Early postoperative complications in patients operated on for breast cancer using different surgical techniques

Background. Given the steady and intense increase in the incidence of breast cancer, the problem of the development of early complications of reconstructive operations, depending on the characteristics of surgery, remains urgent.Objective: to analyze the characteristics of the early postoperative period in patients operated on for breast cancer using different surgical techniques.Materials and methods. A comparative analysis of clinical examination data was carried out, as well as laboratory and instrumental diagnostic methods for 353 women with stage I to IIIA breast cancer after various surgical treatment options and 40 patients after mammoplasty.Results and conclusions. It has been shown that neither single-step nor delayed reconstructive operations after radical mastectomy increase the incidence of complications in the early postoperative period. Single-step breast reconstruction with the help of an expander can be used in patients with I–IIIA stages of the tumor process.

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Methods of reducing blood loss during reconstructive operations on the uterus

Journal of obstetrics and women s diseases ◽

10.17816/jowd88988 ◽

2003 ◽

Vol 52 (3) ◽

pp. 85-94

Author(s):

V. M. Orlov ◽

Y. V. Kovalyova

Keyword(s):

Blood Loss ◽

Postoperative Period ◽

Young Patients ◽

Surgical Techniques ◽

Early Postoperative Period ◽

Muscular Tissue ◽

Operative Blood Loss ◽

Massive Blood Loss ◽

Reconstructive Operations ◽

Tissue Defects

There can be no doubt about expediency of reconstructive operations on the uterus in young patients. These operations make it possible to preserve reproductive and menstrual function. However, such operations are accompanied by formation of extensive wound surfaces, considerable muscular tissue defects and characterized by high traumatism, quite often impossibility to ensure effective hemostasis and massive blood loss during operation. In this connection a number of complications during early postoperative period is higher than after hysterectomy. Taking into account the above, it is actual to use the surgical techniques which allow to reduce traumatism of operation and ensure effective hemostasis. In present review different methods used for ensuring hemostasis and reducing operative blood loss during reconstructive operations on the uterus are considered.

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Our experience of rehabilitation in early postoperative period after breast cancer surgery

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2014.03.1352 ◽

2014 ◽

Vol 57 ◽

pp. e370

Author(s):

T. Koleganova ◽

N. Krasnyakova ◽

E. Pintus ◽

T. Shapovalenko

Keyword(s):

Breast Cancer ◽

Postoperative Period ◽

Early Postoperative Period ◽

Cancer Surgery ◽

Breast Cancer Surgery

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The History of Mastectomy

The American Surgeon ◽

10.1177/000313481107700515 ◽

2011 ◽

Vol 77 (5) ◽

pp. 566-571 ◽

Cited By ~ 6

Author(s):

Marios Loukas ◽

R. Shane Tubbs ◽

Nadine Mirzayan ◽

Michelle Shirak ◽

Ashley Steinberg ◽

...

Keyword(s):

Breast Cancer ◽

20Th Century ◽

Upper Limb ◽

Breast Tissue ◽

Surgical Techniques ◽

Radical Mastectomy ◽

Large Impact ◽

Surgical Tools ◽

History Of ◽

Surgical Field

The mastectomy that is performed today is a procedure born from hundreds of years of discoveries, inventions, and amendments to existing surgical techniques. The reasons for performing this extreme surgery have changed as well, ranging from unilateral breast removal to allow greater upper limb functionality to bilateral removal of the breasts or breast tissue in individuals predisposed to breast cancer or in individuals who have already been diagnosed. The additions of surgical tools and anesthetics to the field of medicine further transformed the surgical field in general and had a large impact on the mastectomy. William Halsted's radical mastectomy served as the basis of most future breast removal techniques, and it the method recognized today as the “radical mastectomy.” Most radical surgeries are currently used for prophylaxis, whereas less invasive lumpectomies have eclipsed breast removal surgeries as of the latter half of the 20th century.

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Clinical variants of esophageal injuries, diagnostics and treatment methods

10.12737/1014664 ◽

2020 ◽

Author(s):

Vladimir Belokonev ◽

Sergey Pushkin ◽

Zinaida Kovaleva ◽

Elena Aksenova ◽

Nikolay Abashkin ◽

...

Keyword(s):

Higher Education ◽

Postoperative Period ◽

Treatment Options ◽

Surgical Anatomy ◽

Diagnostic Methods ◽

Federal State ◽

Educational Standards ◽

Clinical Variants ◽

State Educational ◽

Methods Of Treatment

The textbook is devoted to the diagnosis of esophageal injuries and treatment of patients. The article describes the surgical anatomy of the organ, causes of esophageal injuries, classification, diagnostic methods, tactics, describes possible treatment options for patients depending on the clinical picture, technique and volume of operations depending on the developing complications. The paper presents original methods of treatment of the esophagus, methods of management of patients in the postoperative period, treatment of possible complications and their prevention. Meets the requirements of the Federal state educational standards of higher education of the latest generation. For doctors-surgeons, clinical residents, postgraduates, undergraduates and teachers of medical universities.

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Uncommon breast malignancies: Presentation pattern, treatment options and outcome in a single Institution experience

Journal of Clinical Oncology ◽

10.1200/jco.2009.27.15_suppl.e22174 ◽

2009 ◽

Vol 27 (15_suppl) ◽

pp. e22174-e22174

Author(s):

C. Bareggi ◽

D. Consonni ◽

B. Galassi ◽

D. Gambini ◽

E. Locatelli ◽

...

Keyword(s):

Breast Cancer ◽

Ductal Carcinoma ◽

Treatment Options ◽

Radical Mastectomy ◽

Breast Tumors ◽

Conservative Surgery ◽

Stage I ◽

Stage Ii ◽

Breast Cancer Patients ◽

Tubular Carcinoma

e22174 Background: Uncommon breast tumors are often neglected by large clinical trials, even if their incidence is not so low. Methods: We investigated stage, treatment and outcome of 112 patients affected by uncommon breast cancer, out of 2,185 breast cancer patients diagnosed and followed in our Institution from January 1985 to October 2008. Results: Rare subtypes were represented as follows: tubular 2.7% (58 pts), mucinous 1.1% (25 pts), medullary 1% (21 pts), papillary 0.4% (8 pts). Median age at diagnosis was 56.5 years among patients with tubular histotype, 68.9 years for mucinous, 55 and 61.7 years for medullary and papillary, respectively. Stage I tumors were 87.7% among patients with tubular differentiation, 60% for mucinous, 26.3% for medullary and 50% for papillary, (compared to 45.7% in invasive ductal carcinoma: 1,626 pts). Stage II represented 12.3% among patients with tubular carcinoma, 32% for mucinous, 57.9% for medullary and 37.5% for papillary. Surgical option for stage I and stage II was usually conservative surgery (quadrantectomy, lumpectomy) plus local radiotherapy, followed by estrogenic blockade. In stage III radical mastectomy was often performed, followed by hormonal suppression. Median DFS for patients with tubular cancer was 4.1 years, for mucinous 3.7 years, 10.5 and 5.1 years for medullary and papillary, respectively. Median OS for patients with tubular cancer was 4.3 years, whereas for mucinous 4.2 years, for medullary 11 years and 5.3 years for papillary. Conclusions: In our retrospective analysis, uncommon breast tumors are often diagnosed at limited stages, resulting in good prognosis, with standard treatment. Further studies are warranted for a better management of these diseases. No significant financial relationships to disclose.

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Acceptance of Illness after Surgery in Patients with Breast Cancer in the Early Postoperative Period

Polish Journal of Surgery ◽

10.1515/pjs-2016-0001 ◽

2015 ◽

Vol 87 (11) ◽

Cited By ~ 1

Author(s):

Andrzej Nowicki ◽

Elżbieta Krzemkowska ◽

Piotr Rhone

Keyword(s):

Breast Cancer ◽

Postoperative Period ◽

Early Period ◽

Conservative Surgery ◽

Early Postoperative Period ◽

Economic Situation ◽

White Collar Workers ◽

Acceptance Of Illness ◽

High Level ◽

Type Of Surgery

AbstractThe breast cancer is the most common cancer in women, both in Poland and in the world. Consequences entail a disruption in the physical, psychological and social functioning.was to assess the acceptance of illness by patients treated for breast cancer in the early postoperative period.The research was conducted on the group of 100 consecutive patients aged 32-80 years (median 56 years) who underwent surgery for breast cancer in the Centre of Oncology in Bydgoszcz w 2014 roku. 68 of women had mastectomy, 32 of women had conservative surgery. Polling was conducted in the early period after surgery. The original questionnaire containing closed questions the scale of acceptance of the disease (AIS) as well as mental adaptation to cancer (Mini-Mac) was used in the study.38% of patients had high acceptance of the disease, 48% averageand 14% had low acceptance. Patients after conservative surgery had a higher average values for the mental strategies to cope with the disease, for the fighting spirit (23.1), helplessness and hopelessness (13.5), positive revaluation (23), the patients had a lower average (16.5) in the strategy to absorb anxiety. Patients after conservative surgery had a higher average for constructive style (2.6) but lower for destructive style (1.5). High level of mental coping with the disease was observed in 53%of patients with constructive style and 4% of patients with destructive style. While, a low level of mental coping with the dosease was observed in 5% of patients with constructive style and 46% of patients with destructive style.Almost half of women after mastectomy or conservative surgery had an average acceptance of the disease. The disease was accepted best by educated women living in the cities, white-collar workers with a good economic situation. The following factors were affected the better management of the disease, in order: age, education, current occupation and economic situation, while the type of surgery did not affect better management. More than half of women, regardless of the type of surgery reflected the high level of constructive style.

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РЕЗУЛЬТАТЫ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОК С ПЕРВИЧНЫМ РАКОМ ГРУДНОЙ ЖЕЛЕЗЫ

World Science ◽

10.31435/rsglobal_ws/31072019/6590 ◽

2019 ◽

Vol 1 (7(47)) ◽

pp. 48-50

Author(s):

Макаров В. В. ◽

Цивенко А. И. ◽

Королевская А. Ю.

Keyword(s):

Breast Cancer ◽

Postoperative Period ◽

Radical Surgery ◽

Postoperative Mortality ◽

Disease Recurrence ◽

Early Postoperative Period ◽

Treatment Results ◽

Surgical Interventions ◽

Postoperative Wound ◽

Primary Radical

The treatment results of 172 patients with breast cancer, who underwent radical surgery on the breast, were analyzed. During the last 4 years, the implementation of combined surgical interventions — radical surgery with removal of the tumor with D2 lymphnode dissection and the simultaneous installation of a silicone implant (in 17 patients — 17.4%) takes attention. In most cases, the early postoperative period proceeded safely. During the early postoperative period, complications occurred in 30 (17.4%) patients: long postoperative lymphorrhea - 25 (14.5%) cases, which in 6 (3.6%) patients leaded to the development of seroma, and in two (1.2 %) of them - suppuration of the postoperative wound. Diastasis of wound edges was noted in 4 (2.3%) patients. In 1 (0.6%) case, bleeding was observed on the first day after surgery. Postoperative mortality rate was 0%. 10 (5.8%) patients were admitted for the surgery during the period from 1 to 3 years after the primary radical surgery due to a local recurrence of breast cancer. Despite the arsenal of modern diagnostic, anesthetic and surgical support, the issue of postoperative complications prevention and the disease recurrence prevention of the patients with breast cancer remains relevant.

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Non-Conservative Therapy in the Prevention of Subepithelial Fibroplasia after LASEK Hypermetropia Correction

Ophthalmology in Russia ◽

10.18008/1816-5095-2018-2-200-206 ◽

2018 ◽

Vol 15 (2) ◽

pp. 200-206

Author(s):

S. A. Korotkikh ◽

A. E. Bogachev ◽

A. S. Shamkin

Keyword(s):

Dry Eye ◽

Postoperative Period ◽

Sodium Hyaluronate ◽

Early Postoperative Period ◽

Diagnostic Methods ◽

Dry Eye Syndrome ◽

Control Group ◽

Study Group ◽

Postoperative Therapy ◽

Significant Difference

The results of observation of patients who underwent vision eximerlaser correction by the LASEK method regarding medium degree of hyperopia were analyzed.Purpose:to investigate the severity of the «dry eye» syndrome and corneal subepithelial fibroplasia in patients after laser correction of hyperopia by the LASEK method, and their prevention by reducing the preservative action on the eye surface.Patients and methods.The study included 40 patients (76 eyes), aged 21–46 years (32.98 ± 1.79) who underwent LASEK surgery for moderate hyperopia (4.03 ± 0.38 D). Patients were divided into two groups: 1) control group (20 patients, 37 eyes) — postoperative therapy included the corneoprotector “Stilavit®” and the preparation of hyaluronic acid “Oksial®”, containing preservatives; 2) the study group (20 patients, 39 eyes) — postoperative therapy included the corneoprotector “Hilozar-comod®” and the artificial tear preparation “Hilo-comod®”, which did not contain reservatives. Ophthalmic examination included, in addition to standard diagnostic methods, the Norn test, the Schirmer test, the staining of the eye surface with lissamine green. In addition, a questionnaire was conducted on a modified OSDI questionnaire; there a section characterizing the quality of vision (section B) was removed.Results.The analysis of the obtained data showed that in the study group there was less pronounced “dry eye” syndrome at 3,6,12 months after the operation. The maximum difference in the indicators of the “dry eye” syndrome between the groups was at 3 and 6 months of the postoperative period. When evaluating corneal subepithelial fibroplasia, maximum attention was paid to the frequency and the intensity index. It was shown a significant difference in the intensity of the haze between the study group and the control group by 26.1 % at 3 months, by 62.2 % at 6 months and by 65.3 % 12 months after the operation. Conclusion.Nonconservative therapy with sodium hyaluronate and dexapanthenol in the early postoperative period and only sodium hydrolurate allows to reduce the severity of the dry eye syndrome after laser correction of hypermetropia and, as a result, to reduce the intensity of haze development by 65.3 %, and its frequency on 11,5 %.

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