Some of them might not be candidates for a fully transoral approach due to tumour extension, but a combined TORS and transcervical approach according to oncological extension was used to reduce surgical morbidity. Our reconstructive algorithm is based on the local extension of the tumour, the depth of the surgical defect and whether prior therapy was received. We performed reconstruction on those patients with carotid exposure and oro cervical communication, and in some instances on pretreated patients in order to avoid bleeding complications. All the patients received clear and accurate information about the procedure they would be undergoing. Patients undergoing bariatric surgery are special subjects, as they present different conditions that make it more difficult to facilitate correct postoperative management. A medical staff is often not used to managing these patients and they do not consider that different measures or doses of drugs should be employed. Moreover, several approaches performed in the general population cannot be offered to morbidly obese subjects because of their particular anatomical conditions. Our complication rate was 13.4% and hemorrhagic complications were 9.8%. These did not present a statistical relationship with salvage surgery. He described ousted Catalonia Regional President Carlos Puigdemont as a ‘fascist’. In the 2019 election his party secured 67% of the votes and 20 of the 27 members of the Council. With support from other parties following 2019 elections he became mayor even though the party with the most votes was PSC. |
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