Publications by authors named "R L Zapata-Sirvent"

Introduction: Cosmetic surgery tourism is a burgeoning field, attracting patients with the possibility of procedures at reduced costs. Patients are often unaware of the potential cost of managing complications, with the cost often passed on to the local healthcare systems. We report our experience at a single academic center which serves as a safety net hospital managing cosmetic surgery tourism patients.

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Article Synopsis
  • Global surgery focuses on improving access to surgical care, especially in low- and middle-income countries (LMICs), where complex and costly treatments are often unavailable.
  • Burns are a significant public health issue, causing 300,000 deaths annually, with 90% of fatalities occurring in LMICs, leading to disabilities and long-term consequences for survivors.
  • Shriners Children's Texas offers specialized burn care and follow-up services, including telemedicine and outreach clinics, ensuring that patients receive comprehensive care for both their physical and psychological recovery.
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Vascularized composite allotransplantation has been successfully employed for burn reconstruction since 2003. However, its safety in this population has been questioned due to high levels of alloimmunization from burn care-related tissue exposures. To investigate this, a systematic review of vascularized composite allotransplantation employed for burn reconstruction was conducted, evaluating literature from January 2000 to September 2019.

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Introduction: Unplanned hospital readmissions in surgical areas account for high costs and have become an area of focus for health care providers and insurance companies. The aim of this systematic review is to identify the rate and common reasons for unplanned 30-day readmission following burns.

Methods: This study was performed following the PRISMA guidelines.

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Children in low- to middle-income countries are at high risk for sustaining severe burns. This study aimed to analyze the characteristics of pediatric burns in Guatemala that could help identify risk factors and guide prevention efforts. A retrospective review of the characteristics of patients < 18 years of age that were burned in Guatemala between 2015 and 2018 and treated at the Hospital Roosevelt Burn Unit in Guatemala City was performed.

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