Rafael Acosta

ORCID: 0000-0001-9487-5278
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About
Contact & Profiles
Research Areas
  • Reconstructive Surgery and Microvascular Techniques
  • Reconstructive Facial Surgery Techniques
  • Bone fractures and treatments
  • Trauma Management and Diagnosis
  • Breast Implant and Reconstruction
  • Tracheal and airway disorders
  • Body Contouring and Surgery
  • Dental Implant Techniques and Outcomes
  • Cancer Diagnosis and Treatment
  • Surgical Sutures and Adhesives
  • Facial Nerve Paralysis Treatment and Research
  • Surgical site infection prevention
  • Pelvic and Acetabular Injuries
  • Anatomy and Medical Technology
  • Head and Neck Cancer Studies
  • Ureteral procedures and complications
  • Congenital Heart Disease Studies
  • Hernia repair and management
  • Surgical Simulation and Training
  • Genetic factors in colorectal cancer
  • Urological Disorders and Treatments
  • Tissue Engineering and Regenerative Medicine
  • Vascular Procedures and Complications
  • Hemostasis and retained surgical items
  • Gastrointestinal Tumor Research and Treatment

Hospital Universitario Son Espases
2024

Universidad Nacional de Asunción
2021-2022

Guardia Civil
2022

Hospital de Clínicas
2021

Geelong Hospital
2010-2020

Deakin University
2018

Clínica CES
2017

Uppsala University Hospital
2007-2012

The University of Melbourne
2010-2012

Center For Reconstructive Urethral Surgery
2011

To develop a protocolized monitor schedule in microvascular free flap reconstruction, we investigated possible correlation between the outcome and interval clamp release start of revision.All charts patients treated 2000 2006 with were evaluated. The who underwent revision further analyzed.A total 608 flaps evaluated; 69 these revised. Most vascular complications took place within first 24 h; latest complication was observed 8 days after surgery. After 6 post surgery, number revisions...

10.1002/micr.20412 article EN Microsurgery 2007-01-01

Abstract Background: Venous complications have been reported as the more frequently encountered vascular seen in transfer of deep inferior epigastric artery (DIEA) perforator (DIEP) flaps, with a variety techniques described for augmenting venous drainage these flaps to minimize congestion. The benefits such not shown be clinical benefit on large scale due small number cases published series. Methods: A retrospective study 564 consecutive DIEP at single institution was undertaken, comparing...

10.1002/micr.20712 article EN Microsurgery 2009-09-29

An important element in achieving high success rates with free flap surgery has been the use of different techniques for monitoring flaps postoperatively as a means to detecting vascular compromise. Successful pedicle can potentiate rapid return theater setting compromise, potential salvage flap. There is little evidence that any technique offers advantage over clinical alone.A consecutive series 547 patients from single plastic surgical unit who underwent fasciocutaneous operation breast...

10.1002/micr.20706 article EN Microsurgery 2009-09-29

The purpose of this study was to find out what extent sensory function recovers in a free radial forearm flap used for intraoral reconstruction after surgery oral cancer. In 40 flaps we investigated the perception light touch, two-point discrimination, pain, directional sensation, and temperature between 6 months 11 years transfer cavity. Four (10 percent) were anesthetic, 21 (52.5 recovered partly, 15 (37.5 had all modalities tested at least two-thirds area. All patients with positive...

10.1097/00006534-199609001-00008 article EN Plastic & Reconstructive Surgery 1996-09-01

Perineal and posterior vaginal wall reconstruction following abdominoperineal local cancer resection entails replacement of volume between the perineum sacrum restoration a functional vagina. Ideal reconstructive options include those which avoid muscle sacrifice, do not interfere with colostomy formation, use irradiated tissue. In avoiding donor site morbidity other options, we describe fasciocutaneous option for wall. We present our technique superior inferior gluteal artery perforator...

10.1002/micr.20663 article EN Microsurgery 2009-04-27

Many techniques for flap monitoring following free tissue transfer have been described; however, there is little evidence that any of these allow greater rates salvage over clinical alone. We sought to compare three established across experienced microsurgical centers in a comparable cohort patients. A retrospective, matched study 398 consecutive flaps 347 patients undergoing autologous breast reconstruction was undertaken institutions during the same 3-year period, with single form...

10.1055/s-0030-1249607 article EN Journal of Reconstructive Microsurgery 2010-03-10

The Cook-Swartz implantable Doppler system was introduced at the Uppsala University Hospital to ease free flap monitoring and improve salvage rates by an earlier detection of vascular compromise. aim current analysis investigate whether indeed improved rate revisions.All cases that needed revision among a consecutive series patients being monitored with between June 2006 January 2009 were compared similar set operated on before introduction over equal time span conventional methods. Data...

10.1097/prs.0b013e3181d0ace8 article EN Plastic & Reconstructive Surgery 2010-05-13

Abstract Background: Free flaps to the lower limb have inherently high venous pressures, potentially impairing flap viability, which may lead amputation if failure ensues. Adequate monitoring of perfusion is thus essential, with timely detection compromise able potentiate salvage. While clinical has been popularized, recent use implantable Doppler probe used success in other free settings. Methods: A comparative study 40 consecutive patients undergoing microvascular reconstruction defects...

10.1002/micr.20720 article EN Microsurgery 2009-12-04
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