesmo em países desenvolvidos e com mais recursos em termos de saúde pública. </span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLoZQKsNBbSGoWStJPbkWKIp1Jdf-D_xboFGhNCBXiTdZG8Bk2x4FLstjxmp56ypspkUlm0lUr7T6snt-i3c-5LQQWfyD6wypK_I4DU6Vl-t9oHsj4bl_nzrQtHQu7hyphenhyphenKvk5pUyNx5rT9e/s1600/1610817_915576715123990_5071408277215911530_n.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhLoZQKsNBbSGoWStJPbkWKIp1Jdf-D_xboFGhNCBXiTdZG8Bk2x4FLstjxmp56ypspkUlm0lUr7T6snt-i3c-5LQQWfyD6wypK_I4DU6Vl-t9oHsj4bl_nzrQtHQu7hyphenhyphenKvk5pUyNx5rT9e/s400/1610817_915576715123990_5071408277215911530_n.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;"><span style="font-size: xx-small;">Sessão plenária do CFM, com exposição do Dr. Alexandre Mendonça Munhoz,</span> </span></td></tr>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">De fato, de acordo com levantamentos realizados nos EUA (ASPS Database-2012 e 2013), há uma grande variação nacional na indicação da reconstrução mamária. Consoante informações do National Cancer Institute USA (NCI) em 2012 foram diagnosticados aproximadamente 212 mil casos de câncer de mama nos EUA e, no mesmo ano, foram contabilizados 97 mil reconstruções mamárias (incluindo neste número reconstruções tardias e reoperações). Desta forma nos EUA, menos de ¼ das pacientes fazem a reconstrução imediata da mama, isto em um cenário com mais recursos e informação quando comparado ao nosso. De fato, estudos realizados pela Universidade de Michigan (Alderman et al. </span><i style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">JAMA</i><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> 2006) mostram grandes discrepâncias regionais com taxas de reconstrução imediata que variam de 4,5% (Alaska) e 37,5% (Atlanta). Assim, são outros fatores e não apenas o número de profissionais que explicam o baixo número de reconstruções. </span></div>
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<b><i><span lang="EN-US"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">“Em diversas reuniões realizadas na CNRM já havíamos entendido que a indicação da reconstrução é multifatorial e decorrente de outros fatores além do número de profissionais, O mesmo cenário é observado em países desenvolvidos e com mais recursos em termos de saúde pública que o nosso” Alexandre Munhoz, coordenador da CNRM-SBCP.</span></span></i></b></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Fatores como idade, presença de doenças clínicas associadas, obesidade, estadiamento tumoral e informações sobre o tema também estão relacionados com a maior ou menor indicação da reconstrução e estão consoantes à séries clínicas descritas (Christian et al., </span><i style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">Ann Surg Oncol</i><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> 2006). Neste último estudo, envolvendo 8 centros terciários de câncer de mama americanos, demonstraram taxas de reconstrução próximas a 40%. De modo semelhante e avaliando centros acadêmicos e/ou terciários em nosso meio que prestam atendimento SUS apresentam taxas de reconstrução próximas a países desenvolvidos e próximas a 45% (Hospital Pérola Byngton, ICESP-FMUSP, UERJ).</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirNrBmFCp6-F7Hieb5R_91cn_ccHLyeutbeYc7yKyGchclRNIl_DyboDQW_u8i6TqNEwYRaNQONtHjmLEHmhDudg1M5pi0Zs-VBCwjmyRHxYexx5kAf4azOsx5w7sgAZt6LCTxtQrDZCYt/s1600/Dr+Alexandre+Mendonc%25CC%25A7a+Cirurgia+Oncopla%25CC%2581stica.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEirNrBmFCp6-F7Hieb5R_91cn_ccHLyeutbeYc7yKyGchclRNIl_DyboDQW_u8i6TqNEwYRaNQONtHjmLEHmhDudg1M5pi0Zs-VBCwjmyRHxYexx5kAf4azOsx5w7sgAZt6LCTxtQrDZCYt/s400/Dr+Alexandre+Mendonc%25CC%25A7a+Cirurgia+Oncopla%25CC%2581stica.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, durante a palestra sobre tema "Reconstrução Mamária e Competências Técnicas do Cirurgião Plástico" na sessão plenária do Conselho Federal de Medicina (CFM) em Brasília. Alexandre Mendonça Munhoz, Cirurgia Oncoplástica, Reconstrução da Mama.</span></td></tr>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span lang="EN-US" style="line-height: 32px;">III. Importância do atendimento multi-profissional no câncer de mama</span></b><span lang="EN-US" style="line-height: 32px;">. Apesar de consagrado o saudável conceito da multi-disciplinaridade, foi enfatizado na apresentação que temos observado mudanças de postura em relação a cirurgia plástica e, sobretudo em ações éticas defendidas pela SBCP as quais valorizam o papel do especialista. Desta forma, algumas instituições de atendimento terciário e relevantes no tratamento do câncer de mama no Brasil tem apresentado um movimento progressivo de exclusão do cirurgião plástico do atendimento multi-disciplinar. Dados recentes provindos de alguns centros demonstram de maneira clara a maior resistência a participação de colegas cirurgiões plásticos em modelos de atendimento previamente estabelecidos nestes departamentos e a atuação única do mastologista como cirurgião oncológico e reparador. No cenário destes centros, a situação torna-se mais temerária uma vez que residentes de serviços credenciados da SBCP, realizam sua complementação de formação em reconstrução mamária em outros serviços, com as devidas limitações e custos adicionais.</span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8yWeEqXryITvbCke_T3FJOTacH_BhTqkWSgZTKRrpgnvVQwFOKSs8uTophReaq08FzimlDeSh4VFK-aVMBGBVJ6DItDbk9k46AKTxZ1Qg5cvk_wMFOXdkd9LYIp5bei3pI1PcxxecnZwz/s1600/Dr+Alexandre+Mendonc%25CC%25A7a+Cirurgia+Oncopla%25CC%2581stica+2.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8yWeEqXryITvbCke_T3FJOTacH_BhTqkWSgZTKRrpgnvVQwFOKSs8uTophReaq08FzimlDeSh4VFK-aVMBGBVJ6DItDbk9k46AKTxZ1Qg5cvk_wMFOXdkd9LYIp5bei3pI1PcxxecnZwz/s400/Dr+Alexandre+Mendonc%25CC%25A7a+Cirurgia+Oncopla%25CC%2581stica+2.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: xx-small; text-align: justify;">Sessão plenária do CFM, com exposição do Dr. Alexandre Mendonça Munhoz</span></td></tr>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Em função dos argumentos acima, foi exposto aos conselheiros do CFM de maneira contundente que o </span><b style="color: #274e13; font-family: 'helvetica neue', arial, helvetica, sans-serif;">cirurgião reconstrutor de mama</b><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> deve ter o conhecimento oncológico para realizar a cirurgia terapêutica e reconstrutora, favorecendo desta forma o amplo entendimento das diversas afecções e sua complexidade no âmbito da cura e da reabilitação. Ademais, a SBCP tem como objetivos já claramente expostos, inclusive em reuniões já realizadas com a SBM, estabelecer propostas de trabalho baseadas em princípios éticos e de boa conduta de convivência e que enfocam áreas objetivas para beneficiar ambas especialidades pertinentes e já co-existente em diversos centros formadores de cirurgiões reconstrutores e Hospitais de Câncer no Brasil. Ademais, a SBCP entende que um trabalho conjunto, envolvendo a Cirurgia Plástica e a Mastologia e diversos centros com programas oficiais em mastologia e cirurgia plástica e, sobretudo alicerçada em ações coordenadas por uma comissão mista, permitirá a médio e longo prazo um novo e cenário de atuação para futuros cirurgiões terapêuticos e reconstrutores de mama provenientes das suas especialidades aqui envolvidas.</span></div>
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<span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><br /></span></span></div>
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<span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Neste sentido e frente ao exposto colocamos de maneira clara e inequívoca a proposta da SBCP para a SBM com intuito de aprimorar de maneira sólida o cirurgião reconstrutor baseado em quatro (4) condutas ou pontos a serem adotados por ambas especialidades :</span></span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">I.</span> Elaboração de um modelo de “aprimoramento” em cirurgia reconstrutiva oncológica da mama para mastologistas, e cirurgia terapêutica oncológica mamária após a residência, com duração mínima de um ano e 1920 horas de treinamento.</span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">II.</span>Definição do conteúdo programático e locais de ensino com capacidade multidisciplinar dos modelos de “aprimoramento” com definição objetiva de ensino em cirurgia reparadora e terapêutica oncológica para formação de profissionais provenientes das duas especialidades envolvidas.</span></div>
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<span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">III.</span> Acesso do profissional que realizou o “aprimoramento” ou “fellow” a eventos de ambas especialidades com objetivo de atualização continuada.</span></div>
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<span lang="EN-US" style="line-height: 32px;"><span style="color: #274e13; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">IV.</span> Exclusão nos modelos de aprimoramento e conteúdo programático, as cirurgias com natureza estética clara, quais sejam as mastoplastias de aumento estéticas em situações de hipomastias e assimetrias, as mastopexias em situações de ptose mamária e assimetrias e mamoplastias redutoras em situações de hipertrofia mamária.</span></span></div>
alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-62785071457327181352016-05-09T18:53:00.001-07:002016-05-09T18:53:05.169-07:00Prof. Alexandre Mendonça Munhoz e Voluntariado no Combate ao Câncer de Mama e Estímulo a Reconstrução da Mama<div style="text-align: center;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Voluntariado no Câncer de Mama</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><i><b>Prof. Dr. Alexandre Mendonça Munhoz</b></i></span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Participação no Evento Rede Feminina Nacional de Combate ao Câncer de Mama</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><i><b><br /></b></i></span></div>
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<span lang="EN-US" style="font-family: Helvetica; line-height: 115%;"><span style="color: #0c343d;"><b><span style="font-size: x-large;">D</span></b><span style="font-size: 13pt;">efine-se como atividade voluntária, o conjunto de
ações de interesse social onde toda a atividade realizada por um grupo de
indivíduos se reverte e favorece de maneira prioritária a favor do serviço e do
trabalho e sem recebimento de qualquer remuneração ou lucro. São qualidades
comuns ao indivíduo que se propõem ao trabalho voluntário, o altruísmo e a
solidariedade. De fato, a atividade voluntariada é regulamentado no Brasil pela
Lei 9.608/1998 e é considerada por lei como atividade não remunerada, prestada
por pessoa física a entidade pública de qualquer natureza, que tenha objetivos
cívicos, culturais, educacionais, científicos, recreativos ou de assistência
social, inclusive mutualidade.<o:p></o:p></span></span></span></div>
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<div class="separator" style="clear: both; text-align: center;">
</div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj__wmDZ8amsmPpWXuCeHQZfXh5NYONgQMP5XTH5UNii8USshFp2HEKuBHueTDu9ox8KX45PGU0Sybtva7UkqwC5wztOw_b1t8DwV_KzsiiF7QStEi5b63jt7QYV244dQUKWZFjskkt4Qi2/s1600/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+VII.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj__wmDZ8amsmPpWXuCeHQZfXh5NYONgQMP5XTH5UNii8USshFp2HEKuBHueTDu9ox8KX45PGU0Sybtva7UkqwC5wztOw_b1t8DwV_KzsiiF7QStEi5b63jt7QYV244dQUKWZFjskkt4Qi2/s640/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+VII.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, conferência durante o X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer realizado em Joinville/SC. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</td></tr>
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<span style="font-family: Helvetica;"><span style="font-size: large;"><b><br /></b></span></span></div>
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<span style="font-family: Helvetica;"><span style="font-size: large;"><b>A</b></span></span><span style="font-family: Helvetica; font-size: 13pt;">pesar desta
definição, a atividade voluntária não necessariamente deve ser realizada exclusivamente por indivíduos, e algumas definições internacionais categorizam o trabalho voluntário como “Atividade
sem remuneração, realizada não apenas por pessoa física as também por entidade
pública de qualquer natureza, ou instituição privada de fins não lucrativos,
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Conferência do Prof.Dr. Alexandre Mendonça Munhoz durante o X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer realizado em Joinville/SC. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</span></td></tr>
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<span style="font-family: Helvetica;"><b><span style="font-size: large;">E</span></b><span style="font-size: 13pt;">ntre as distintas maneiras de atuação do voluntariarismo, podemos
mencionar as formas presenciais ou remotas, por meio de ações individuais, (entidades
de classe, profissões); participação de campanhas (</span></span><a href="https://pt.wikipedia.org/wiki/Doa%C3%A7%C3%A3o_de_sangue" style="font-family: Helvetica; font-size: 13pt;"><span style="color: black; mso-themecolor: text1; text-decoration: none; text-underline: none;">doação de sangue</span></a><span style="font-family: Helvetica; font-size: 13pt;">, reciclagem etc,,,); criação de grupos para
apoio ou suporte (associação de moradores, grupo de trabalhos em hospitais, com
objetivos como de saúde); atuação em projetos públicos com o objetivo de
melhoria na cidade (mutirões de limpeza das ruas); participação em conselhos como os
de Pais e Mestres de escolas, e projetos semelhantes dentro de escolas públicas
ou privadas.</span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Conferência do Prof.Dr. Alexandre Mendonça Munhoz no X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer, entidade de Voluntários e realizado em Joinville/SC. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</span></td></tr>
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<span style="font-family: Helvetica;"><b><span style="font-size: large;">A</span></b><span style="font-size: 13pt;">tualmente, a
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiruPZIaUQ90uMMkv_63WBvl-Op2DOdV5E4avIOqzm_HSHxL1tecFqLdTb7YwLYxiDLNTqYNrn6alfKPv_9WhyCkEEhVE1HlbsacT4G74Iq12TRg3auEMMPyWHwW4Kx83I4cqmt05q922DF/s1600/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+V.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiruPZIaUQ90uMMkv_63WBvl-Op2DOdV5E4avIOqzm_HSHxL1tecFqLdTb7YwLYxiDLNTqYNrn6alfKPv_9WhyCkEEhVE1HlbsacT4G74Iq12TRg3auEMMPyWHwW4Kx83I4cqmt05q922DF/s640/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+V.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Auditório durante a conferência do Prof.Dr. Alexandre Mendonça Munhoz no X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer, entidade de Voluntários e realizado em Joinville/SC. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</span></td></tr>
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<span lang="EN-US"><b><span style="font-size: large;"><br /></span></b></span></div>
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<span lang="EN-US"><b><span style="font-size: large;">D</span></b><span style="font-size: 13pt;">esde 1985 no Brasil,
é estabelecido o Dia Nacional do Voluntariado. O mesmo é internacionalmente
comemorado em 5 de dezembro, data proclamada pela ONU também em 1985. Estas
duas datas de comemoração tiveram como objetivo reconhecer e enfatizar a ação
das pessoas que doam o tempo, a mão de obra e conhecimento para causas de
interesse social e para o bem da comunidade.</span></span><span style="font-size: 13pt;"> </span></div>
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<span style="font-size: 13pt;"><br /></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgw5X7vURxdiYoDL5cCS6mU6AC3yDhwGad0T1xLasmd8sthPem9oNEfN4Oo6Fp_FCAtkAmiW7yXyjrGLx0AubfBZz_7QFP-3HrmHTpUHEL1zKUDcWjlHCJeZnvLL2_tAvr7j2nXQJmdYehU/s1600/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+IV.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgw5X7vURxdiYoDL5cCS6mU6AC3yDhwGad0T1xLasmd8sthPem9oNEfN4Oo6Fp_FCAtkAmiW7yXyjrGLx0AubfBZz_7QFP-3HrmHTpUHEL1zKUDcWjlHCJeZnvLL2_tAvr7j2nXQJmdYehU/s640/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+IV.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: -webkit-standard; text-align: justify;">Auditório d</span><span style="font-family: -webkit-standard; text-align: justify;">o X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer, </span><span style="font-family: -webkit-standard; text-align: justify;">durante a conferência do Prof.Dr. Alexandre Mendonça Munhoz, para a entidade de Voluntários em Joinville/SC. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</span><span style="font-size: 13pt; text-align: justify;"> </span></td></tr>
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<span lang="EN-US" style="color: black; font-family: Helvetica; line-height: 115%;"><b><span style="font-size: large;">N</span></b><span style="font-size: 13pt;">o Brasil, de acordo com pesquisa realizada pelo
Instituto IBOPE, a atividade voluntária representa 18% da população, ou seja,
apenas dois em cada dez brasileiros desempenharam atividades voluntárias no
período de um ano. De forma diferente, e segundo a pesquisa realizada pelo Instituto
Datafolha com 2024 brasileiros em 135 municípios, 11% da população brasileira
são voluntários e 28% já realizaram algum tipo de atividade formal não
remunerada para ajudar o outro em algum momento. Ou seja, cerca de três em cada
dez pessoas já realizaram ações voluntárias ao longo da vida.<o:p></o:p></span></span></div>
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<span lang="EN-US" style="color: black; font-family: Helvetica; line-height: 115%;"><span style="font-size: 13pt;"><br /></span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFL5_DgfEd0ZJtnDFiELE7zLnzaTQPVCev5aP7PjcQoY2pKKvh0UFU4KpP59zD8ShrkFcHu7RQbUFLF1nZ9qiBh-RlTa32Q5E0UAA3MyYxK0wOZiQHRkw6fKVkutJpwc4dAz2kTHUX8pGS/s1600/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFL5_DgfEd0ZJtnDFiELE7zLnzaTQPVCev5aP7PjcQoY2pKKvh0UFU4KpP59zD8ShrkFcHu7RQbUFLF1nZ9qiBh-RlTa32Q5E0UAA3MyYxK0wOZiQHRkw6fKVkutJpwc4dAz2kTHUX8pGS/s640/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Homenagem ao Prof.Dr. Alexandre Mendonça Munhoz durante o X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer, entidade de Voluntários e realizado em Joinville/SC, pela contribuição à atividade de reconstrução da mama, assistencial e pesquisa. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</span></td></tr>
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</div>
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<span lang="EN-US" style="color: black; font-family: Helvetica; line-height: 115%;"><span style="font-size: 13pt;"><br /></span></span></div>
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<span lang="EN-US" style="color: black; font-family: Helvetica; line-height: 115%;"><span style="font-size: 13pt;"><br /></span></span></div>
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<span style="font-family: Helvetica;"><b><span style="font-size: large;">O</span></b><span style="font-size: 13pt;">utra forma de engajamento com a sociedade pode e deve ser decorrente das empresas, fato este denominado de <b><i>responsabilidade social</i></b>. De fato, isto representa uma forma de comprometimento
e relacionamento com a sociedade, que tem como premissa alguns
princípios éticos escolhidos pelas empresas.</span></span><span style="font-family: Helvetica; font-size: 13pt;"> É fato que no começo do século XX, o
conceito de responsabilidade social apoiou-se nos princípios da filantropia, os quais eram manifestações do poder corporativo.
Todavia, entre os anos de 60 e 70, a empresa começa a ser vista como uma
‘entidade moral’. Todavia nos anos 80, surge
uma nova concepção de "business" embasada na responsabilidade social corporativa e compartilhada </span><span style="font-family: Helvetica; font-size: 17px;">dentro de um cenário globalizado.</span><span style="font-family: Helvetica; font-size: 13pt;"> </span></div>
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<span lang="EN-US" style="font-family: Helvetica; font-size: 13pt; line-height: 115%;">De fato, os empresários estão entendendo que a
responsabilidade social é capaz de criar o diferencial competitivo em um mundo
globalizado.<o:p></o:p></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNZbMkCw8SJCix8xDXCHJFew-GlWT_nLE_YiRQge8wFTCiMXEmuKrEaUIfYu8PF8OEbBs9PksMS1tLlgDYe9kHQXOq1_HcaT_BAnRTcfZXTfPKytnvj-hGJ3aiQ3ZaGJ9PydaY6B9H8cQV/s1600/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+VI.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNZbMkCw8SJCix8xDXCHJFew-GlWT_nLE_YiRQge8wFTCiMXEmuKrEaUIfYu8PF8OEbBs9PksMS1tLlgDYe9kHQXOq1_HcaT_BAnRTcfZXTfPKytnvj-hGJ3aiQ3ZaGJ9PydaY6B9H8cQV/s640/PROF.+ALEXANDRE+MUNHOZ+RECONSTRUC%25CC%25A7A%25CC%2583O+DA+MAMA+VI.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Homenagem ao Prof.Dr. Alexandre Mendonça Munhoz, com as Sras. Aglaê Oliveira (presidente da Rede Feminina do Combate ao Câncer) e Simone Cortês, durante o X Congresso Nacional da Rede Feminina Nacional de Combate ao Câncer, entidade de Voluntários e realizado em Joinville/SC, pela contribuição à atividade de reconstrução da mama, assistencial e pesquisa. Alexandre Munhoz, Reconstrução da Mama, Cirurgia Oncoplástica, Reconstrução Mamária, Hospital Sírio Libanês.</span></td></tr>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-48559147883349128332016-04-26T11:03:00.004-07:002016-04-26T11:44:20.155-07:00Tese de Livre-Docência / Reconstrução Mamária em Nipple-Areola Sparing Mastectomy (Adenomastectomias) / Prof.Dr. Alexandre Munhoz<div style="text-align: center;">
<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">Tese Livre-Docência</span></span></div>
<div style="text-align: center;">
<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><b>Reconstrução Mamária em Nipple-Areola Sparing Mastectomy (Adenomastectomia)</b></span></div>
<div style="text-align: center;">
<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><i><b>Prof. Dr. Alexandre Mendonça Munhoz</b></i></span></div>
<div style="text-align: justify;">
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<tr><td class="tr-caption" style="font-size: 13px; text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz em concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Banca Examinadora com os Prof. Miguel Sabino Neto, Renato da Silva Freitas, Rolf Gemperli, José Pinhata Otoch e Marcelo Sacramento Cunha da sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;"><b>Análise dos fatores preditivos clínicos e cirúrgicos na evolução pós operatória imediata em pacientes submetidas a reconstrução mamária com tecido aloplástico em mastectomias com preservação do complexo aréolo-papilar</b></span></div>
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<span style="font-size: 10pt;"> Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para obtenção do título de Professor Livre-Docente junto ao Departamento de Cirurgia (Disciplina de Cirurgia Plástica)<o:p></o:p></span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><b><span style="font-size: 12pt;">INTRODUÇÃO / OBJETIVOS .........................................................................1</span></b></span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">O</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> tratamento cirúrgico do câncer de mama apresentou grande evolução nos últimos anos, não só pelo desenvolvimento de novos procedimentos, mas também pelo aprimoramento técnico de parte do cirurgiões, que redundaram em expressivos resultados estéticos e/ou funcionais. Ademais, a melhor compreensão da fisiopatologia tumoral bem como do processo de disseminação linfática permitiram cirurgias menos extensas e adequado controle local e sistêmico. Neste sentido, estudos prospectivos comparando cirurgias com maior e menor extensão comprovaram a eficácia de procedimentos mais conservadoras (VERONESI et al. 1981, SARRAZIN et al. 1984; FISCHER et al. 1989), que foram idealizadas e desenvolvidas pelos pioneiros estudos de Fisher (1977). Embora o conhecimento atual sobre a fisiopatologia do câncer mamário corroborem com esses estudos, outras evidências enfatizam a necessidade também do controle local da doença como parte ímpar do tratamento (TIEZZI 2007).</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQJyPk58jbcTevUdhuyXhEHDwz1eREXvpKUbuvAMOvK8dEIDEQ0wxpzn5p0tonBCB3_kLGUXPswuiiOfJfOOa9JYkH6i455p8PIIpNFRcRxw1w7YwJo3bkWLe1QzhiFB_Z4cqPUs8NCASY/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25283%2529.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQJyPk58jbcTevUdhuyXhEHDwz1eREXvpKUbuvAMOvK8dEIDEQ0wxpzn5p0tonBCB3_kLGUXPswuiiOfJfOOa9JYkH6i455p8PIIpNFRcRxw1w7YwJo3bkWLe1QzhiFB_Z4cqPUs8NCASY/s400/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25283%2529.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px;"><span style="text-align: justify;">Prof. Alexandre Mendonça Munhoz em concurso de Livre-Docência FMUSP</span></td></tr>
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<span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">D</span>e fato, estudos clínicos demonstram nítida associação entre o controle local da doença e a sobrevida global (TIEZZI 2007; VERONESI et al. 1981, FISCHER et al. 1989; NIELSEN et al. 2006). Por sua vez, a adição de radioterapia ao tratamento local não somente reduz as taxas de recorrência loco-regional como também aumentam a sobrevida global (RAGAZ et al. 1997; OVERGAARD et al. 1999; RAGAZ et al. 2005; CLARKE et al. 2005). </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Do exposto depreende-se que a cirurgia conservadora da mama exibe atualmente importante papel no tratamento do câncer de mama precoce </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">(VERONESI et al. 1981, SARRAZIN et al. 1984; FISCHER et al. 1989)</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">. Todavia, </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">tal assertiva foi parcialmente confirmada em série clínica monitorada por 20 anos onde a cirurgia conservadora da mama desvelou maior probabilidade de recorrência do tumor quando comparado à mastectomia radical, apesar de não ter se observado qualquer diferença quanto às metástases à distância, incidência de doença na mama contralateral ou taxas de mortalidade (VERONESI et al. 2002; GEBRIM et al. 2011).</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmn63WwhO66QfQMzuigQDct7h54jFfWG8qdsG1aDXe_d3dCQh_ZtsnAuK9mGrGz1RBLcb9weWPjwmas45o5AwJw7Rx4WrlT91gt4YtojHI260heooM8gQ7jFltmdhB0YUQ5tQ-ZBaGSrHy/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%252842%2529.JPG" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmn63WwhO66QfQMzuigQDct7h54jFfWG8qdsG1aDXe_d3dCQh_ZtsnAuK9mGrGz1RBLcb9weWPjwmas45o5AwJw7Rx4WrlT91gt4YtojHI260heooM8gQ7jFltmdhB0YUQ5tQ-ZBaGSrHy/s400/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%252842%2529.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof. Alexandre Mendonça Munhoz em concurso de Livre-Docência FMUSP</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">E</span>mbora a maioria dos ensaios clínicos apresente resultados oncológicos seguros na conservação da mama, é fato que a preservação parcial da glândula mamária não necessariamente corrobore com resultado estético favorável (BERRINO et al. 1987; SACCHINI et al. 1991; </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: small;">SLAVIN et al. 2004; ASGEIRSSON et al. 2005). </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Alguns autores relatam que a falta de planejamento pré-operatório e a ausência de técnicas de reconstrução imediata podem acarretar em resultados estéticos pouco satisfatórios, perdendo-se assim o principal objetivo da cirurgia conservadora (BERRINO et al. 1987; PETIT et al. 1989; SACCHINI et al. 1991; CLOUGH et al. 1992; SLAVIN et al. 2004; ASGEIRSSON et al. 2005). Assim, CLOUGH et al. (1992) observaram 25% de maus resultados com insatisfação significativa por parte das pacientes submetidas ao tratamento conservador. De maneira semelhante, PETIT et al. (1989) em uma casuística de 89 pacientes submetidas a cirurgia conservadora relataram índice de 21% de resultados insatisfatórios, com destaque para a retração do parênquima mamário.</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz na arguição oral do concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Banca Examinadora com os Prof. Miguel Sabino Neto, Renato da Silva Freitas, Rolf Gemperli, José Pinhata Otoch e Marcelo Sacramento Cunha da sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span> extensão da ressecção e a radioterapia adjuvante também podem contribuir de maneira importante na evolução do resultado estético final (SACCHINI et al. 1991; CLOUGH et al. 1992; CHANG et al. 2004). Desta maneira, <span style="text-transform: uppercase;">SACCHINI </span>et al.<sup> </sup>(1991) ao avaliarem resultados quantitativos e qualitativos em 148 pacientes submetidas ao tratamento conservador notaram melhores resultados no grupo submetido a ressecções menores, pontuando assim a importância da extensão da ressecção no resultado da reconstrução. De modo semelhante, a radioterapia também apresenta influência no resultado estético final, podendo promover efeitos negativos sobre a cicatrização como deiscências, retração e fibrose da pele e do parênquima mamário remanescente e hiperpigmentação<sup> </sup>(CLOUGH et al. 1995; <span style="text-transform: uppercase;">LAXENAIRE </span>et al.<span style="text-transform: uppercase;"> 1995; SMITH </span>et al.<span style="text-transform: uppercase;"> 1998; NEWMAN </span>et al.<span style="text-transform: uppercase;"> 2001; MASSETI </span>et al.<span style="text-transform: uppercase;"> 2006)</span>.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyywWQu1Acd871TgJm4IcF1WfddL7VOIpTypyJ-2GUpaJhiDBqFjL2acwNbMYu1sT8loogc3Dl3hQXLPnLLyuawl1VgwTxJK9dHj8tulRdC5hpECqeDhXe-CByFFRxnb4_gNNTB6K9BJMW/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%252821%2529.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyywWQu1Acd871TgJm4IcF1WfddL7VOIpTypyJ-2GUpaJhiDBqFjL2acwNbMYu1sT8loogc3Dl3hQXLPnLLyuawl1VgwTxJK9dHj8tulRdC5hpECqeDhXe-CByFFRxnb4_gNNTB6K9BJMW/s400/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%252821%2529.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof. Alexandre Mendonça Munhoz em concurso de Livre-Docência FMUSP</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span>ssociado as limitações técnicas relacionadas a extensão da ressecção e os efeitos deletérios da radioterapia, a segurança nas margens cirúrgicas também constitui contra-indicação para a cirurgia conservadora da mama. De fato, GEBRIM et al. (2011) no projeto Diretrizes Clínicas da Saúde Suplementar promovido pela Associação Médica Brasileira (AMB) enfatizaram que, </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">na impossibilidade de obtenção de margens livres, com resultado estético adequado, deve-se indicar a mastectomia. De modo semelhante, em caso de dificuldade de acesso da paciente à radioterapia ou seguimento periódico, deve-se optar por cirurgias mais amplas com objetivo de melhor controle local</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">.</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><i><b><span style="font-size: large;"><span lang="EN-US">"Desta forma, apesar da consolidação da cirurgia conservadora no tratamento do câncer de mama, </span>a mastectomia ainda está indicada em diversas situações clínicas, <span lang="EN-US">como tumores maiores que 3,0 cm, pacientes com volume mamário pequeno, situações que contra-indicam a radioterapia adjuvante, tumores multifocais e carcinoma in situ extenso".</span></span></b></i></span></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"><span lang="EN-US"><span style="font-size: x-large;">A</span> mastectomia constitui o tratamento padrão para o carcinoma da mama há mais de um século, porém variações técnicas tem ocorrido neste período, sendo que a menor radicalidade cirúrgica com a preservação muscular bem como a menor extensão na ressecção cutânea </span>estão incluídas entre os importantes passos na sua evolução <span lang="EN-US">(KROLL et al. 1991; SINGLETARY 1996; SIMMONS; ADAMOVICH 2003).</span> </span><span lang="EN-US">Introduzida na década 90, a mastectomia com preservação de pele apresenta benefícios em relação as técnicas tradicionais (TOTH; LAPPERT 1991; KROLL et al. 1991; SINGLETARY 1996; CARLSON 1996; SLAVIN et al. 1998; SIMMONS; ADAMOVICH 2003). </span></span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz na arguição do memorial no concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Banca Examinadora com os Prof. Miguel Sabino Neto, Renato da Silva Freitas, Rolf Gemperli, José Pinhata Otoch e Marcelo Sacramento Cunha da sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"><span style="font-size: x-large;">A</span>ssim, a preservação do tegumento cutâneo, bem como a presença de cicatrizes com menor extensão e a manutenção do sulco infra-mamário tem sido enfatizados como principais benefícios (CARLSON 1996; SLAVIN et al. 1998; SIMMONS; ADAMOVICH 2003; MUNHOZ et al. 2007a; MUNHOZ et al. 2007b). Desta forma, </span><span lang="EN-US">essas variações técnicas,</span><span lang="EN-US"> podem </span><span lang="EN-US">permitir resultados estéticos superiores às mastectomias</span><span lang="EN-US"> </span><span lang="EN-US">convencionais</span><span lang="EN-US"> </span><span lang="EN-US">e menor necessidade de</span><span lang="EN-US"> </span><span lang="EN-US">intervenções cirúrgicas reconstrutivas (</span><span lang="EN-US">KROLL et al. 1991; CARLSON 1996; SLAVIN et al. 1998). </span>Assim, nas pacientes que não apresentavam critérios <span lang="EN-US">oncológicos e técnicos para a conservação da mama, a mastectomia preservadora de pele tem se mostrado como alternativa as mastectomias convencionais (KROLL et al. 1991; SINGLETARY 1996; CARLSON 1996; SLAVIN et al. 1998; SIMMONS; ADAMOVICH 2003; MUNHOZ et al. 2007a; MUNHOZ et al. 2007b)</span>. </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Alguns estudos clínicos têm demonstrado que a mastectomia com preservação de pele é segura do ponto de vista oncológico, com taxas de recidivas locais e à distância similares às mastectomias convencionais (KROLL et al. 1997; SLAVIN et al. 1998; SIMMONS et al. 1999; TORREZAN et al. 2005). </span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Alexandre Munhoz em concurso de Livre-Docência FMUSP</span></td></tr>
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<span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">N</span>o entanto, a maioria das recorrências locais ocorre no retalho </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">cutâneo</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> remanescente </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">e, provavelmente decorrem do envolvimento</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">dos vasos linfáticos da derme por células neoplásicas</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">e da infiltração direta do tumor na pele (</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">SLAVIN et al. 1998; </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">HO et al. 2003; </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">TORREZAN et al. 2005)</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">. Desta forma,</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> para a adequada realização da preservação de pele, a dissecção entre a pele e a glândula mamária deve ser realizada de maneira meticulosa, uma vez que volume de tecido mamário remanescente pode implicar no aumento do risco para as recorrências locais ou</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> mesmo </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">de permanência de focos tumorais (NEWMAN et al. 1998; </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">TORREZAN et al. 2005)</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">.</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Apesar destes aspectos, até o presente momento não existe na literatura uma definição precisa do conceito de segurança oncológica no tratamento do câncer de mama. Todavia, o principal aspecto técnico que contribui para a segurança oncológica é a capacidade do procedimento em não deixar tumor residual, ou seja, a obtenção de margens efetivamente</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">l</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">ivres de tumor. Por isso, cirurgias que proporcionam margens livres mais efetivas e amplas são consideradas mais seguras do ponto de vista oncológico (</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">TORREZAN et al. 2005; </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">GEBRIM et al. 2011).</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span></div>
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<span style="color: #0c343d;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span lang="EN-US"><i><b>"O contínuo processo de aprimoramento técnico em associação com estudos clínicos aferindo a segurança oncológica das mastectomias com preservação de pele descortinaram uma nova fase no tratamento cirúrgico do câncer mamário. Neste sentido, a evolução natural das mastectomias com preservação de pele para conservação completa do complexo aréolo-papilar (CAP) se mostrou como alternativa em algumas situações clínicas.". </b></i></span></span></span></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"><span style="font-size: x-large;">E</span>ntretanto, evidências clínicas recentes baseadas em estudos anátomo-patológicos demonstraram que o risco de comprometimento do CAP por células tumorais tem sido superestimado, sendo aceito atualmente um comprometimento variando de 5,6 a 10,6% (LARONGA et al. 1999; SIMMONS et al. 2002; GEBRIM et al. 2011). </span>Fatores de risco para comprometimento do CAP por tumor são descritos na literatura, quais sejam o comprometimento linfonodal axilar, a localização subareolar do tumor, a distância entre tumor e o CAP menor que 2,5 cm, a multicentricidade e o estadiamento tumoral (VYAS et al. 1998; SIMMONS et al. 2002; BANERJEE et al. 2008; RUSBY et al. 2008; LOEWEN et al. 2008; VOLTURA et al. 2008; PIROZZI et al. 2010; GEBRIM et al. 2011).</span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz na arguição do memorial no concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Banca Examinadora com os Prof. Miguel Sabino Neto, Renato da Silva Freitas, Rolf Gemperli, José Pinhata Otoch e Marcelo Sacramento Cunha da sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">N</span>o tocante a segurança oncológica das mastectomias com preservação do CAP, alguns estudos avaliaram o risco de recidiva local e mortalidade. A recorrência local após mastectomia com preservação de pele tem sido comparável à da mastectomia radical, não havendo diferença significativa na recorrência local ou à distância após cinco anos de seguimento (GERBER et al. 2003; PATANI et al. 2008; GEBRIM et al. 2011; BONETI et al. 2011; JENSEN et al. 2011; TOKIN et al. 2012; MALLON et al. 2013; MALLON et al. 2013).</span></div>
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<span lang="EN-US"><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span lang="EN-US"><span style="font-size: x-large;">D</span>esta forma e baseado em evidências provindas de séries clínicas, a opção terapêutica pela mastectomias com preservação do CAP no tratamento do câncer de mama constitui diretriz da AMB e da Sociedade Brasileira de Mastologia (GEBRIM et al. 2011). Consoante este consenso, o procedimento é seguro em casos selecionados, quais sejam os estadios 0, I e II, desde que a paciente não tenha fatores de risco para o envolvimento do CAP pelo tumor e que a biópsia intraoperatória do tecido subareolar demonstre negativa para células tumorais (</span>GERBER et al. 2003; <span lang="EN-US">BANERJEE et al. 2008; GEBRIM et al. 2011</span><span lang="EN-US">).</span><span style="font-size: small;"> </span></span></span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGHqYdkX5hhLJ8gTNW1ukmBZs0cNB4H7fVGPh2JZNC9K3kkMrpttPOq6N4QgPhOKAvsCPt6Ae4Hqo7DljRNy_G-v97xhxo1c95zs5X4Z8k6yvmYbT8h04m-EUGI-p0P7xnsRiyyLzItlc6/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25282%2529.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGHqYdkX5hhLJ8gTNW1ukmBZs0cNB4H7fVGPh2JZNC9K3kkMrpttPOq6N4QgPhOKAvsCPt6Ae4Hqo7DljRNy_G-v97xhxo1c95zs5X4Z8k6yvmYbT8h04m-EUGI-p0P7xnsRiyyLzItlc6/s640/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25282%2529.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz e Prof. Rolf Gemperli no concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span lang="EN-US"><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">D</span>e maneira paralela as pesquisas oncológicas, é inegável a contribuição da equipe multidisciplinar na reabilitação da paciente após a cirurgia do câncer de mama precoce, diante dos seus inúmeros benefícios físicos e psicológicos (JABOR et al. 2002; DJOHAN et al. 2010; TREJO-OCHOA et al. 2013; ELTAHIR et al. 2013).<span style="font-size: small;"> </span></span></span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Neste contexto, os procedimentos reconstrutivos tem sido um constante tópico de pesquisa e desafio à cirurgia plástica. Em algumas situações houve a necessidade do desenvolvimento de novas técnicas e, em outras, a aplicação de técnicas já estabelecidas na cirurgia estética com objetivo de reconstruir a ampla variedade de afecções advindas da ressecção oncológica (BOSTWICK et al. 1978; ELLIOT; HARTRAMPF 1990).</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqmresrv6pFjDAcM1zjtQxkKsLQB2Rr_kIca-UGtdcWlJ4VaA_8_5D9ZdYexdHeDj4LbKIPMh1UO4ZOmTJo9t_CnKqwMaKYrchw3qTSGxUWyvytQwu6r0wTgNi1g1mPHTnHJn5YvnfJo3c/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25284%2529.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqmresrv6pFjDAcM1zjtQxkKsLQB2Rr_kIca-UGtdcWlJ4VaA_8_5D9ZdYexdHeDj4LbKIPMh1UO4ZOmTJo9t_CnKqwMaKYrchw3qTSGxUWyvytQwu6r0wTgNi1g1mPHTnHJn5YvnfJo3c/s400/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25284%2529.JPG" width="400" /></a></div>
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<span lang="EN-US" style="color: #0c343d;"><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span> aplicação de técnicas de reconstrução mamária após mastectomias com preservação do CAP tiveram início nas cirurgias envolvendo patologias benignas, na década de 60 (FREEMAN 1960; FREDERICKS 1975) e, redutoras de risco, nos anos 70 (PENNISI 1976; GARCIA-ETIENNE et al. 2009). A partir de 2000, com estudos demonstrando resultados oncológicos favoráveis no tratamento do câncer de mama inicial, ocorreu uma maior aplicação das técnicas de reconstrução em pacientes com câncer de mama (CENSE et al. 2001; STANEC et al. 2001). </span></span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Apesar das vantagens relatadas com a relação a mastectomia convencional, a preservação do CAP e da pele da mama não se mostraram como procedimento previsível na maioria das séries clínicas iniciais. </span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgakEe7PdrX9eDwCI9dh08oe3qVbDeg_xbwZqryLVCXSSVquSwEGfxJBXM69qnNAKMP6gbVdp8ZpMpRucRDc35xzfDZVshlDsMfBl2-r-7NknJO_jOBtb7ho6r3TX0BjBpcRxjcgD3OmBM0/s1600/Fotolia_1942099_XS.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgakEe7PdrX9eDwCI9dh08oe3qVbDeg_xbwZqryLVCXSSVquSwEGfxJBXM69qnNAKMP6gbVdp8ZpMpRucRDc35xzfDZVshlDsMfBl2-r-7NknJO_jOBtb7ho6r3TX0BjBpcRxjcgD3OmBM0/s320/Fotolia_1942099_XS.jpg" width="320" /></a></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span>demais, alguns estudos mostravam incidência de complicações locais e resultados estéticos desfavoráveis em grupo significativo de pacientes (GERBER et al. 2003; KOMOROWSKI et al. 2006; CHUNG; SACCHINI 2008; CHEN et al. 2009; SPEAR et al. 2012; ENDARA et al. 2013; MALLON et al. 2013). </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">A partir desta época e após a publicação das primeiras séries clínicas, constantes questionamentos surgiram sobre a reprodutibilidade da cirurgia no âmbito do tratamento do câncer de mama. Inicialmente se baseavam em observações clínicas de estudos com casuísticas menores e na evolução pós-operatória. A imprevisibilidade na evolução do retalho cutâneo era freqüentemente discutida em relatos clínicos iniciais (GERBER et al. 2003; KOMOROWSKI et al. 2006; NAHABEDIAN et al. 2006; SACCHINI et al. 2006; CHUNG; SACCHINI 2008).</span></div>
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz e Prof. Fábio Busnardo no concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span> necrose parcial ou total do CAP bem como de parte da pele remanescente da mastectomia passaram a constituir aspectos limitantes na maior indicação das mastectomias preservadoras dos CAP (ENDARA et al. 2013; MALLON et al. 2013). Associado as complicações isquêmicas, a deiscência parcial da incisão cutânea e a infecção local também são descritas como complicações cirúrgicas (JENSEN 2002; NAHABEDIAN et al. 2006; SACCHINI et al. 2006; NAVA et al. 2006; KOMOROWSKI et al. 2006; CHUNG; SACCHINI 2008; CHEN et al. 2009; SPEAR et al. 2012; ENDARA et al. 2013; MUNHOZ et al. 2013). </span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjshttWIuSnUvjW2oROLlHpHtpT5oCgSuc2jd0eEGf46Ok4wzOIxWLyu5vnDioZ0FPjVhfE0f7QpBlnBHyiekK0_KqyJGnHiRN2GseO2DKOrpe6pQC4brs3pMl2rSLpQy7LVUAgrlXocATp/s1600/Fotolia_2204049_M.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjshttWIuSnUvjW2oROLlHpHtpT5oCgSuc2jd0eEGf46Ok4wzOIxWLyu5vnDioZ0FPjVhfE0f7QpBlnBHyiekK0_KqyJGnHiRN2GseO2DKOrpe6pQC4brs3pMl2rSLpQy7LVUAgrlXocATp/s320/Fotolia_2204049_M.jpg" width="320" /></a></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">O</span>utrossim, em reconstruções mamárias com tecido aloplástico, não raro essas complicações locais evoluem para extrusão do implante e perda total da reconstrução (WOODERMAN et al. 2007; SALGARELLO et al. 2010; CHEN et al. 2009; SPEAR et al. 2012; ENDARA et al. 2013; MUNHOZ et al. 2013). </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Assim, GERBER et al. (2003) em uma das primeiras séries clínicas de mastectomias com preservação do CAP relataram incidência de 9,8% de necrose parcial do CAP. De modo semelhante KOMOROWSKI et al. (2006) observaram incidências de 7,9 e 5,3% de necrose total e parcial de papila respectivamente. CHEN et al. (2009), por sua vez, relataram em série de </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">115 pacientes, a incidência de 3,5 e 13% de necroses totais e parciais do CAP, respectivamente.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH73aC3NeHxTifLG7usV8-dpVQI63HR-YIvpTmoeC9PQE9LySuuMl9vKAqKCdRQRVqFHkDoCpi0UAQs4fBf0PsM5aDmKF3hVeecQzil-2bQxgO2yqu7sn3YTGFFCL_t_bCW5OXyluZmOk9/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25285%2529.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH73aC3NeHxTifLG7usV8-dpVQI63HR-YIvpTmoeC9PQE9LySuuMl9vKAqKCdRQRVqFHkDoCpi0UAQs4fBf0PsM5aDmKF3hVeecQzil-2bQxgO2yqu7sn3YTGFFCL_t_bCW5OXyluZmOk9/s640/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25285%2529.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz na arguição do memorial no concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Banca Examinadora com os Prof. Miguel Sabino Neto, Renato da Silva Freitas, Rolf Gemperli, José Pinhata Otoch e Marcelo Sacramento Cunha da sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span lang="EN-US"><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A </span>presença de complicações pós operatórias tem sua relevância na avaliação da eficácia do tratamento global e sua incidência relaciona-se não só ao resultado estético inferior e a perda da reconstrução, mas também à insatisfação das pacientes. De fato, <span lang="EN-US">BRESSER et al. (2006) em série clínica de 114 pacientes com mutação para BRCA 1-2 submetidas a mastectomia para </span>redução de risco avaliaram os fatores de insatisfação com a cirurgia e constataram que a presença de complicações cirúrgicas e a insuficiência de informações no pré-operatório foram os principais fatores preditivos da maior insatisfação.</span></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghxCaaUNaDEovwy8QUzlLSZNLwlNj7OI5gCL_gHR2pYHX5eUEgdBgKZL4FibMPNEJ1W42NYr2zVG3cOWysnDUHLlWAy7dLPC6cJ17hvTpTDA3zReJRqGM0vGvRB9dzJU_Vrb77PkUrJJjV/s1600/Fotolia_3384017_XL.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghxCaaUNaDEovwy8QUzlLSZNLwlNj7OI5gCL_gHR2pYHX5eUEgdBgKZL4FibMPNEJ1W42NYr2zVG3cOWysnDUHLlWAy7dLPC6cJ17hvTpTDA3zReJRqGM0vGvRB9dzJU_Vrb77PkUrJJjV/s320/Fotolia_3384017_XL.jpg" width="320" /></a></div>
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<span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span>lguns estudos avaliaram no âmbito de séries clínicas iniciais os principais fatores de risco para complicações locais pós reconstrução em mastectomias com preservação do CAP (GERBER et al. 2003; KOMOROWSKI et al. 2006; CHUNG; SACCHINI 2008; REGOLO et al. 2008; DE ALCANTARA FILHO et al 2011; MUNHOZ et al. 2013; STOLIER; LEVINE 2013). Apesar das variações de cada estudo relacionadas às técnicas cirúrgicas empregadas e às características clínicas e anatômicas de cada população, a incidência de complicações locais situou-se entre 0 e 19,5% nessas séries clínicas. Entre os fatores de risco e preditivos para maior incidência de complicações emergiram o tipo de acesso cirúrgico (REGOLO et al. 2008; ENDARA et al. 2013; MUNHOZ et al. 2013; STOLIER; LEVINE 2013), a idade do paciente (KOMOROWSKI et al. 2006), a obesidade (MUNHOZ et al. 2013; WOODERMAN et al. 2007), o volume </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">mamário (MUNHOZ et al. 2013; WOODERMAN et al. 2007), o tabagismo (</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">CARLSON 1996; </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">CHANG et al. 1996; CHANG et al. 2000</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">) a radioterapia (</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; text-transform: uppercase;">CROWE</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> et al. 2004; <span style="text-transform: uppercase;">CARUSO</span></span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">et al. 2006; </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">KOMOROWSKI et al. 2006;</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"> </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; text-transform: uppercase;">PETIT </span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">et al. 2009) e a técnica de reconstrução (SACCHINI et al. 2006; MIOTON et al. 2013).</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9-EMv94v0y9RcbX15QJMOZafPg46dkKCjbGFJ_lNw0A9dxsYqO8eMqhXOfSTK5KTf5casRaP0lSaD2GY5DwecUe8_kkwWdIZLse8UTpkR9L1RHVY2eBnGJBPeKprJm1O8mTnk3ZBpTOBb/s1600/1552705b154100b5.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="249" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9-EMv94v0y9RcbX15QJMOZafPg46dkKCjbGFJ_lNw0A9dxsYqO8eMqhXOfSTK5KTf5casRaP0lSaD2GY5DwecUe8_kkwWdIZLse8UTpkR9L1RHVY2eBnGJBPeKprJm1O8mTnk3ZBpTOBb/s320/1552705b154100b5.jpg" width="320" /></a></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">E</span><span lang="EN-US" style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">ntre as revisões sistemáticas que procuraram esclarecer quais são os principais fatores de risco envolvidos nas complicações das mastectomias com preservação do CAP (SPEAR et al. 2009; ENDARA et al. 2013; MALLON et al. 2013; MURTHY et al. 2013), a de ENDARA et al. (2013) mostrou ser a mais completa, pois incluiu 48 estudos clínicos que somados totalizaram 6615 mastectomias com preservação do CAP. Entre os principais fatores preditivos para a necrose do CAP, os acessos periareolares exibiram maior incidência de complicações quando comparados aos radiais e inframamários. </span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">MURTHY et al. (2013), por sua vez, baseados em revisão da literatura descreveram as características clínicas “ideais” para as candidatas a mastectomias com preservação do CAP, destacando as não fumantes, a idade inferior a 45 anos e ausência de antecedentes de radioterapia. Na presença destes fatores e baseados nas evidências científicas recentes a cirurgia tería maior risco de complicações.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg30giPZC34J7lQbE6N4ynvKGjb9WgEszvQrz_MM8KxF1kA8m4A01uGwjLw37y5HqryGb_x_6GE7VgldMzL968IfhNWNNZUoKNId_cXCKQJwA3brmsaqsO4Pbt49EzYv-XrdmsPtq3DFlwT/s1600/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25283%2529.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg30giPZC34J7lQbE6N4ynvKGjb9WgEszvQrz_MM8KxF1kA8m4A01uGwjLw37y5HqryGb_x_6GE7VgldMzL968IfhNWNNZUoKNId_cXCKQJwA3brmsaqsO4Pbt49EzYv-XrdmsPtq3DFlwT/s400/Alexandre+Munhoz+Livre-Doce%25CC%2582ncia+%25283%2529.JPG" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof. Alexandre Mendonça Munhoz em concurso de Livre-Docência FMUSP</span></td></tr>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">A</span>pesar destas séries clínicas e revisões sistemáticas exibirem importância no contexto descritivo e relevância na abordagem destas afecções, elas não foram suficientes para elucidar as características da mastectomia com preservação do CAP em nosso meio e, portanto, não expressam a real reprodutibilidade da aplicação dessas técnicas de reconstrução. Ademais, em alguns estudos e, sobretudo nas revisões sistemáticas, constata-se ainda aspectos heterogênos no tocante a técnica oncológica e a reconstrução, uma vez que os dados provêm de diversos centros com formação técnica e experiências distintas (SPEAR et al. 2009; ENDARA et al. 2013; MALLON et al. 2013; MURTHY et al. 2013).</span></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">A</span><span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">pós mais de 50 anos da primeira mastectomia com preservação de pele em afecções benignas (FREEMAN 1960) e treze anos após a primeira série clínica no tratamento cirúrgico do câncer de mama (CENSE et al. 2001), persistem ainda controvérsias em relação aos fatores preditivos para complicações locais e sucesso da reconstrução. Além disso, até o presente são escassas e insuficientes as descrições sobre a reprodutibilidade do procedimento em pacientes submetidas à reconstrução imediata da mama e, sobretudo, da relevância destas informações no planejamento da reconstrução mamária com materiais aloplásticos em nosso meio (MUNHOZ et al. 2008; SALGARELLO et al. 2010; SPEAR et al. 2012; ENDARA et al. 2013; FISCHER et al. 2013; MUNHOZ et al. 2013; ZHONG et al. 2013).</span></div>
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<span style="color: #0c343d; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;"><span style="font-size: x-large;">P</span>or isso, interessamo-nos em caracterizar nesta presente Tese de Livre-Docência, a evolução pós-operatória imediata de pacientes submetidas a reconstrução mamária após mastectomias com preservação do CAP com emprego de tecido aloplástico, com o propósito de avaliar a reprodutibilidade da técnica oncológica e reconstrutiva.</span><br />
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<tr><td class="tr-caption" style="font-size: 13px; text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz em concurso para obtenção do título de Livre-Docente junto ao Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Disciplina de Cirurgia Plástica. Banca Examinadora com os Prof. Miguel Sabino Neto, Renato da Silva Freitas, Rolf Gemperli, José Pinhata Otoch e Marcelo Sacramento Cunha da sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-57990899502499437742016-04-24T07:42:00.000-07:002016-04-24T15:57:53.804-07:00Concurso Livre-Docência FMUSP - Prof. Alexandre Mendonça Munhoz<br />
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<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: x-large;">Concurso Professor Livre-Docente</span></div>
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<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><i>Prof. Dr. Alexandre Mendonça Munhoz</i></span></div>
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<tr><td class="tr-caption" style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, em concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica. Banca Examinadora do Concurso, Profs. Miguel Sabino Neto (EPM), Renato da Silva Freitas (UFPR), Rolf Gemperli (FMUSP), José Pinhata Otoch (FMUSP) e Marcelo Sacramento Cunha (UFBA). Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</td></tr>
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<span style="font-size: large;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Realizado em agosto de 2014 na Faculdade de Medicina da Universidade de São Paulo (FMUSP) o concurso junto ao Departamento de Cirurgia para o provimento do título de Professor Livre Docente na Disciplina de Cirurgia Plástica. O Título de Livre Docente<b> </b><span style="text-align: justify;">é um grau acadêmico universitário concedido no Brasil por uma Instituição de ensino superior, e realizado por meio de concurso público aberto e oficializado pelo Diário Oficial do Estado. Foi introduzido de maneira oficial no âmbito universitário em 1976, e é direcionado à pesquisadores que possuam, no mínimo, o título de Doutorado. Todavia, </span></span><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">há relatos que os concursos de livre-docência
se iniciaram no Brasil em 1911, na então Universidade do
Brasil, atual Universidade Federal do Rio de Janeiro (UFRJ),
com a reforma Rivadávia Correa.</span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, em concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, com o Prof.Dr. Rolf Gemperli (FMUSP), presidente da banca examinadora na sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;">Esse grau acadêmico, realizado após 5 anos da obtenção do título de doutorado, é considerado o estágio mais elevado da carreira universitária e congrega condição acadêmica superior para a realização da docência e da pesquisa universitária. Normalmente os concursos exigem que o livre-docente possua uma carreira universitária com experiência em ensino e em pesquisa, e título de doutorado, há pelo menos cinco anos, uma vez que permite um maior amadurecimento do candidato e a realização da tese de livre-docência. </span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, em concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, na sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-size: large;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Cabe ainda ao candidato ao título demonstrar a capacidade de produzir linha de pesquisa própria, coerente com assunto específico e produção científica continuada, sólida e adequada com a linha de pesquisa pré-estabelecida. Ademais, o exercício da docência exige do candidato atuação nas áreas de graduação e pós-graduação, principalmente, com a orientação de teses de mestrado e doutorado, orientando e formando assim novos pesquisadores para a instituição universitária. </span><span style="background-color: white;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">A livre-docência é regulada pelas Leis nº. 5.802/72 e nº. 6.096/74 e pelo Decreto 76.119/75 e pelo Parecer 826/98 do extinto Conselho Federal de Educação.</span></span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, durante o concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, na sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-size: large;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">De acordo com as regras pré-estabelecidas e publicadas em Diário Oficial do Estado, o concurso de livre-docência inicia por meio de abertura de edital e ao longo do processo seletivo, o candidato ao título submete-se a uma prova escrita e didática, prova prática na área cirúrgica bem como deverá desenvolver uma tese de livre-docência sobre um determinado tema, e defendê-la diante uma banca examinadora. </span><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Os concursos para o provimento do título de Livre-Docente habitualmente associam alguns elementos da educação alemã e francesa como a <span style="font-style: italic;"><b>Habilitation</b> </span>e <span style="font-style: italic;"><b>Agrégation </b></span>respectivamente. No modelo alemão, o candidato ao título de Livre-Docente deve apresentar uma tese, a qual deve ser examinada oralmente
por banca de especialistas com título de Livre-Docente.</span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, durante o preparativo da aula teórica no concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, no anfiteatro da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-size: large;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Associado é realizado um julgamento do currículo do candidato, a qual é denominado de Memorial, incluindo
publicações, atividades docentes e formação de alunos de pós-graduação. Já no modelo francês, o concurso de livre-docência inclui ainda
uma prova didática, que consiste em uma aula ministrada para a banca examinadora acerca de um tema específico e escolhido por meio de sorteio na véspera do exame, e uma prova escrita de erudição, em que
o candidato deve dissertar sobre um tema relacionado à area de atuação do candidato. </span><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Devido as exigências em termos de ítens do Memorial e os demais pré-requisitos que são recomendados em cada instituição universitária para a inscrição e aceitação do candidato ao concurso, a Livre-Docência é apresenta-se como maior complexidade e desgaste por parte do candidato entre os demais concursos acadêmicos, como mestrado, doutorado ou professor assistente/associado. </span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, na sala de Becas da FMUSP, e preparativos da banca examinadora (Prof. Marcelo Sacramento Cunha e Renato da Silva Freitas) no concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, no anfiteatro da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="color: #073763;">De maneira geral e depender do número de candidatos, o processo de avaliação por parte da banca examinadora pode estender-se por três a sete dias,
em que o candidato deve defender a tese e o memorial adquirido durante sua vida acadêmica além de provas teóricas e práticas atestando sua erudição e habilidades cirúrgicas.
O preparo para se submeter a essa prova requer no mínimo
dois anos de exaustivos estudos e preparo das aulas e da tese,
contando sempre com a participação de seus discípulos. Ape-
sar de não ter caráter competitivo, é muito mais estressante
que o concurso para professor titular. </span><span style="background-color: white; color: #073763;">Na Faculdade de Medicina da Universidade de São Paulo (FMUSP), na Universidade Estadual de Campinas (UNICAMP) e na Universidade Estadual Paulista (UNESP), o título de livre-docente ainda é pré-requisito para a candidatura a professor titular. </span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, durante a aula teórica sobre Reconstrução Mamária no concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, na sala da congregação da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="font-size: large;"><span style="background-color: white;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Nessas instituições universitárias, o professor livre-docente pode receber ainda o título de professor-associado ao departamento vinculado a depender de abertura de concurso específico para tal, pertencendo assim ao quadro docente da universidade. Também a Universidade Federal de São Paulo (UNIFESP) que, a exemplo das suas demais universidades paulistas com políticas semelhantes, mantém os concursos de livre-docência e pré-requisito para o cargo de professor titular da disciplina. Já nas demais </span></span><span style="background-color: white;"><span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Universidades Federais o concurso e título de Professor Livre-Docente já não existe, uma vez que, o professor com título de doutorado, atuando como adjunto, pode prestar concurso para ocupar o cargo de professor titular. Assim, a livre-docência, foi perdendo sentido nas universidades federais nos últimos anos.</span></span></span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, na sala de Becas da FMUSP, e preparativos para a defesa do Memorial no concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, no anfiteatro da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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<span style="color: #073763; font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif; font-size: large;"><span style="background-color: white;">Apesar do concurso em si e dos inúmero pré-requisitos e etapas/provas do processo de avaliação, o início da sua preparação começa vários anos antes com a preparação da tese e a estruturação do memorial. Ademais, e do ponto de vista filosófico, a</span> formação de um livre-docente tem início após o doutoramento, onde de maneira lenta e progressiva ocorre o amadurecimento científico e intelectual do candidato, há a estruturação de uma linha de pesquisa própria e este passa a publicar de um modo constante
e orientar novos mestres e doutores, sendo desta forma reconhecido por pesquisadores dentro de sua linha de pesquisa e de maneira natural, adquire
a posição para pleitear o título de Livre-Docente e assim líder em sua linha de pesquisa e no ensino dentro e fora do ambiente universitário.</span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, aula teórica no concurso para Professor Livre-Docente no Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo (FMUSP), área de concentração de Cirurgia Plástica, no anfiteatro da FMUSP. Alexandre Mendonça Munhoz, Reconstrução da Mama, Cirurgia Plástica, Hospital Sírio-Libanês.</span></td></tr>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-21237170385737587992016-04-16T16:11:00.000-07:002016-04-16T16:15:13.296-07:00ASAPS 2016 Las Vegas Meeting / New Technologies<div style="text-align: center;">
<span style="color: #073763; font-size: large;">Novas Tecnologias em Implantes Mamários</span></div>
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<span style="color: #073763; font-size: large;">MOTIVA Implants</span></div>
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<span style="color: #073763;">Las Vegas / 2016</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnoKUG8QpU-2SD16h2EsB0CZcfLW0IpeTicJ9o8lNqIAZbwsNyzMDelY8wqm1jMV2bS9d4kI2Kl4HKaflgeXXgUBnlUtyIJKPnuhKhPR4WHxNQhJyiN9DPdu6t9IpZguio1WLJfCJ_jLW8/s1600/foto-2.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="337" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgnoKUG8QpU-2SD16h2EsB0CZcfLW0IpeTicJ9o8lNqIAZbwsNyzMDelY8wqm1jMV2bS9d4kI2Kl4HKaflgeXXgUBnlUtyIJKPnuhKhPR4WHxNQhJyiN9DPdu6t9IpZguio1WLJfCJ_jLW8/s640/foto-2.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz em jantar realizado em Las Vegas durante o American Society of Aesthetic Plastic Surgery Meeting - 2016 (ASAPS) para apresentação e discussão de novas tecnologias em implantes mamários de última geração, MOTIVA Implants. Presença do Drs. Alexandre Mendonça Munhoz, Scott Spear, Patrick Maxwell e Denis Hammond entre outros. Mastoplastia de Aumento, Prótese de Silicone, Aumento de Mama, Hospital Sírio-Libanês, Cirurgia Plástica</td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, American Society of Aesthetic Plastic Surgery Meeting - 2016 (ASAPS) Discussão de novas tecnologias em implantes mamários de última geração, MOTIVA Implants. Alexandre Mendonça Mastoplastia de Aumento, Prótese de Silicone, Aumento de Mama, Hospital Sírio-Libanês, Cirurgia Plástica</span></td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz e Scott Spear, American Society of Aesthetic Plastic Surgery Meeting - 2016 (ASAPS) em discussão de novas tecnologias em implantes mamários de última geração, MOTIVA Implants. Alexandre </span><br style="text-align: justify;" /><span style="text-align: justify;">Mendonça Mastoplastia de Aumento, Prótese de Silicone, Aumento de Mama, Hospital Sírio-Libanês, Cirurgia Plástica</span></td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz e Scott Spear, American Society of Aesthetic Plastic Surgery Meeting - 2016 (ASAPS) em discussão de novas tecnologias em implantes mamários de última geração, MOTIVA Implants. Alexandre <br />Mendonça Mastoplastia de Aumento, Prótese de Silicone, Aumento de Mama, Hospital Sírio-Libanês, Cirurgia Plástica</span></td></tr>
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-29245183688345506542016-04-13T17:38:00.003-07:002016-04-13T17:38:57.363-07:00Prof.Dr. Alexandre Mendonça Munhoz no Simpósio Siglo 21 - Argentina<div style="text-align: center;">
<span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Simpósio Internacional de Cirugia Plástica </span></div>
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<span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Siglo XXI </span></div>
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<span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Prof. Dr. Alexandre Mendonça Munhoz</span></div>
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<span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Realizado em Buenos Aires no Sheraton Hotel, o XX Simpósio Internacional de Cirurgia Plástica Século XXI (Siglo XXI) o qual abordou diferentes aspectos da cirurgia plástica de face, mama e contorno corporal. No período de 18 a 19 de setembro, o Prof.Dr. Alexandre Mendonça Munhoz participou como convidado internacional da Sociedade Argentina de Cirurgia Plástica e Sociedade de Cirurgia Plástica de Buenos Aires, organizadora oficial do Simpósio, e consagrado evento científico do calendário argentino de cirurgia plástica.</span></div>
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<tr><td class="tr-caption" style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, convidado internacional do 20o. Simpósio Internacional de Cirurgia Plástica, Siglo XXI, realizado em Buenos Aires, Argentina. Alexandre Mendonça Munhoz, mastoplastia de aumento, prótese de silicone, cirurgia da mama, hospital sírio-libanês, Alexandre Munhoz.</td></tr>
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<span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">No evento, o Dr. Alexandre Mendonça Munhoz proferiu três palestras relacionados à cirurgia plástica da mama estética e reparadora:</span><br />
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<span lang="EN-US" style="font-family: Verdana; font-size: 13.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: Verdana;"><span style="color: #274e13;"><br /></span></span></div>
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<span lang="EN-US"><span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b><i>- Mastoplastia de
Aumento Vía Transaxilar con Implantes Redondos: La evolución de las tácticas y
técnicas en 15 años de experiencia.</i></b></span></span></div>
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<span lang="EN-US"><span style="color: #274e13; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b><i>- Optimizando
Resultados e Evitando Complicações com Implantes Mamários Anatómicos
"Form-Stable" pela Via de Acesso Transaxilar Subfascial - Experiência
de 10 anos.</i></b></span></span></div>
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<b style="color: #274e13; font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><i>- Cómo planificar y
promover buenos resultados en la reconstrucción mamaria de la mastectomía con
preservación de la piel.</i></b></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeLiQoyyY4cs-4wd0jH33HbgL7fzVcQeJmUcjjFkj8kCgmyWmvO0oqIPohn9vD2qeicHTptBkA9zT6y6mgDMpawse4KStUvrxz9mkCwlqozsJ4xngv44lVbmXBnicgP1vcU5dO7MT71JoY/s1600/11203148_1050071521674508_2510600203028180669_n.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeLiQoyyY4cs-4wd0jH33HbgL7fzVcQeJmUcjjFkj8kCgmyWmvO0oqIPohn9vD2qeicHTptBkA9zT6y6mgDMpawse4KStUvrxz9mkCwlqozsJ4xngv44lVbmXBnicgP1vcU5dO7MT71JoY/s640/11203148_1050071521674508_2510600203028180669_n.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz como convidado internacional para o XX Simpósio Internacional de Cirurgia Plástica, Siglo XXI, realizado no Hotel Sheraton de Buenos Aires, Argentina. Dr. Alexandre Mendonça Munhoz, mastoplastia de aumento, prótese de silicone, cirurgia da mama, hospital sírio-libanês, Alexandre Munhoz.</span></td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz como palestrante internacional no XX Simpósio Internacional de Cirurgia Plástica, Siglo XXI, realizado no Hotel Sheraton de Buenos Aires na Argentina. Dr. Alexandre Mendonça Munhoz, mastoplastia de aumento, prótese de silicone, cirurgia da mama, hospital sírio-libanês, Alexandre Munhoz.</span></td></tr>
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-88367077865596227672016-03-31T12:27:00.000-07:002016-03-31T12:27:08.916-07:00Serviço de Reconstrução Mamária Instituto do Câncer do Estado de São Paulo (ICESP)<div style="text-align: center;">
<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Estágio de Complementação Especializada em Reconstrução Mamária</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif; font-size: large;">Instituto do Câncer do Estado de São Paulo</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><b>(ICESP)</b></span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo</span></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Disciplina de Cirurgia Plástica - FMUSP</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSXquTBewVzOvxu1QaHhFuO8LsQE0f_MBaA7rSmGkoLQIELARROyONwNnUleEqMAS3e3xLlkukwSBzzqCSvURTqJWObozuIqAus-fev2zyyZtnaNQRtbW0w8H0m-gCxwBvWa42znPfHBAD/s1600/ICESP1-756x250.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="209" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjSXquTBewVzOvxu1QaHhFuO8LsQE0f_MBaA7rSmGkoLQIELARROyONwNnUleEqMAS3e3xLlkukwSBzzqCSvURTqJWObozuIqAus-fev2zyyZtnaNQRtbW0w8H0m-gCxwBvWa42znPfHBAD/s640/ICESP1-756x250.jpg" width="640" /></a></div>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">Término do estágio de complementação especializada em reconstrução mamária pós câncer de mama, destinado a pós residência em cirurgia plástica, como definição de supra-especialidade no Instituto do Câncer do Estado de São Paulo (ICESP), vinculado ao Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP). Primeira turma de "fellows" com formação no ano de 2015.</span></div>
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<tr><td class="tr-caption" style="text-align: justify;">Grupo de Reconstrução Mamária do Instituto do Câncer do Estado de São Paulo (ICESP), Prof. Dr. Alexandre Mendonça Munhoz (Coordenador do Grupo de Reconstrução da Mama do ICESP) e Prof. Fábio Busnardo (Chefe do Setor de Cirurgia Plástica do ICESP), e médicos assistentes, Drs. Eduardo Gustavo Arruda, Alberto Okada, Eduardo Montag e Carlos Felício, na entrega dos certificados de conclusão do fellow em reconstrução mamária aos Drs. Felipe Zampieri e Enio Giacchetto no ICESP.</td></tr>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">O estágio em reconstrução mamária está estruturado na forma de complementação à especialidade de cirurgia plástica (fellow), e tem duração de 12 meses com atividades cirúrgicas, ambulatoriais, ensino e pesquisa. É um modelo único no Brasil, a qual permite ao residente de cirurgia plástica o maior aprofundamento teórico e técnico no âmbito dos diversos procedimentos habitualmente empregados na reconstrução mamária pós câncer de mama, quais sejam os tecidos aloplásticos e autógenos e a reconstrução pós cirurgia conservadora e radical da mama. </span></div>
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<tr><td class="tr-caption" style="text-align: left;"><span style="text-align: justify;">Residentes de Cirurgia Plástica da FMUSP, estagiários e colaboradores do Grupo de Reconstrução Mamária do Instituto do Câncer do Estado de São Paulo (ICESP), Prof. Dr. Alexandre Mendonça Munhoz (Coordenador do Grupo de Reconstrução da Mama do ICESP) e Prof. Fábio Busnardo (Chefe do Setor de Cirurgia Plástica do ICESP), e médicos assistentes, Drs. Eduardo Gustavo Arruda, Alberto Okada, Eduardo Montag e Carlos Felício, na entrega dos certificados de conclusão do fellow em reconstrução mamária aos Drs. Felipe Zampieri e Enio Giacchetto no ICESP.</span></td></tr>
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<span style="color: #073763; font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">O ICESP é atualmente referência no atendimento à reconstrução mamária com pesquisas clínicas e experimentais relacionadas ao tema. O Serviço é coordenado atualmente pelo Prof. Dr Alexandre Mendonça Munhoz, Prof. Livre-Docente pela Faculdade de Medicina da Universidade de São Paulo (FMUSP) e conta com 4 vagas anuais e como pré-requisito a formação completa em residência de cirurgia plástica em serviço credenciado pela Sociedade Brasileira de Cirurgia Plástica.</span></div>
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-52592756402812816952016-03-22T18:50:00.000-07:002016-03-22T18:50:11.254-07:00Homenagem Prof.Dr. Alexandre Mendonça Munhoz em Chicago/EUA<div style="text-align: justify;">
<span style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 14px;">Destaque do Dr. Alexandre Mendonça Munhoz na revista Institucional do Hospital Sírio-Libanês, Entre-Médicos referente a homenagem recebida em Chicago/EUA em Julho/2013 pela contribuição para cirurgia mamária. Evento da World Society of Reconstructive Microsurgery com vários colegas cirurgiões plásticos do mundo e participação do Prof.Alexandre Munhoz como Invited Lecturer sobre aspectos estéticos na reconstrução mamária com microcirurgia.</span></div>
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<tr><td class="tr-caption" style="text-align: center;">Prof.Dr. Alexandre Mendonça Munhoz, homenagem recebida em Chicago / EUA em decorrência da contribuição na cirurgia de reconstrução da mama com microcirurgia e representando o Hospital Sírio-Libanês. Alexandre Mendonça Munhoz, reconstrução da mama, reconstrução mamária, hospital Sírio-Libanês. Cirurgia Oncoplástica.</td></tr>
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<tr><td class="tr-caption" style="text-align: center;">Dr. Alexandre Mendonça Munhoz na programação de homenagem recebida em Chicago / EUA como Invited Lecture sobre resultados estéticos em reconstrução mamária com microcirurgia e em decorrência da contribuição na cirurgia de reconstrução da mama. Participação do Hospital Sírio-Libanês. Alexandre Mendonça Munhoz, reconstrução da mama, reconstrução mamária, hospital Sírio-Libanês. Cirurgia Oncoplástica. Dr. Alexandre Munhoz</td></tr>
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<span style="background-color: white; color: #141823; font-family: helvetica, arial, sans-serif; font-size: 14px;"><br /></span>alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-2778709718238345522016-03-09T17:43:00.002-08:002016-03-09T17:43:49.111-08:00Livro Prof. Alexandre Mendonça Munhoz - Fundamentos da Cirurgia Plástica<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
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<tr><td class="tr-caption" style="text-align: justify;">Alexandre Mendonça Munhoz Cirurgia Plástica, Livro Fundamentos da Cirurgia Plástica. Prof. Dr Alexandre Munhoz, Cirurgia da Mama, Mastoplastia de Aumento, Prótese de Mama, Silicone, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</td></tr>
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<span style="color: #444444; font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif; font-size: 13px; text-align: justify;">Fundamentos da Cirurgia Plástica, não se trata de um livro meramente descritivo sobre a atuação da Cirurgia Plástica nas diversas áreas do corpo humano. Esta é uma obra na qual são descritas as áreas de atuação objetivando completa compreensão dos diversos assuntos pertinentes à especialidade. Com mais de 400 ilustrações e fotos, o livro permite melhor compreensão das técnicas empregadas na reparação dos diversos segmentos do corpo, tornando este compêndio ímpar dentro do nosso meio. </span></div>
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<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><b><i>Prof<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="05937378-f7a2-49e5-aa25-2191f6063621" id="d2cb82a7-b508-41e2-88f2-39dde2c79066"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="ea60251c-89f5-4b85-930c-457a710cf993" id="ba5142a1-df35-4266-ad20-57c10e2ecfa1"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="91524689-ce1b-4ba2-ae58-ad86a7fcf6ff" id="c767d2ad-8992-4e26-8ef3-8235470e8e87"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="e8e771e1-c3e0-4881-aa66-6dd2db7000ca" id="28bca53f-eaf4-4a27-92ca-c351dfecb7ca">.</gs></gs></gs></gs>Dr. Rolf Gemperli</i></b></span><br /><div class="page" title="Page 5">
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<span style="font-family: ThiemeGulliver2011; font-size: 9pt;">Professor Titular da Disciplina de Cirurgia Plástica da Faculdade de Medicina da Universidade de São Paulo; Regente da Disciplina de Cirurgia Plástica da Faculdade de Medicina da Universidade de São Paulo (FMUSP); Chefe do Serviço de Cirurgia Plástica do Hospital das Clínicas da FMUSP.</span><br /></div>
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<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><b><i>Prof<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="9852d669-9a5f-40bf-92ba-dc27e3a6cfba" id="8ebab425-3925-4bc3-9da0-3d4b2e01380d"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="236eba0a-20c4-4a8b-a996-a2f3dc6b2065" id="24b47392-08fd-4310-bc45-e69c512efe8e"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="00fde5ee-b303-4975-874f-a66bd79c134b" id="f6cdffc4-e7cd-4014-9d44-f10776b0c0cf"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b34f28a6-daa5-4d03-9506-3bce6fdf3d72" id="b631ca8f-d0e0-43f4-965e-72f462d067a9">.</gs></gs></gs></gs>Dr. Alexandre Mendonça Munhoz</i></b></span><br /><div class="page" title="Page 5">
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<span style="font-family: ThiemeGulliver2011; font-size: 9pt;">Professor Livre Docente pela Faculdade de Medicina da Universidade de São Paulo; Coordenador do Grupo de Reconstrução Mamária do Instituto do Câncer do Estado de São Paulo; Docente Pleno do Programa de Pós-Graduação de Mestrado e Doutorado do Hospital Sírio-Libanês.</span><br /></div>
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<span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"><b><i>Dr. <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b219a94c-b807-4803-a601-bf26bcfaa5b7" id="1c43b79e-fe4e-4315-b36b-a65bb73d4f25"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="7750fcc7-3760-4661-88f7-107ed10f5491" id="a4e8d586-4a2a-4e88-b990-d4da40e76760"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="3dc3a4e2-c332-4d8d-bd92-84c63562257d" id="12befba5-7952-4f72-a2bc-9a22db003c1f"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="29a7e45c-f413-49e0-bc24-8a3a4a3fc77d" id="9ab5d27a-8107-4b6e-9b36-ac4e4dfa30c1">Ary</gs></gs></gs></gs> <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b219a94c-b807-4803-a601-bf26bcfaa5b7" id="a624b691-d274-4361-bce4-b3fc02866086"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="7750fcc7-3760-4661-88f7-107ed10f5491" id="d924e07e-f739-4105-b6a9-3e78cf7d6eb2"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="3dc3a4e2-c332-4d8d-bd92-84c63562257d" id="9faf3162-2f37-41c9-bceb-64b8349b6a27"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="29a7e45c-f413-49e0-bc24-8a3a4a3fc77d" id="b9ac45a6-76c1-4014-9874-f1e58a333803">de</gs></gs></gs></gs> Azevedo Marques</i></b></span></div>
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<span style="font-family: ThiemeGulliver2011; font-size: 9pt;">Cirurgião Plástico, Preceptor da Disciplina de Cirurgia Plástica da Faculdade de Medicina da Universidade de São Paulo de 2009 a 2010; Pós Graduando nível Doutorado pelo Hospital Sírio-Libanês; Médico Colaborador do Grupo de Reconstrução Mamária do Instituto do Câncer do Estado de São Paulo.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh21UFj5Wg9xvfd0n9dcd4RP4oTzpd7uDGelfeX52_4MU0XcBSTpiXtwRdzYlxfehTXnny2IIY3_YsfCrmekCKg1yUO8MVfKXXmzzDb9G1bd9fd2_ySvdaU3_8x_jF71_6w-0-_aAFGuVt0/s1600/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh21UFj5Wg9xvfd0n9dcd4RP4oTzpd7uDGelfeX52_4MU0XcBSTpiXtwRdzYlxfehTXnny2IIY3_YsfCrmekCKg1yUO8MVfKXXmzzDb9G1bd9fd2_ySvdaU3_8x_jF71_6w-0-_aAFGuVt0/s640/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: left;"><span style="font-family: -webkit-standard; text-align: justify;">Alexandre Mendonça Munhoz, Rolf Gemperli e Ary de Azevedo Marques. Cirurgia Plástica, Livro Fundamentos da Cirurgia Plástica. Prof. Dr Alexandre Munhoz, Cirurgia da Mama, Mastoplastia de Aumento, Prótese de Mama, Silicone, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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As mudanças no currículo de ensino médico de graduação da Faculdade de Medicina da USP, acarretando na redução do número de aulas teóricas e no aumento da participação dos alunos em discussões de casos e aulas práticas, tornaram necessária a aquisição complementar de conhecimentos ou atualização dos temas relativos à Cirurgia Plástica, os quais podem ser adquiridos através desta obra, Fundamentos da Cirurgia Plástica. A elaboração deste livro contou com a colaboração fundamental dos membros da Disciplina de Cirurgia Plástica da Faculdade de Medicina e do Hospital das Clínicas da Universidade de São Paulo, incluindo diversos especialistas de diferentes subáreas da especialidade.</div>
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<span style="background-color: white;">Associado à qualidade do material científico, houve a importante colaboração do artista Rodrigo Tonan: Ilustrador Médico formado pela Faculdade Paulista de Artes, especializado em ilustrações médicas no Hospital das Clínicas da FMUSP. Atualmente, atua como ilustrador médico no HCFMUSP e no Serviço de Eletrocardiologia do Instituto do Coração - HC-FMUSP; tem mais de 18 anos de carreira, com participação em inúmeras publicações científicas nacionais e internacionais, além de prêmios como o Jabuti.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBM-KQ_YvxWdroJDkpma2IJJtaI52Sku_YxJA7YoVwKoKsVO3uQm9SpXOQ2_BkvUBKAPCuNFSTICr0_LD4BzQQWsRVy_Jp9Mlw07TkvBOE_BUMWPYXDZs3MyZVyWYyCZZ79-RUdhBI5RNb/s1600/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques+2.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiBM-KQ_YvxWdroJDkpma2IJJtaI52Sku_YxJA7YoVwKoKsVO3uQm9SpXOQ2_BkvUBKAPCuNFSTICr0_LD4BzQQWsRVy_Jp9Mlw07TkvBOE_BUMWPYXDZs3MyZVyWYyCZZ79-RUdhBI5RNb/s640/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques+2.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: -webkit-standard; text-align: justify;">Alexandre Mendonça Munhoz, Rolf Gemperli e Ary de Azevedo Marques. Cirurgia Plástica, lançamento do Livro Fundamentos da Cirurgia Plástica. Prof. Dr Alexandre Munhoz, Cirurgia da Mama, Mastoplastia de Aumento, Prótese de Mama, Silicone, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span style="background-color: white;">A obra é dividida do ponto de vista didático em 6 módulos principais, quais sejam os aspectos gerais relacionados a cirurgia plástica na formação do médico generalista (graduação), e as áreas específicas dos campos de atuação como conceitos básicos, cirurgia crânio-maxilo-facial, tumores cutâneos, contorno corporal e extremidades.</span></div>
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<span style="color: #1763ff; font-family: ThiemeArgo2011; font-size: 20pt; font-weight: 700; text-align: start;">Sumário </span><span style="color: #1763ff; font-family: ThiemeArgo2011; font-size: 20pt; font-weight: 700; text-align: start;"><br /></span><span style="background-color: white; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;"></span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700; text-align: start;">Prefácio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .</span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Rolf Gemperli, Alexandre Mendonça Munhoz, Ary de Azevedo Marques Neto </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700; text-align: start;"><br /></span><span style="background-color: white; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;"></span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700; text-align: start;">Módulo I Graduação Médica<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="940ac466-c319-47e2-b996-a8fec9549521" id="395e94eb-fd69-42fc-8fcc-84e22a4a156f"> .</gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Coordenadores: Alexandre Mendonça Munhoz & Rolf Gemperli </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 1 A Graduação Médica, a Cirurgia Plástica e as Ligas Acadêmicas . . . . . . . . . . . . . . 3 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Alexandre Mendonça Munhoz, Pedro Soler Coltro, Arthur Hirschfeld Danila e Rolf Gemperli </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 2 Iniciação Cientí</span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">fi</span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">ca em Cirurgia Plástica na Graduação . . . . . . . . . . . . . . . . . . . . . 7 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Alexandre Mendonça Munhoz e Rolf Gemperli </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 3 A Importância da Pós-Graduação para o Pro</span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">fi</span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">ssional da Medicina. . .. . . . . . . . ..... 11 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Miguel Sabino Neto e Lydia Massako Ferreira </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700; text-align: start;"><br /></span><span style="background-color: white; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;"></span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700; text-align: start;">Módulo II Conceitos Básicos em Cirurgia Plástica . . . . . . . . . . . . . . . . . </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">5 </span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Coordenadores: Júlio Moraes Besteiro & Rolf Gemperli </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 4 Cicatrização de Feridas . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 17 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Alexandre Mendonça Munhoz, Ary de Azevedo Marques Neto, e Fábio Kamamoto e Rolf Gemperli </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 5 Técnica Cirúrgica em Cirurgia Plástica . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Rolf Gemperli, Alexandre Mendonça Munhoz e Miguel Modolin </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 6 Transplantes de Tecidos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Rolf Gemperli, Alexandre Mendonça Munhoz e Wilson Cintra Júnior </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 7 Expansores de Tecidos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Rolf Gemperli e Alexandre Mendonça Munhoz </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 8 Princípios da Microcirurgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Luiz Carlos Ishida, Marcos Vinícius Longo e Alexandre Mendonça Munhoz </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 9 Avaliação Inicial e Tratamento das Queimaduras . . . . . . . . . . . . . . . . . . . . . . . . . . 62 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Rolf Gemperli, Alexandre Mendonça Munhoz e David de Souza Gomez </span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg7Fbk-EtpYHGEjYr2LnVXzQfuTBmqrzoJqSlW29ChUxSuq8-0kNRktq2X5kR1M9sZfwwR0WdM8RpTtLFh_88egugStnX8kKRwajrXmlfxTveMA9wHy-Ze0MBuiemMgNs4ufZxGjwFfpS9v/s1600/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques+4.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg7Fbk-EtpYHGEjYr2LnVXzQfuTBmqrzoJqSlW29ChUxSuq8-0kNRktq2X5kR1M9sZfwwR0WdM8RpTtLFh_88egugStnX8kKRwajrXmlfxTveMA9wHy-Ze0MBuiemMgNs4ufZxGjwFfpS9v/s400/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques+4.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Alexandre Mendonça Munhoz, Rolf Gemperli e Ary de Azevedo Marques. Cirurgia Plástica, detalhe da capa do Livro Fundamentos da Cirurgia Plástica. Prof. Dr Alexandre Munhoz, Cirurgia da Mama, Mastoplastia de Aumento, Prótese de Mama, Silicone, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês.</span></td></tr>
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<span style="background-color: white; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;"></span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700; text-align: start;">Módulo III Cirurgia Crânio Maxilo Facial. . . . . . . . . . . . . . . . . . . . . . . . .</span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;"> </span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Coordenadores: Diógenes Laércio Rocha & Dov Charles Goldenberg </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 10 Fraturas <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="dceb8341-9003-4514-8625-bde351a32692" id="51018f19-865c-4298-a4d0-0ff1c96687f1"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="36c4ad70-e93d-466b-96be-5e5925389d3a" id="dae1043c-a694-4d4e-90c1-452fc118c2af"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="dc0f287f-ee8a-400e-abcd-458236669d91" id="caeb6672-345d-4310-a78c-54a855cdf7d0"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="38756431-4532-44d4-b92d-446cd47dea61" id="e7e81cc3-b249-4f84-a177-205aaf03b0b9"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="15bd4e3b-3ec0-4820-9a9c-04ccb096c5f0" id="9e519454-3eab-4d79-a8b9-b5e9d0f2a459">de</gs></gs></gs></gs></gs> Face<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="dceb8341-9003-4514-8625-bde351a32692" id="74806386-10a4-48dc-85b0-73483c27a6c6"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="36c4ad70-e93d-466b-96be-5e5925389d3a" id="c31e2d6c-69a5-4134-9dbf-64b6e86a77c5"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="dc0f287f-ee8a-400e-abcd-458236669d91" id="d066bb22-c9e5-4106-8d4c-292ac1fb0378"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="38756431-4532-44d4-b92d-446cd47dea61" id="edc1f11c-fb6b-4010-b2eb-63beccd70bdb"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="15bd4e3b-3ec0-4820-9a9c-04ccb096c5f0" id="6787be5f-c5cd-43ab-94e3-6777611ca914"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Dov Charles Goldenberg e Wendell Fernando Uguetto </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 11 Ferimentos Especí</span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">fi</span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">cos <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="72a5ecdd-4c52-483e-985a-cd086acc03f4" id="7cea3d2a-006b-48fb-9301-c7ecbcaf0224"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="4c579eab-58c9-4edb-8488-15738ce84dff" id="6119c134-6c02-4485-9a59-6227dc2fb80f"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="fbbd141f-7bcc-40db-88fc-cda54d912aff" id="9666dafe-61b6-4829-b548-d5cfaf8b9817"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="8b6c9713-5456-4881-828b-524862cbbd71" id="46d5680b-3dd9-4d41-b760-9eaf3a18649b"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="ddd5baf3-c431-4e1b-bcc8-2030df8e0d87" id="80652426-aade-4f32-a533-07a730191b07">na</gs></gs></gs></gs></gs> Face<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="72a5ecdd-4c52-483e-985a-cd086acc03f4" id="0fc8d13a-d2c6-472c-9ed2-65b53ea63621"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="4c579eab-58c9-4edb-8488-15738ce84dff" id="ec2491a9-68a5-40b8-86f8-fe3dd005baf2"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="fbbd141f-7bcc-40db-88fc-cda54d912aff" id="bd421acb-e159-46eb-ad3c-a69e5c19515b"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="8b6c9713-5456-4881-828b-524862cbbd71" id="97a6af5d-2095-40c7-b19f-522919dfd314"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="ddd5baf3-c431-4e1b-bcc8-2030df8e0d87" id="a9bfd3b7-2057-46fd-b4cb-1d9495676056"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Henri Friedhofer, Jonas Eraldo de Lima Júnior e Alexandre Mendonça Munhoz </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 12 Fissuras Lábio Palatais . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . 92 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Daniela Tanikawa e Nivaldo Alonso </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo13DeformidadesCongênitasCraniofaciaiseCirurgiaOrtognática<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="111ab747-c661-4c19-a8c6-ee68394799b4" id="216a4a28-0872-4980-a0f8-b81316b5863c"> ..................................</gs> 99 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Dov Charles Goldenberg e Fernanda Cavicchioli Goldenberg </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; text-align: start;">Capítulo 14 Anatomia Cirúrgica, Paralisia Facial e Cirurgia Estética <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="47f33d36-2c81-4f24-a4ad-9d4420d6e329" id="adf50b73-6f67-430a-8152-dd804df501c5"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="09065d77-8e88-4c87-8c2d-702c204c1cd7" id="690b5757-6e6e-495f-b4e8-410bc79732bd"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="6d609659-cf65-4bea-a6c1-143eb9336e39" id="4aca29a4-4023-4fa8-b488-3cd78681ce7d"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="da622541-b02d-46be-9a0e-d3f773435dd7" id="61086b83-23b5-4324-872f-46647dd8b133"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="29750aee-715b-4a27-9b27-660687f7a09b" id="006e6d96-5575-4b34-b2c8-3334da5c2a34">da</gs></gs></gs></gs></gs> Face<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="47f33d36-2c81-4f24-a4ad-9d4420d6e329" id="fd2809c4-dd70-4fb2-aa68-1196b2751358"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="09065d77-8e88-4c87-8c2d-702c204c1cd7" id="74cb252c-a79b-4662-b41a-b32784906cc0"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="6d609659-cf65-4bea-a6c1-143eb9336e39" id="fee2a69c-048e-4d6d-a778-7b56afe1cc62"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="da622541-b02d-46be-9a0e-d3f773435dd7" id="465af355-7b0d-4c7f-8379-dc2dd1ab55ed"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="29750aee-715b-4a27-9b27-660687f7a09b" id="2b61ea68-4d7a-4cfc-b6ab-f2aa9d4c8169"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . 113 </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;">Ary de Azevedo Marques Neto, Thais Knoll Ribeiro e Rolf Gemperli </span><br style="font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;" /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic; text-align: start;"><br /></span><span style="background-color: white; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; text-align: start;"></span></div>
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<span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700;">Módulo IV Tumores Cutâneos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Coordenadores: Fábio de Freitas Busnardo & Dov Charles Goldenberg </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 15 <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="c4c7912b-d9a4-4d0d-bb9b-7264205c305d" id="4e504734-d679-4ed9-9e5a-3452fa544de3"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="2a4fb357-e4c3-4b1f-a085-1f865250127d" id="d6cabc28-96d4-45ad-80f8-173a741c50e9"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="77d168a9-161e-4b5b-b4ef-75e79467a1d3" id="bc3f4f50-ddda-4531-9f8f-180cb5b12a77"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b1d1fa73-9862-42f3-9080-8c6181867b63" id="1237197b-f17b-4e21-b777-8a8e7f6dc89d"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="a7b7ec2a-5591-4762-8f7c-ca0fa1a9ac6c" id="23a0e6e4-7910-46bb-ae4e-66402f0563ab">Anomalias</gs></gs></gs></gs></gs> Vasculares<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="c4c7912b-d9a4-4d0d-bb9b-7264205c305d" id="4406c242-7948-41a8-9e7d-95f1bbfa4334"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="2a4fb357-e4c3-4b1f-a085-1f865250127d" id="0fa9bb9e-45c2-4692-b88c-3381366ae1d3"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="77d168a9-161e-4b5b-b4ef-75e79467a1d3" id="4c9f2672-593e-4208-80f6-43ef13749b50"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b1d1fa73-9862-42f3-9080-8c6181867b63" id="95da9597-641a-48ad-8562-4580237ab227"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="a7b7ec2a-5591-4762-8f7c-ca0fa1a9ac6c" id="97823aa5-ef44-4d3e-b4be-aee79e069f95"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Dov Charles Goldenberg e Patrícia Yuko Hiraki </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 16 Tumores Cutâneos<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="710d43b4-e980-4b53-8e32-de3650980bd7" id="fd585b1d-6172-4ac8-a951-06db6ee409ad"> .</gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Pedro Soler Coltro, Fábio de Freitas Busnardo e Rolf Gemperli </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700;"><br /></span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700;">Módulo V Contorno Corporal<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="6bcb3b3b-4502-4a18-a3f8-42adcf0729a5" id="b60a3e54-ef56-43ee-a951-2967aa7b912f"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="676987ed-4aab-4f9e-b545-bce0ce552e52" id="39721980-6f3f-4a27-b2be-0f2c245cac03"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b438ae69-2a88-4e09-b105-a250a853b6f9" id="bf6f4ac1-a96b-4980-8fac-82595c51e63c"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="384a8d52-2a86-4b59-beea-285ae5bfeba8" id="72ff32b2-0399-4b07-b428-3d6360c8d382"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="9d6990ef-0587-4321-b51f-980a97438660" id="b48a2c89-2205-4ab2-b8be-a7de3851a4b4"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .</span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Coordenadores: Rolf Gemperli, Miguel Modolin & Wilson Cintra Júnior </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 17 Cirurgia Estética <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="fe5113dd-0ce7-4826-b9cb-2b457d8b4644" id="5fa6edd7-f199-49a1-8ad6-f8a49bd528ae"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="ef01871e-174a-4bb9-a3bd-0862b1524a0f" id="9bd5542d-08d0-4533-942e-f0a8780858d3"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="fb2d9787-d845-42bb-9d7c-e8d05c9daf65" id="22eed96d-139d-40f5-a0ce-5ff4ef4ad5d5"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="5bcb22e5-42e1-4733-a3f6-f3c2746e2101" id="eb5aad78-fd20-4390-832a-b523d50191a4"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="303109be-2ea8-4d4f-9396-82da5e9368c8" id="3532bb3f-87a2-48ac-880b-e7c0bd6258fb">da</gs></gs></gs></gs></gs> Mama. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . . . . . . . 153 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Alexandre Mendonça Munhoz, Alexandre Siqueira Fonseca, Ary de Azevedo Marques Neto e Rolf Gemperli </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 18 Reconstrução <gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="5547a342-47cc-4a7c-9374-6e3145f6f5ba" id="df55d185-e701-4b4d-8280-706dc1125ea4"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="fca7d796-2379-4139-9452-20da2185fae6" id="58872cb2-ca0e-443d-8f54-8d00c02a077a"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="f1e33798-4770-4117-9ff3-035e05e50e86" id="b626c0ee-2ae8-402d-845b-31d8a40f050c"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="c5324c72-fe79-457b-bdb7-cab6e605257d" id="b3263339-00af-4696-8f8c-c41fd50cd8a8"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="944d167d-bb00-4a58-a377-5aba5945ce30" id="f15c61c8-8462-4859-af02-c4cb07fa74de">da</gs></gs></gs></gs></gs> Mama<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="5547a342-47cc-4a7c-9374-6e3145f6f5ba" id="156e12c0-3e53-4a94-8c6f-acbe15621eb7"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="fca7d796-2379-4139-9452-20da2185fae6" id="e53832ba-ecc6-42e4-bae1-2cca85f2cf4a"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="f1e33798-4770-4117-9ff3-035e05e50e86" id="3dacbc01-214a-426f-b094-ac4121fe2752"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="c5324c72-fe79-457b-bdb7-cab6e605257d" id="ded515dc-9467-499d-8997-788e28adf66b"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="944d167d-bb00-4a58-a377-5aba5945ce30" id="303c6ea3-19e6-415b-99b6-1a44d604e0c5"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Alexandre Mendonça Munhoz, Alexandre Siqueira Fonseca, Eduardo Montag e Rolf Gemperli </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 19 Contorno Corporal após Cirurgia Bariátrica<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="794de520-8b7f-4ef4-8ebd-a1cada5c9488" id="b10c7774-272a-4fba-8597-9b4e6ae85b57"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="68a86c85-fb9d-4b8b-bfdb-23a2c97b9a36" id="b5a7fb86-e761-42a7-a102-9afa594ad1ed"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="708e8791-dd46-48fd-a868-daed20236875" id="a1f5176e-7a25-4895-b233-447293764483"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="b677d6d8-eb65-483c-a9b1-d3afbe42280d" id="a6753fff-0819-4dd7-ad5d-658cb38c2e96"> .</gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Wilson Cintra, Miguel Modolin, Rolf Gemperli e Alexandre Mendonça Munhoz </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700;"><br /></span><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-weight: 700;">Módulo VI Extremidades<gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="3f12540f-5598-4228-884b-3daf690b7aff" id="fa96d3de-8e90-4479-b2aa-9f13bffb6ed8"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="f70256a6-93c6-46a3-8a96-8b75c4b382e5" id="70c1188c-7bb1-4d0a-83cb-013fc5459be6"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="1b99bc7e-ab42-4566-9a15-9fc19da554cf" id="283fe4a8-d3a7-44cb-8643-c9c7bdaabb22"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="afff62a5-21e2-4ad2-823b-1a9816dd5ae6" id="91c94d51-2b90-4dcf-842a-e15fba1bfb53"><gs class="GINGER_SOFTWARE_mark" ginger_software_uiphraseguid="78f515b6-a2f1-4ee4-b641-3eda3038a3db" id="7d4022dc-1f01-484b-b361-0f50f625dcde"> .</gs></gs></gs></gs></gs> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Coordenadores: Araldo Ayres Monteiro Jr. & Eduardo Montag </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 20 Anatomia Cirúrgica das Mãos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Hugo Alberto Nakamoto, João Carlos Nakamoto e Alexandre Mendonça Munhoz </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 21 Traumatismo das Mãos e Lesões Nervosas . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . 194 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Hugo Alberto Nakamoto, João Carlos Nakamoto e Paulo Tuma Jr. </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 22 Reconstrução de Membros Inferiores. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Dimas André Milcheski, Hugo Alberto Nakamoto e Alexandre Mendonça Munhoz </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt;">Capítulo 23 Úlceras de Pressão . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . 214 </span><br /><span style="font-family: ThiemeGulliver2011; font-size: 10pt; font-style: italic;">Ary de Azevedo Marques Neto, Alexandre Munhoz e Eduardo Montag </span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEij8qdwy-qewEAqgeV68bp9vN8FrN4qHGPigmZ5KQ45ZUFzTHFsEa8GaPejefSH-KR9Nly05mU7h4Jz4rKhxwcr3k0qfgXY_ZSswqmsJleyoMT4fzwRVwQMEcMa5rQXhyphenhyphenuJBmgu1eGof14y/s1600/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques+3.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEij8qdwy-qewEAqgeV68bp9vN8FrN4qHGPigmZ5KQ45ZUFzTHFsEa8GaPejefSH-KR9Nly05mU7h4Jz4rKhxwcr3k0qfgXY_ZSswqmsJleyoMT4fzwRVwQMEcMa5rQXhyphenhyphenuJBmgu1eGof14y/s640/Alexandre+Mendonc%25CC%25A7a+Munhoz+Rolf+Gemperli+Ary+de+Azevedo+Marques+3.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: -webkit-standard; text-align: justify;">Alexandre Mendonça Munhoz, Rolf Gemperli e Ary de Azevedo Marques. Cirurgia Plástica, lançamento do Livro Fundamentos da Cirurgia Plástica. Prof. Dr Alexandre Munhoz, Cirurgia da Mama, Mastoplastia de Aumento, Prótese de Mama, Silicone, Reconstrução Mamária, Reconstrução da Mama, Hospital Sírio-Libanês. Detalhe Capa.</span></td></tr>
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-12744126352240644332016-03-08T11:41:00.002-08:002016-03-08T12:35:58.278-08:00Hospital Sírio-Libanês - Consenso em Implantes de Silicone de Última Geração<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpV1d4n7sX_cKDT2K98sSTxXl7lsdYeELKb0InveZIviDYnhq1EzykzqhdSMEzivFcPg3FPdqT1UTg9i-ZltJbn0gV9Oh613wIGj6BCnt4KLnuBGnzEg012FrOyYaQ-_XtLeAxa-rBEGHa/s1600/ENTRE+ME%25CC%2581DICOS+ALEXANDRE+MUNHOZ+MARC%25CC%25A7O-2016.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpV1d4n7sX_cKDT2K98sSTxXl7lsdYeELKb0InveZIviDYnhq1EzykzqhdSMEzivFcPg3FPdqT1UTg9i-ZltJbn0gV9Oh613wIGj6BCnt4KLnuBGnzEg012FrOyYaQ-_XtLeAxa-rBEGHa/s640/ENTRE+ME%25CC%2581DICOS+ALEXANDRE+MUNHOZ+MARC%25CC%25A7O-2016.jpg" width="480" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, Jornal Entre-Médicos do Hospital Sírio-Libanês sobre Consenso em Implantes Mamários de Silicone Gel de Última Geração. Prótese de Mama, Mastoplastia de Aumento, Silicone, Sírio-Libanês. Alexandre Munhoz</td></tr>
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<span style="background-color: white; color: #00a6eb; font-family: "tahoma" , "geneva" , sans-serif; font-size: 24px;">Sírio-Libanês é referência em consenso mundial sobre implantes mamários de silicone gel de última geração</span><br />
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<span style="color: #444444; font-family: "segoe ui" , "segoe" , "tahoma" , "helvetica" , "arial" , sans-serif; font-size: 13px; line-height: 1.42857;">O Prof. Dr. Alexandre Mendonça Munhoz, cirurgião plástico do corpo clínico do Hospital Sírio-Libanês e livre-docente pela Faculdade de Medicina da Universidade de São Paulo (FMUSP), foi um dos coordenadores da reunião de consenso mundial de especialistas sobre a indicação, o planejamento e a técnica cirúrgica no uso de implantes mamários de última geração, denominados form-stable.</span></div>
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Esse consenso culminou em duas publicações recentes na <em>Plastic Reconstructive Surgery</em>, a revista de maior impacto nessa especialidade em âmbito mundial.</div>
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Em um estudo, houve a análise e o planejamento pré-operatório da colocação das próteses; o outro tratou dos cuidados intra e pós-operatórios necessários para a realização desses procedimentos.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWL_M_2MnW18sfxw3HCSfCfuM53X0Aig75vQ6xtcCsUIUHLEjuJeU_Su7UcR7dzhHE59FjzcWjmFhyphenhyphen5FHWd18V72ufcxom5CJ55Bu-XUncwwEViXFCNzpM1zj94Xf8ZfoekBuUVKrYhoCR/s1600/gummy+410_breast+_implants.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="173" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWL_M_2MnW18sfxw3HCSfCfuM53X0Aig75vQ6xtcCsUIUHLEjuJeU_Su7UcR7dzhHE59FjzcWjmFhyphenhyphen5FHWd18V72ufcxom5CJ55Bu-XUncwwEViXFCNzpM1zj94Xf8ZfoekBuUVKrYhoCR/s400/gummy+410_breast+_implants.png" width="400" /></a></div>
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Ambos os trabalhos contaram com a aplicação da <a href="http://www.rand.org/topics/delphi-method.html" style="color: #663399; text-decoration: none;">metodologia Delphi</a>, uma ferramenta atual que auxilia no processo decisório sobre o uso de novas tecnologias.</div>
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O método Delphi pondera a opinião de especialistas por meio de uma série de questionários cuidadosamente desenhados e intercalados com informações e feedback de opinião.</div>
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O Dr. Alexandre Munhoz representou o hospital e o Instituto Sírio-Libanês de Ensino e Pesquisa (IEP), no qual atua como orientador de pós-graduação, mestrado e doutorado.</div>
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O hospital e a FMUSP foram as únicas instituições da América Latina a participar do projeto, já que os demais são oriundos de Estados Unidos, Canadá, Europa e China.</div>
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Acesse abaixo a versão completa dos artigos:</div>
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<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727708/">DELPHI - SILICONE IMPLANTS - PREOPERATIVE EVALUATION - PROF. Alexandre Munhoz</a> </div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4vQ4bL75f6J4tm2qh7litsd6Lf4hxNBoqr_gTNvlak4ZbzQKXKQgDYeBpLWKTA2DtheQCx0nN-rMce91owXlrm5ks2g8cK8cQrQH8ld9X5PV1NwOE831nxMdEhkEgWsBjZyX22KX-7WFo/s1600/PRS+ALEXANDRE+MUNHOZ.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj4vQ4bL75f6J4tm2qh7litsd6Lf4hxNBoqr_gTNvlak4ZbzQKXKQgDYeBpLWKTA2DtheQCx0nN-rMce91owXlrm5ks2g8cK8cQrQH8ld9X5PV1NwOE831nxMdEhkEgWsBjZyX22KX-7WFo/s400/PRS+ALEXANDRE+MUNHOZ.jpg" width="400" /></a></div>
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<a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727709/">DELPHI - SILICONE IMPLANTS - INTRAOPERATIVE AND POSTOOPERATIVE - PROF. Alexandre Munhoz</a></div>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-22128760691368904442016-01-22T07:42:00.001-08:002016-03-31T13:43:58.395-07:00Barcelona Breast Meeting 2016<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAzWubDlCFmW8fQMf6pc19TIkQODJ8VpmLByyFAlbGB_mtk4iWE1P0Pf87EPDBF29QsDs69gEVCNLwoE4FqyByv9KLT7F2MxZrnmMvJidp6c5vvnNCAyxdwLIez6-jxLZaZ1Bo2pOSW7Xn/s1600/prefolder+alexandre+munhoz.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAzWubDlCFmW8fQMf6pc19TIkQODJ8VpmLByyFAlbGB_mtk4iWE1P0Pf87EPDBF29QsDs69gEVCNLwoE4FqyByv9KLT7F2MxZrnmMvJidp6c5vvnNCAyxdwLIez6-jxLZaZ1Bo2pOSW7Xn/s400/prefolder+alexandre+munhoz.jpg" width="300" /></a></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">The last edition of the Barcelona Breast Meeting, chaired by Jaume Masiá,
and Jian Farhadi, in March 2015, was a great success with attendance of
over 300 people and enthusiastic feedback from all perspectives.
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">A world-renowned international faculty will meet in BBM 2016 to
promote and share knowledge on latest breast surgery techniques.
This three-day meeting will include oncological, aesthetic, functional
and reconstructive aspects of breast surgery. Current techniques will
be presented with a clear focus on optimizing outcomes, preventing
and managing the most common problems in our practice. </span></div>
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<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, Barcelona Breast Meeting 2016, International Breast Symposium, Breast Surgery, Breast Reconstruction, Oncoplastic Surgery. Reconstrução da Mama, Reconstrução Mamária, Cirurgia Plástica da Mama, Cirurgia Oncoplástica</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">This
conference will combine real-life experiences and professional insight
into minimizing complications associated with the practical aspects of
aesthetic and reconstructive breast procedures with tips and tricks from
the experts to identify the root causes of complications and strategies
to successfully manage them.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiDLaZdB_uc72OKbi16Oyl1YLjnruk5XglfvYZm6VrLTBtwaeEZ7fVofwFk5ciQYOwQq26UbYlQwIw1xb_9Y0lvr-I0RkREAuQGjvqojTsD6n8kTRKhWDS9bCaIvGzqZPVS_0VRUt2ijLQ/s1600/FOLDER+FACULTY+BARCELONA+2016.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiDLaZdB_uc72OKbi16Oyl1YLjnruk5XglfvYZm6VrLTBtwaeEZ7fVofwFk5ciQYOwQq26UbYlQwIw1xb_9Y0lvr-I0RkREAuQGjvqojTsD6n8kTRKhWDS9bCaIvGzqZPVS_0VRUt2ijLQ/s640/FOLDER+FACULTY+BARCELONA+2016.jpg" width="480" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, Barcelona Breast Meeting 2016, International Breast Symposium, Breast Surgery, Breast Reconstruction, Oncoplastic Surgery. Reconstrução da Mama, Reconstrução Mamária, Cirurgia Plástica da Mama, Cirurgia Oncoplástica</td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">We will continue with the format of live surgery sessions, pre-recorded
video surgery, discussion of di cult cases and round tables. New
sessions, controversy and cross-fire debates will be introduced this year
to increase interaction with the audience. </span><span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Having so many national and international brilliant minds and years of
experience all together in one place has the potential to be an amazing
opportunity to exchange ideas, seek advice and obtain pearls of wisdom
from the “masters”, creating a platform for an open exchange.</span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE5rHT3jbxx-zVHTua3Pq42YGJ6INdxFEGZhACp8_n-84lFXSuwzoft3g19M4pjgaP6rfBh2kJajiUB-wmFS6AMEDoJ4eT8veSExDMTD4NAvAuslErKSSZuL_zx68Bpg-gVmHKiKgZAUpk/s1600/BARCELONA+BREAST+SYMPOSIUM+2016.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjE5rHT3jbxx-zVHTua3Pq42YGJ6INdxFEGZhACp8_n-84lFXSuwzoft3g19M4pjgaP6rfBh2kJajiUB-wmFS6AMEDoJ4eT8veSExDMTD4NAvAuslErKSSZuL_zx68Bpg-gVmHKiKgZAUpk/s640/BARCELONA+BREAST+SYMPOSIUM+2016.jpg" width="480" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof.Dr. Alexandre Mendonça Munhoz, Barcelona Breast Meeting 2016, International Breast Symposium, Breast Surgery, Breast Reconstruction, Oncoplastic Surgery. Reconstrução da Mama, Reconstrução Mamária, Cirurgia Plástica da Mama, Cirurgia Oncoplástica</span></td></tr>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Barcelona is a dynamic and and exciting Mediterranean city and we are
sure that you will enjoy your stay with us. There will be an interesting
cultural and social programme besides the scientific events. </span></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCscoIQu9QmSpL4gUJVEvUVYBknx12vJFZdqmwXsLfH2_rxpn6fZo85KZU12EBl-UCA018Y3kGmyOAbuMzYyc28QIMsnq_gZdZmme2JXMrBslpZhdCUrn3KQ41LMFWu7Q6fiOKs8A2TMRQ/s1600/Alexandre+Munhoz+BBM+2016.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCscoIQu9QmSpL4gUJVEvUVYBknx12vJFZdqmwXsLfH2_rxpn6fZo85KZU12EBl-UCA018Y3kGmyOAbuMzYyc28QIMsnq_gZdZmme2JXMrBslpZhdCUrn3KQ41LMFWu7Q6fiOKs8A2TMRQ/s640/Alexandre+Munhoz+BBM+2016.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Prof. Dr. Alexandre Mendonça Munhoz no Barcelona Breast Meeting, 2016. Cirurgia Mamária, Cirurgia Oncoplástica, Reconstrução da Mama, Reconstrução Mamária, Alexandre Munhoz.</td></tr>
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<br />alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-73974705308015690002015-12-12T09:44:00.001-08:002015-12-12T09:45:15.863-08:00Curso Técnica Cirúrgica em Cirurgia Plástica/Novas Tecnologias<div style="text-align: center;">
<span style="background-color: #f1f3f5; color: #494949; font-family: "arial" , "helvetica" , sans-serif;">I CURSO DE TÉCNICA CIRÚRGICA EM CIRURGIA PLÁSTICA / NOVAS TECNOLOGIAS</span></div>
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<span style="background-color: #f1f3f5; color: #494949; font-family: "arial" , "helvetica" , sans-serif;">Johnson & Johnson Medical Institute</span></div>
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<span style="font-family: "helvetica neue" , "arial" , "helvetica" , sans-serif;">Último evento de 2015, o I Curso de Técnica Cirúrgica e Novas Tecnologias para residentes de cirurgia plástica do HC-FMUSP (R3, R4 e R5) com abordagem em materiais de sutura, técnicas de cirurgia plástica, implantes mamários de silicone gel de última geração e novas tecnologias relacionados à instrumentos, suturas e implantes. Parceria entre a Disciplina de Cirurgia Plástica da FMUSP, e a Johnson & Johnson com estrutura física e apoio do Medical Innovation Institute em São Paulo/SP.</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjICjt_VCGLMockk499MLDEDWL-DPCiFtbMvwtjkzt5TI3_sI8Slg4G34rcPABlxR6kAWZtHfZ1XWeNTaC6F1O-f-_qK7w0FqkDYL-yPl4Kuc2UiSy5Hjz3Esty5gy1IFsGM0cqXA5mPcKJ/s1600/_MG_6317_330x225.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="272" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjICjt_VCGLMockk499MLDEDWL-DPCiFtbMvwtjkzt5TI3_sI8Slg4G34rcPABlxR6kAWZtHfZ1XWeNTaC6F1O-f-_qK7w0FqkDYL-yPl4Kuc2UiSy5Hjz3Esty5gy1IFsGM0cqXA5mPcKJ/s400/_MG_6317_330x225.jpg" width="400" /></a></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiU8O5Balcx36e8-pGzLZ48KxncWGyZvZl8BEYU_NsTb4utzpyCoy4UfbyH2LQXE40rjaha3ky5LhJA6Vve-i4m_iiBU_eW9AOuBCicU5zegDQiLrX7ebmli7-RSeRAJ_f6Q80rOfEDzlkS/s1600/EVENTO+RESIDENTES+FMUSP+ETHICON+SP+2015.JPG" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="480" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiU8O5Balcx36e8-pGzLZ48KxncWGyZvZl8BEYU_NsTb4utzpyCoy4UfbyH2LQXE40rjaha3ky5LhJA6Vve-i4m_iiBU_eW9AOuBCicU5zegDQiLrX7ebmli7-RSeRAJ_f6Q80rOfEDzlkS/s640/EVENTO+RESIDENTES+FMUSP+ETHICON+SP+2015.JPG" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;">I Curso de Técnica Cirúrgica e Novas Tecnologias em Cirurgia Plástica para Residentes de Cirurgia Plástica da Disciplina de Cirurgia Plástica da Faculdade de Medicina da Universidade de São Paulo (FMUSP) no Medical Innovation Institute da Johnson & Johnson em São Paulo. Alexandre Mendonça Munhoz</td></tr>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzZ0opWtHafiVtKiflCCdoTTktktWdKN1_Z7Zi6elvE-7OpgTwKORN6uggywwpysYd1oMTEjqL1S0id2HKbfNni6PI069V0ilo8LLD8LoyFeY_4b0PV7Pr1Knu3iZKYPNfuEboozHHLEVU/s1600/foto-fachada-JJMII.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="364" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzZ0opWtHafiVtKiflCCdoTTktktWdKN1_Z7Zi6elvE-7OpgTwKORN6uggywwpysYd1oMTEjqL1S0id2HKbfNni6PI069V0ilo8LLD8LoyFeY_4b0PV7Pr1Knu3iZKYPNfuEboozHHLEVU/s640/foto-fachada-JJMII.jpg" width="640" /></a></div>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-48603068151842782172015-12-01T08:13:00.000-08:002015-12-01T08:13:34.933-08:00Conferences II - Nottingham/England 2015<div style="color: #787878; font-family: Arial, Helvetica, sans-serif; font-size: 13px; line-height: 23px; list-style: none; margin-bottom: 18px; padding: 0px;">
<b>PROF. ALEXANDRE MENDONÇA MUNHOZ.</b></div>
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<b>Conference #2, </b></div>
<div style="-webkit-text-stroke-color: rgb(5, 65, 9); -webkit-text-stroke-width: initial; color: #054109; font-family: Calibri; line-height: normal; text-align: left;">
<b>Oncoplastic Breast Conserving Algorithms - </b><b style="-webkit-text-stroke-width: initial; text-indent: -36px;">Focus on medial and superiorally sited tumours</b><b style="-webkit-text-stroke-color: rgb(0, 77, 101); -webkit-text-stroke-width: initial; color: #004d65; text-align: center;">.</b></div>
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Orbs Meetings was founded by Oncoplastic Surgeons, Douglas Macmillan and Stephen McCulley and was established as a forum to present advances in techniques and research in Oncoplastic and Reconstructive Breast Surgery.</div>
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The first international scientific conference was held in Nottingham in 2008. Orbs conferences are held annually alternating between technical and scientific programmes with the opportunity to visit oncoplastic and reconstructive focused exhibitors. In addition, we have extended our programme to include one day workshops as well as the Nordic <strong><a href="http://www.orbsmeetings.com/meetings/rrs-iceland-2016/" style="color: #c06017; text-decoration: none;" title="RRS Iceland 2016">orbs meetings (RRS Iceland 2016)</a> </strong>which is taking place in Rekyavik, May 2016.</div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwpgUZ8-_6eMZwHReGEfgVomNseGbSjhAXM5HY-9oL1qpbuM6f88kQHdu1G8U77oEXtuAXVVaa_HkzLKjKY9kbGCb4-6kkIqOzrI9lJWMZANdx-a5bgTggUWEWbp6DnLsihF0HeWfYhXZf/s1600/Slide1.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwpgUZ8-_6eMZwHReGEfgVomNseGbSjhAXM5HY-9oL1qpbuM6f88kQHdu1G8U77oEXtuAXVVaa_HkzLKjKY9kbGCb4-6kkIqOzrI9lJWMZANdx-a5bgTggUWEWbp6DnLsihF0HeWfYhXZf/s400/Slide1.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="background-color: white; color: #444444; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 10px; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, conference I, ORBS-2015. Breast Reconstruction in Locally Advanced Breast Cancer. Reconstrução Mamária, Reconstrução da Mama, Cirurgia Oncoplástica, Hospital Sírio-Libanês.</span></td></tr>
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<strong><a href="http://www.orbsmeetings.com/" style="color: #c06017; text-decoration: none;">OrbsWeb</a></strong> is the meeting’s web companion, an extensive online library of presentations for clinicians working in the field of oncoplastic and reconstructive breast surgery. Registration for Orbsweb is free for those attending one of our meetings or workshops. Full access will be given to videos, presentations, abstracts and publications. <strong>Visit and register on <a href="http://www.orbsweb.com/" style="color: #c06017; text-decoration: none;" title="Orbs Web">www.orbsweb.com </a>to view all presentations from this and previous years meetings.</strong></div>
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<strong>LINK TO THE CONFERENCE ON LINE:</strong></div>
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<strong><a href="https://www.youtube.com/watch?v=MYO4kXs7CyA">CONFERENCE #2 - PROF. DR. ALEXANDRE MUNHOZ</a></strong></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhUNF0Kh135ovAIk6OVXRNF0iMh4TzKXPD_K0KPAe1ITkEygtnOON0uxPOu5G7S29omyr9rEZEC2pU4O1Lf0zRinBEIMwdgjmGJEz30WUfWuaWEBmQobScnJUa0ktEE5MJ8ljn8g1OF4R4/s1600/Captura+de+Tela+2015-12-01+a%25CC%2580s+14.06.04.png" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="356" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhUNF0Kh135ovAIk6OVXRNF0iMh4TzKXPD_K0KPAe1ITkEygtnOON0uxPOu5G7S29omyr9rEZEC2pU4O1Lf0zRinBEIMwdgjmGJEz30WUfWuaWEBmQobScnJUa0ktEE5MJ8ljn8g1OF4R4/s640/Captura+de+Tela+2015-12-01+a%25CC%2580s+14.06.04.png" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="background-color: white; color: #444444; font-family: "arial" , "tahoma" , "helvetica" , "freesans" , sans-serif; font-size: 10px; text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, conference I, ORBS-2015. Breast Reconstruction in Locally Advanced Breast Cancer. Reconstrução Mamária, Reconstrução da Mama, Cirurgia Oncoplástica, Hospital Sírio-Libanês.</span></td></tr>
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alexandremunhoz@blogspot.comhttp://www.blogger.com/profile/07829523290731291322noreply@blogger.com0tag:blogger.com,1999:blog-3239679360336445145.post-57367450533186256522015-12-01T07:55:00.000-08:002015-12-01T07:55:07.902-08:00Conferences I - Nottingham/England 2015Conference I / ORBS-2015<br />
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<div style="color: #787878; font-family: Arial, Helvetica, sans-serif; line-height: 23px; list-style: none; margin-bottom: 18px; padding: 0px;">
<b>PROF. ALEXANDRE MENDONÇA MUNHOZ.</b></div>
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<b>Conference #1, </b></div>
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<b style="-webkit-text-stroke-color: rgb(0, 77, 101); -webkit-text-stroke-width: initial; color: #004d65; font-family: Calibri; text-align: center;"><span style="font-size: large;">Oncoplastic breast-conserving surgery for locally advanced disease - </span></b><b style="-webkit-text-stroke-color: rgb(0, 77, 101); -webkit-text-stroke-width: initial; color: #004d65; font-family: Calibri; text-align: center;"><span style="font-size: large;">The role of volume replacement and displacement techniques.</span></b></div>
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Orbs Meetings was founded by Oncoplastic Surgeons, Douglas Macmillan and Stephen McCulley and was established as a forum to present advances in techniques and research in Oncoplastic and Reconstructive Breast Surgery.</div>
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The first international scientific conference was held in Nottingham in 2008. Orbs conferences are held annually alternating between technical and scientific programmes with the opportunity to visit oncoplastic and reconstructive focused exhibitors. In addition, we have extended our programme to include one day workshops as well as the Nordic <strong><a href="http://www.orbsmeetings.com/meetings/rrs-iceland-2016/" style="color: #c06017; text-decoration: none;" title="RRS Iceland 2016">orbs meetings (RRS Iceland 2016)</a> </strong>which is taking place in Rekyavik, May 2016.<strong><br /></strong></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5KIqRC9Cmbpq9yP4Pah87xm-YqoMvEMi1PzvocjvcR0hS8lQVxkWlKW_qTK_4zmRpsEBXuNs26shbTyPdm6n75E9iFladQh_o68VxfDcK3FSrGu4kMGicnATBj-c9GN_8qv0QQDQDY26N/s1600/Slide1.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5KIqRC9Cmbpq9yP4Pah87xm-YqoMvEMi1PzvocjvcR0hS8lQVxkWlKW_qTK_4zmRpsEBXuNs26shbTyPdm6n75E9iFladQh_o68VxfDcK3FSrGu4kMGicnATBj-c9GN_8qv0QQDQDY26N/s400/Slide1.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, conference I, ORBS-2015. Breast Reconstruction in Locally Advanced Breast Cancer. Reconstrução Mamária, Reconstrução da Mama, Cirurgia Oncoplástica, Hospital Sírio-Libanês.</td></tr>
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<strong><a href="http://www.orbsmeetings.com/" style="color: #c06017; text-decoration: none;">OrbsWeb</a></strong> is the meeting’s web companion, an extensive online library of presentations for clinicians working in the field of oncoplastic and reconstructive breast surgery. Registration for Orbsweb is free for those attending one of our meetings or workshops. Full access will be given to videos, presentations, abstracts and publications. <strong>Visit and register on <a href="http://www.orbsweb.com/" style="color: #c06017; text-decoration: none;" title="Orbs Web">www.orbsweb.com </a>to view all presentations from this and previous years meetings.</strong></div>
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<strong>LINK TO THE CONFERENCE ON LINE:</strong></div>
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<a href="https://www.youtube.com/watch?v=1VwbP2VymyA"><span style="color: #cc0000; font-size: large;">CONFERENCE #1 PROF. ALEXANDRE MUNHOZ ORBS-2015</span></a></div>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggRiYoEAPj1aFKpbqV0VtPyh0TN76iB0r6E0c5mLPXsvULFRl7QPjTaiHn2eNxVshzvdNFMQV-gjAV-3LG85FWidMcA6BtYy08G53UGvnwh_ysqqJv6yg7eUoUNHcDWj0XwG0LPpywE_KB/s1600/Alexandre+Mendonc%25CC%25A7a+Munhoz+Conference+I+UK.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="356" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggRiYoEAPj1aFKpbqV0VtPyh0TN76iB0r6E0c5mLPXsvULFRl7QPjTaiHn2eNxVshzvdNFMQV-gjAV-3LG85FWidMcA6BtYy08G53UGvnwh_ysqqJv6yg7eUoUNHcDWj0XwG0LPpywE_KB/s640/Alexandre+Mendonc%25CC%25A7a+Munhoz+Conference+I+UK.png" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="text-align: justify;">Prof. Dr. Alexandre Mendonça Munhoz, conference I, ORBS-2015. Breast Reconstruction in Locally Advanced Breast Cancer. Reconstrução Mamária, Reconstrução da Mama, Cirurgia Oncoplástica, Hospital Sírio-Libanês.</span></td></tr>
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