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Isolation of Microorganisms According to Burned Body Surface: Experience in a Reference Center in Mexico City

Journal of Biosciences and Medicines 2021年第6期9卷 106-113页

作者： Carlos I. Navarro-Delgadillo jaime aron garcía-espinoza Daniel De Luna-Gallardo José Martínez-López Cuahutemoc Márquez-Espriella Marco Cuervo-Vergara Rodrigo Dávila-Díaz Hospital Central Sur de Alta Especialidad PEMEX Ciudad de México Mexico

Background: Burns is one of the most common and severe forms of trauma, as they cause an alteration in the protective barrier exerted by the skin. The objective of this work is to describe the bacterial pathogens that cause infections in the different body segments as well as to know the susceptibility in patients with burns during a period of two years. Methods: This study was conducted over a period of 2 years, January 2017 to January 2019. The analysis of the isolated microbiological agents was obtained from culture samples in different anatomic areas. The variables were measured in the general population and also by groups, considering: age, sex, TBSA with Wallace's rule of nine, anatomic area affected, type of burn, depth of burn, microorganism reported in cultures, antibiotics empirically administered and mortality rate. Results: Regardless of the anatomical segment studied, the most frequently isolated microorganism was Pseudomonas aeruginosa. Conclusions: Identification of the microorganisms that cause infection reduces the hospital stay, as well as the admission to the ICU. A fundamental research guideline is to pay more attention to the post-burn consequences, and the sequelae and functional limitations that it entails, since few since few studies focus on this aspect.

关键词： Burn Injury Hospital Stay Specialized Burn Unit Pseudomona

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Surgical Complications in Breast Reconstruction: Assessment and Associations

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Journal of Biosciences and Medicines 2023年第6期11卷 171-181页

作者： Daniel De-Luna-Gallardo jaime aron garcía-espinoza Cuahútemoc Márquez-Espriella Blanca Yadira Arámbula-Sánchez Marco Antonio Cuervo-Vergara Rodrigo Dávila-Diaz Ricardo garcía-Corral Fernando Barbosa-Villarreal Fernando Isaac Recio-España Alberto Ignacio Cahuana-Quispe Plastic and Reconstructive Surgery Department Central South High Specialty Hospital of Petróleos Mexicanos Mexico City Mexico Plastic and Reconstructive Surgery Department Petróleos Mexicanos North Central Hospital Mexico City Mexico

Introduction: Breast cancer represents a pathology that generates catastrophic impact and has recently increased its incidence and survival due to timely diagnosis and treatment. Therefore, improving the quality of life of cancer survivors has become a priority, offering reconstructive procedures that reduce complications, costs, hospital stay, and optimize resources. Material and methods: 264 patients reconstructed with autologous tissue (TRAM flap and latissimus dorsi) and alloplastic (breast tissue expander—breast implant and direct breast implant) were included. Variables such as demographic, anthropometric, and histologic type were collected. Results: 62% were reconstructed through the use of alloplastics and 38% with autologous tissue. The risk factors related to a greater probability of immediate postoperative complications (surgical site infection, surgical wound dehiscence and reconstruction failure) were obesity (OR: 2.1, CI: 1.5 - 2.7), preoperative radiation (OR: 1.89, CI: 1.75 - 1.92), arterial hypertension (OR: 1.2), Diabetes Mellitus (OR: 1.78) and smoking (OR: 1.31). Conclusions: The reconstructive process is complex and influenced by patient factors, surgeon experience and the hospital center. However, when choosing the reconstructive strategy, risk factors present in each patient must be considered, since radiation and obesity present a greater probability of postoperative complications.

关键词： Breast Cancer Breast Reconstruction Obesity Radiotherapy TRAM

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Upper Blepharoplasty Scar and Patient Satisfaction Evaluation in a Plastic Surgery Center in Mexico

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Journal of Biosciences and Medicines 2020年第6期8卷 77-88页

作者： Victor Hugo Avalos Gómez jaime aron garcía espinoza José Carlos Martínez López Carlos Illich Navarro Delgadillo Blanca Yadira Arámbula Sánchez Alejandro Costa Dulche Cuahutemoc Márquez Espriella Esteban Israel Campos Serna Division of Plastic and Reconstructive Surgery Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos Mexico City Mexico

Background: Eyes are one of the most important facial features, their appearance being associated with state of mind, age and beauty. Therefore, upper blepharoplasty is one of the most common procedures performed in plastic surgery. Standardized tools allow for measurement of outcomes through patient satisfaction and surgeon experience. Objectives: Our objective was to measure the satisfaction index and scar quality of patients who underwent upper blepharoplasty using the Patient-reported Outcome Measure Questionnaire (PROM-Q) and Patient and Observer Scar Assessment Scale (POSAS). Methods: A retrospective review of patients that underwent upper blepharoplasty in our institution was performed. We included those with a preoperative anthropometric analysis, standardized incision markings (developed in our center), same operative technique and a 3-month postoperative evaluation with PROM-Q and POSAS. The sample for this study consists of 67 patients, all of them operated between January 1 2019 and June 30 2019 at the Department of Plastic Surgery, South Central High Specialty Hospital, Pemex, Mexico City, Mexico. Results: A total of 67 patients were included, 73% female and 27% male. The most frequent indication for surgery was functional visual symptoms. The index of PROM-Q at 3 months demonstrated an increased satisfaction above 90%, and the evaluation with POSAS reported an almost imperceptible scar. Conclusion: Evaluating outcomes with objective tools provides data useful to improve the surgical protocols of patients subjecting to aesthetic procedures.

关键词： Upper Blepharoplasty Satisfaction Index PROM-Q Quality of Life Scar

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