Control de legalidad en la actividad administrativa del gobierno relacional, dentro del fenómeno de la jusprivatización: análisis del microsistema de la administración pública adjunta, en la república de honduras

Deaths of U.S. Citizens Undergoing Cosmetic Surgery — Dominican Republic, 2009–2022

“…Fat embolism is a recognized risk associated with fat injections, particularly as used in gluteal augmentation, a procedure in which fat is harvested from the patient and then injected into the buttocks to augment the body silhouette ( 4 ). Recommendations to avoid injecting the fat into the deep muscular layers of the buttocks to reduce the possibility of fat embolism have been previously published ( 4 , 5 ). Risk factors for venous thromboembolism in this report included BMI ≥25 kg/m 2 (96% of patients), aged ≥40 years (50%), having undergone procedures on the trunk of the body (100%), or having undergone two or more procedures during the same operation (100%) ( 6 – 8 ).…”

“…Public health departments can make recommendations to improve medical care within their jurisdictions, and surveillance can identify new or ongoing health concerns. In 2019, the Dominican Republic MOH issued safety and quality recommendations to cosmetic surgeons, including training and licensure requirements, specific recommendations for patients to have cardiac and pulmonary evaluations before surgery, and that no more than two major procedures should be scheduled during one operation ( 5 ). After CDC shared preliminary results of the investigation of cosmetic surgery–associated deaths, the MOH distributed the safety and quality guidelines ( 5 ) to cosmetic surgeons in the country, made monitoring visits to 77 facilities that offered cosmetic surgery, and certified infection control committees for high volume cosmetic surgery centers.…”

“…In 2019, the Dominican Republic MOH issued safety and quality recommendations to cosmetic surgeons, including training and licensure requirements, specific recommendations for patients to have cardiac and pulmonary evaluations before surgery, and that no more than two major procedures should be scheduled during one operation ( 5 ). After CDC shared preliminary results of the investigation of cosmetic surgery–associated deaths, the MOH distributed the safety and quality guidelines ( 5 ) to cosmetic surgeons in the country, made monitoring visits to 77 facilities that offered cosmetic surgery, and certified infection control committees for high volume cosmetic surgery centers. The MOH created a multilateral commission, including representatives from the Dominican Society of Plastic Surgery, to review perioperative adverse events, including deaths, and recommend disciplinary or administrative sanctions when warranted.…”