Miguel Vaz

The Abductor Digiti Minimi Myocutaneous Island Flap: A Simple Solution for Small Lateral Foot Defects

Dmitry Shelepenko, Rui M. Almeida, Beatriz Garrido, Luís Teles et autres

The reconstruction of soft-tissue defects of the foot represents a complex surgical challenge, often compounded by unfavorable local conditions, such as active infection, exposure of orthopedic fixation material, and abundant fibrosis of the surrounding tissues, as well as vascular, metabolic, and neuropathic …

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Bilateral Lower Limb Salvage after Fourth-degree Burns: Subscapular Axis Free and Chimeric Flaps Effectiveness in Complex Reconstruction

Íris M. Brito, Miguel Vaz, Carla Figueiredo Brandão, Fernanda Vassoler Sanches et autres

Microsurgery is usually required for reconstruction of complex lower limb defects, preserving otherwise unsalvageable injuries. Fourth-degree burns are severe traumatic injuries. A case of bilateral lower limb salvage through a resourceful use of subscapular axis free and chimeric flaps for acute burn …

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Índices de predição de mortalidade na unidade de queimados. Estudo comparativo

Íris M. Brito, Carla Figueiredo Brandão, Miguel Vaz, Fernanda Vassoler Sanches et autres

intro_obj: Os índices de prognóstico em queimados determinam a mortalidade previsível da população, que permanece uma importante medida de avaliaçã o dos cuidados prestados. O estudo visa comparar diferentes índices de predição de mortalidade numa unidade de queimados (UQ) e identificar potenciais …

Fournier’s Gangrene: 10-Year Experience of a Plastic Surgery and Burns Department at a Tertiary Hospital

João Louro, Miguel Nico Albano, João Baltazar, Miguel Vaz et autres

INTRODUCTION: Fournier gangrene is a polymicrobial life threatening infection of perineal subcutaneous soft tissues with its point of origin in urologic, colorectal or skin diseases. Although more frequent in elderly and men, it can affect all genders and age groups. Perianal abscess, …

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Evaluation of Procalcitonin Accuracy for the Distinction Between Gram-Negative and Gram-Positive Bacterial Sepsis in Burn Patients

Luís Cabral, Vera Afreixo, Rita Meireles, Miguel Vaz et autres

Sepsis is the main cause of death in burns. Early institution of antimicrobial therapy is crucial to optimize outcomes but superfluous therapy increases adverse events, microbial resistance, and costs. Blood cultures are the gold standard for diagnosis but can take 48 to …

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The role of microsurgical flaps in primary burn reconstruction.

Miguel Vaz, Carla Figueiredo Brandão, R Meireles, Íris M. Brito et autres

Despite the wide and growing use of microsurgery, its application in primary burn reconstruction is not very frequent as it faces a number of additional challenges in this setting. A retrospective analysis of the clinical records of all patients submitted to microvascular …

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Procalcitonin kinetics after burn injury and burn surgery in septic and non-septic patients – a retrospective observational study

Luís Cabral, Vera Afreixo, Rita Meireles, Miguel Vaz et autres

BACKGROUND: Early sepsis diagnosis is crucial for the correct management of burn patients, and it clearly influences outcomes. The systemic inflammatory response triggered by burns mimics sepsis presentation and complicates early sepsis diagnosis. Biomarkers were advocated to aid the diagnosis of early …

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Checking procalcitonin suitability for prognosis and antimicrobial therapy monitoring in burn patients

Luís Cabral, Vera Afreixo, Rita Meireles, Miguel Vaz et autres

BACKGROUND: Due to greater infection susceptibility, sepsis is the main cause of death in burn patients. Quick diagnosis and patient stratification, early and appropriated antimicrobial therapy, and focus control are crucial for patients' survival. On the other hand, superfluous extension of therapy …

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Catheter-Associated Urinary Tract Infections in a Burn Unit: Epidemiological Study

Luís Sepúlveda, Miguel Vaz, Íris M. Brito, Catarina Chaves et autres

Introduction: Besides burn wound infections, burned patients are also more susceptible to other types of nosocomial infections. Catheter-associated urinary tract infections (CA-UTI) are one of the most common infections in this context, responsible for high morbidity, increased hospital stay and associated costs. …

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Nipple projection evolution using the modified arrow flap: prospective study on 25 consecutive nipple reconstructions

Ricardo Carvalho, Miguel Vaz, Luís Saraiva, Rúben Coelho et autres

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