Acta Medica Port
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Head and neck oncological reconstruction with 114 free flaps in a Portuguese tertiary cancer center.
The Portuguese experience in microsurgical reconstruction of the head and neck after oncological surgery is scantly described. The primary aim of this study was to characterize the use of microvascular reconstruction after head and neck tumor resection in a Portuguese tertiary oncological centerMaterial and Methods: The authors retrospectively evaluated 114 microvascular free flap procedures performed for head and neck reconstruction after oncological resection in a department of Head and Neck Surgery of a Portuguese tertiary oncological center. Patients were operated on from January 2012 to May 2018. Data on patient demographic features, tumour characteristics, perioperative complications, postoperative aesthetic and functional results, survival time and time to recurrence were extracted. ⋯ Microvascular reconstruction seems like a reliable treatment option in head and neck oncological surgery at our institution.
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Letter Historical Article
[William H. Stewart: Those Who Stand Up for the Quote Add Disinformation].
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Ambulatory surgery has proven benefits in patient wellbeing and cost reduction in healthcare systems. However, some patients referred for ambulatory surgery are refused and directed instead towards inpatient care, which generates several drawbacks. The reasons for this refusal have not been yet studied. The aim of this study is to identify, retrospectively, significant variables associated with patient refusal for ambulatory surgery and develop a mathematical tool able to predict with strong accuracy those who will be rejected. ⋯ IRAS is a useful tool that can contribute to reduce time to surgery and improve patients' quality of life.