Significant advances in reconstructive head and neck surgery with free microvascular flaps have had a positive impact on esthetic outcomes quality of life. However, complications still occur some patients. This study investigated the influence Hemoglobin, Albumin, Lymphocyte, Platelet Score (HALP score), an immunonutritive marker, flap success. The retrospective analysis included 194 patients w...

Understanding of the long-term clinical outcomes associated with bariatric surgery has recently been advanced. Research related to the sequelae of diabetes-in particular, long-term microvascular and macrovascular complications-in patients who undergo weight-loss surgery is imperative to this pursuit. While numerous randomized control trials have assessed glucose control with bariatric surgery c...

Peripheral microvascular complications in diabetes are associated with concurrent cerebrovascular disease. As detailed cognitive assessment is not routinely carried out among diabetic patients, the aim was to establish whether the presence of clinical "peripheral" microvascular disease can identify a subgroup of patients with early evidence of cognitive impairment. Detailed psychometric assessm...

BACKGROUND The presence of cardiac autonomic neuropathy (CAN) in patients with diabetes mellitus (DM) is associated with increased mortality and chronic microvascular complications of diabetes. OBJECTIVE To investigate a possible association between specific findings of CAN during exercise testing (ET) and nephropathy and retinopathy in patients with type 1 DM. METHODS We conducted a cross-...

OBJECTIVE To determine the outcome of microvascular free tissue transfer with or without use of postoperative heparin in terms of flap viability and postoperative complications. STUDY DESIGN Quasi-experimental study. PLACE AND DURATION OF STUDY Department of Plastic Surgery, King Edward Medical University, Lahore, from July 2010 to July 2012. METHODOLOGY Thirty eight patients requiring el...

Diabetic neuropathy, nephropathy, and retinopathy cause significant morbidity in patients with type 1 diabetes, even though improvements in treatment modalities delay the appearance and reduce the severity of these complications. To prevent or further delay the onset, it is necessary to better understand common underlying pathogenesis and to discover preclinical biomarkers of these complication...

Objectives: The etiopathology of type 2 DM is multifactorial. Recently, increased body iron levels have been associated with an risk DM. Iron through oxidative injury leads to resistant hyperglycaemia and also microvascular diabetic complications. There are few studies which show association between serum Ferritin diabetes mellitus. present study conducted know the S.ferritin correlate Diabetic...

Abstract Introduction The incidence of flap failure in lower extremity reconstruction is significantly higher the compared head, neck and breast reconstruction. commonest cause venous thrombosis. aim this study was to assess reliability VTE risk assessment tools patients with open fractures ability such identify at developing microvascular thrombosis following free Method A single centre retros...