The quality of surgery as a prerequisite for breast conservation

Abstract Background This study aims to propose surgical approaches intended to localize and preserve the marginal mandibular nerve (MMN) during routinely performed head and neck surgical procedures. Main body of abstract Preservation of the functional integrity of the MMN is a critical measure in the success of orofacial surgeries involving the submandibular triangle. This study systematically reviews the anatomical description of the nerve including origin, course relative to fascial planes, relation to the parotid gland and facial pedicle, branching pattern and anastomosis of nerve and consolidate the findings of several significant studies to determine the “surgically safe” approaches to avoid iatrogenic injury to MMN. Short conclusion The systematic approaches described in this study have helped the authors precisely determine which particular MMN preserving approach to be adopted for each aspect of head and neck surgery. This has definitely enhanced the quality of surgery performed and the postoperative satisfaction of the patients.

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311 Quality of surgery

European Journal of Cancer ◽

10.1016/0959-8049(95)95568-q ◽

1995 ◽

Vol 31 ◽

pp. S67-S68

Author(s):

C. McArdle

Keyword(s):

Quality Of Surgery

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D3 LYMPHADENECTOMY IN RIGHT COLONIC RESECTION

JMS SKIMS ◽

10.33883/jms.v21i2.345 ◽

2019 ◽

Vol 21 (2) ◽

pp. 109-113

Author(s):

Arshad Ahmed Baba ◽

Zahid Kaleem ◽

Fazl Qadir Parray ◽

Nisar Ahmad Chowdri ◽

Rouf Ahmad Wani ◽

...

Keyword(s):

Lymph Node ◽

Lymph Nodes ◽

Lymph Node Dissection ◽

Node Dissection ◽

D3 Lymphadenectomy ◽

Quality Of Surgery ◽

Staining Techniques ◽

Node Metastases ◽

The Individual

Lymph node dissection in colon cancer is without a doubt necessary, it is just the extent of that dissection that is still under debate. As the individual steps of an oncologic operation cannot be separated from each other, analysis of the significance of lymph node dissection alone is difficult. It has been proven that the T category is directly related to the number and central spread of lymph node metastases. Micrometastases and isolated tumor cells may be detected in lymph nodes by using special staining techniques; their presence may worsen prognosis significantly and approximate it to UICC stage III. The numbers of dissected lymph nodes and the ratio of involved versus dissected lymph nodes have been used as markers for quality of surgery and histopathological evaluation. JMS 2018: 21 (2):109-113

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Is quality of life after mastectomy comparable to that after breast conservation surgery? A 5-year follow up study from Mumbai, India

Quality of Life Research ◽

10.1007/s11136-019-02351-1 ◽

2019 ◽

Vol 29 (3) ◽

pp. 683-692

Author(s):

K. V. Deepa ◽

A. Gadgil ◽

Jenny Löfgren ◽

S. Mehare ◽

Prashant Bhandarkar ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Breast Conservation ◽

Radical Mastectomy ◽

Breast Conservation Surgery ◽

Breast Cancer Surgery ◽

Significant Difference ◽

Domain Scores

Abstract Purpose Breast cancer is the commonest cancer in women worldwide. Surgery is a central part of the treatment. Modified radical mastectomy (MRM) is often replaced by breast conserving therapy (BCT) in high-income countries. MRM is still the standard choice, in low- and middle-income countries (LMICs) as radiotherapy, a mandatory component of BCT is not widely available. It is important to understand whether quality of life (QOL) after MRM is comparable to that after BCT. This has not been studied well in LMICs. We present, 5-year follow-up of QOL scores in breast cancer patients from India. Methods We interviewed women undergoing breast cancer surgery preoperatively, at 6 months after surgery, and at 1 year and 5 years, postoperatively. QOL scores were evaluated using FACT B questionnaire. Average QOL scores of women undergoing BCT were compared with those undergoing MRM. Total scores, domain scores and trends of scores over time were analyzed. Results We interviewed 54 women with a mean age of 53 years (SD 9 ± years). QOL scores in all the women, dipped during the treatment period, in all subscales but improved thereafter and even surpassed the baseline in physical, emotional and breast-specific domains (p < 0.05) at 5 years. At the end of 5 years, there was no statistically significant difference between the MRM and BCT groups in any of the total or domain scores. Conclusion QOL scores in Indian women did not differ significantly between MRM and BCT in the long term. Both options are acceptable in the study setting.

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Endometriosis: advances and controversies in classification, pathogenesis, diagnosis, and treatment

F1000Research ◽

10.12688/f1000research.14817.1 ◽

2019 ◽

Vol 8 ◽

pp. 529 ◽

Cited By ~ 17

Author(s):

Edgardo Rolla

Keyword(s):

Special Reference ◽

Alternative Therapies ◽

Diagnosis And Treatment ◽

Deep Infiltrating Endometriosis ◽

Peritoneal Disease ◽

Quality Of Surgery ◽

Diagnosis And Classification ◽

Ovarian Endometriomas ◽

Infiltrating Endometriosis

Endometriosis is an enigmatic disease that could start at birth. Its pathogenesis is supported by different theories. Accumulating facts relate it to a multigenic disorder. In this review of recent publications, the principal symptoms of the disease, pain and infertility, as well as its pathogenesis, diagnosis, and classification will be addressed. Endometriosis presents three main variants: superficial peritoneal disease, deep infiltrating endometriosis, and ovarian endometriomas. The management of the disease, surgery, and medical and alternative therapies will be discussed. Special reference will be made to the quality of surgery and how to understand patients with endometriosis and endometriosis.

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