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Harvard Medical School

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Letícia Brandão

on 9 April 2014

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Transcript of Harvard Medical School

 In 1948, the Brazilian Society of Plastic Surgery was founded.
 In 1947, the Burn Care Center of the Clinics Hospital of University of São Paulo was created, which was the first specific unit for burn treatment in Latin America.
In July of 1940, the Latin-American Society of Plastic Surgery was founded, under Brazilian leadership, in São Paulo.

The first Brazilian papers about Plastic Surgery, which discussed cleft lip, rhinoplasty, burns and many other subjects date from 1842.
Harvard Medical School
Procedures versus Population
Plastic Surgeons versus Population
Used for the accurate marking of facial and abdominal flaps that are to be excised. Similar in function to the D’Assumpcao marker except the upper jaw is coated to mark line of excision. Used in conjunction with flap grasping forceps.
Pitanguy Flap Demarcator
In Rio de Janeiro, also in the 40´s, the Plastic Surgery Service of the National Cancer Institute of Brazil was founded.
Another milestone was the first Plastic Surgery Curriculum at the Paulist Medical School, in 1933.

In 1930, in São Paulo, the first clinic of Plastic Surgery was created, by José Rebello Neto in the Sacred House of Mercy Hospital .
Allows gentle traction of undermined skin flaps in rhytidectomy, abdominoplasty or coronal lifts. Two protruding teeth with opposing apertures.
Pitanguy Flap Grasping Forceps
Exclerkship Program for Visiting Medical Students
Plastic Surgery Elective Rotation - BIDMC

Márcio Mendes

Most Popular Procedures versus Population
Brasília
Rio de Janeiro
São Paulo
Brazilian Plastic Surgery Timeline
January 29th, 2013
Brasília is the federal capital of Brazil and the seat of government.
Region: Central-West.
Population: 2,562,963 - 4th largest city in Brazil.
Planned and developed in 1956 and on April 22 of 1960, it formally became Brazil's national capital.
Born in 1926 in Belo Horizonte, Minas Gerais, Brazil.

Graduation: Federal University of Rio de Janeiro.

Residency Program: Bethesda Hospital in Cincinnati, Ohio, USA, under the guidance of Professor John Longacre (1948-1949).

Also worked at the Mayo Clinic in Minnesota and in New York under the direction of Dr. Marquis Converse.

Fellowship: At the invitation of Marc Iselin, one of the fathers of reconstructive hand surgery, Pitanguy went into service in Paris (1950-1951).
Also did work with plastic surgeons, Dufourmental, R. Mouly and Paul Tessier, in Surésnes.
Thanks to a scholarship, had the opportunity to improve his techniques in England under the orientation of Sir Harold Gilles and Sr. Archibald McIndoe.
Worked at the Burn Service and Reparative Surgery Center at the Souza Aguiar Hospital in downtown Rio de Janeiro (1952-1954).

He advanced to the post of Head of Plastic and Reparation Surgery at the Sacred House of Mercy Hospital in Rio de Janeiro (1954).
One of the pioneers
Contributions and Innovations
Some
Brazilian Contributions and Innovations
Brazilian Plastic Surgery Today
He has sent 500 specialists out to various parts of Brazil and more than 40 countries.

Author of more than 800 works published and also series of books.

Shares his time presenting lectures, conferences and teaching classes at the invitation of universities and medical organizations in Brazil and overseas.
In Rio de Janeiro, in 1954, Ivo Pitanguy created the Reconstructive Plastic Surgery Service of the Sacred House of Mercy Hospital of Rio de Janeiro. He contributed to the international growth of the speciality and created one of the biggest schools of plastic surgery, having disciples spread all over the world.
The first Brazilian Congress of Plastic Surgery took place in 1956, in São Paulo.
Source: Brazilian Geopraphy and
Estatistics Institute.
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: History of Medicine Brazilian Society
Source: Ivo Pitanguy Institute
Source: International Society of Aesthetic Plastic Surgery (2011).
Source: International Society of Aesthetic Plastic Surgery (2011).
Source: International Society of Aesthetic Plastic Surgery (2011).
Source: International Society of Aesthetic Plastic Surgery (2011).
United States Census Bureau (2011).
Brazilian Institute of Geography and Estatistics (2011).
Source: International Society of Aesthetic Plastic Surgery (2011).
United States Census Bureau (2011).
Brazilian Institute of Geography and Estatistics (2011).
Source: International Society of Aesthetic Plastic Surgery (2011).
United States Census Bureau (2011).
Brazilian Institute of Geography and Estatistics (2011).
Dr. Ivo Pitanguy
Dr. Ricardo Baroudi
Dr. Osvaldo Ribeiro Saldanha
Transposition of the inframammary fold onto the breast marks the new nipple point - Pitanguy’s point.

Classically, only inferior pole breast tissue is resected for smaller reductions.

Results in a vertical scar.
Pitanguy Breast Reduction
Aggressive technique that combines traditional abdominoplasty resection with full abdomen liposuction.

According to Saldanha, no increase in complications.

Helps avoid “orelhas de cachorro” (dog ears).
Popularized by Baroudi.
Decreases dead space.
Decreases seroma rates.
Quilting Sutures in Abdominoplasty
Pitanguy’s abdominal grading scale

Type I: Minimal lipodystrophy
Type II: Only lower abdomen lipodystrophy
Type III: Generalized abdominal lipodystrophy with moderate excess skin
Type IV: Worse, with redundant skin and rectus diastasis
Type V: Severe flaccidity, umbo may be displaced
Type O: Obese (not a surgical candidate)
BRAZIL
1842
1930
1933
1940
1947
1948
1954
1956
40's
Rio de Janeiro is the capital city of the State of Rio de Janeiro.
Region: Southeast.
Population: 6.3 million - Second largest city in Brazil.
Is the most visited city in the southern hemisphere.
São Paulo is the capital city of State of São Paulo.
Region: Southeast.
Population: 11.3 million.
World's eighth largest city by population.
Source: Brazilian Geopraphy and
Estatistics Institute.
Source: Brazilian Geopraphy and Estatistics Institute.
Source: Ivo Pitanguy Institute.
Source: Ivo Pitanguy Institute.
Source: Ivo Pitanguy Institute.
Source: Ivo Pitanguy Institute.
Bibliography
Brazilian Society of Plastic Surgery
http://www2.cirurgiaplastica.org.br/wpcontent/uploads/2012/11/sbcp_isaps.pdf
Consulted in: 01/24/13
American Society of Plastic Surgeons
http://www.plasticsurgery.org/News-and-Resources/2011-Statistics-.html
Consulted in: 01/25/13
Ivo Pitanguy Institute
http://www.pitanguy.com/professor_biografia.asp?i=2
Consulted in: 01/15/13
Abdominoplastia: Técnica Saldanha
http://www.rbcp.org.br/imageBank/PDF/18-01-03-pt.pdf
Consulted in: 01/26/13
Seroma: How to avoid it and how to treat it
http://aes.sagepub.com/content/18/6/439.full.pdf+html
Consulted in: 01/25/13
Adhesion suture in plastic of body contouring
http://www.scielo.br/pdf/rbcp/v26n1/22.pdf
Consulted in: 01/26/13
Brazilian Society of History of Medicine
http://www.sbhm.org.br/index.asp?p=especialidades_view&codigo=48
Consulted in: 01/20/13
Brazilian Institute of Geography and Statistics
http://www.ibge.gov.br/home/presidencia/noticias/noticia_impressao.php?id_noticia=1961
Consulted in: 01/23/13
United States Census Bureau
http://www.census.gov/popest/data/national/totals/2012/index.html
Consulted in: 01/25/13
International Society of Aesthetic Plastic Surgery
http://www.isaps.org/isaps-global-statistics.html
Consulted in: 01/24/13
Thank you
Full transcript