Gerardo Perrotta

University College London Hospitals NHS Foundation Trust

Papers

Total Citations

H-Index

About

Gerardo Perrotta is a clinical researcher whose work centers on perioperative patient safety, with a particular focus on the ocular complications arising from surgical positioning. His most cited paper, "The Impact of Steep Trendelenburg Position on Intraocular Pressure" (2022, 28 citations), addresses a critical yet often overlooked risk in robotic and laparoscopic surgeries. Perrotta’s research demonstrates that the steep Trendelenburg position—commonly used to optimize surgical access—can dangerously elevate intraocular pressure (IOP) beyond 21 mmHg, increasing the risk of postoperative visual loss, glaucoma, and retinal detachment. By quantifying this physiological stress, his work has provided anesthesiologists and surgeons with evidence-based guidelines for monitoring and mitigating ocular damage during prolonged procedures. This contribution is especially significant given the rising volume of minimally invasive surgeries. Perrotta’s findings have been cited in clinical protocols and safety checklists, underscoring their practical impact. His research bridges a gap between surgical technique and patient outcomes, highlighting how subtle intraoperative factors can have lasting consequences. For students and clinicians, Perrotta’s work serves as a vital reminder that patient safety extends beyond the primary surgical site to include every physiological system affected by positioning.