A Novel Surgical Stapling Technique for Rectal Mass Removal: A Retrospective Analysis

2009 ◽  
Vol 45 (2) ◽  
pp. 67-71 ◽  
Author(s):  
Jen Swiderski ◽  
Stephen Withrow
Keyword(s):  
Adjuvant Therapy ◽  
Retrospective Analysis ◽  
Surgical Excision ◽  
Histopathological Diagnosis ◽  
Surgical Stapling ◽  
Stapling Device ◽  
Novel Technique ◽  
Rectal Mass ◽  
Mean Time

Both benign and malignant rectal masses occur in dogs. The mainstay of treatment is surgical excision with adjuvant therapy based on histopathological diagnosis and completeness of removal. Location of the mass within the rectum helps dictate the approach used. This paper describes the use of a novel technique for removal of rectal masses involving the distal third of the rectum in seven dogs. To perform this technique, the rectum is prolapsed and stay sutures are placed to maintain prolapse. A thoracoabdominal stapling device is placed at the base of the mass with a minimum of 0.5- to 1-cm margins, and the mass is amputated. Mean time to veterinarian follow-up was 564 days, and no dog had recurrence of disease during this time.

scholarly journals A Rare Malignant Disease, Dermatofibrosarcoma Protuberans of the Breast: A Retrospective Analysis and Review of Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Yihua Wang ◽  
Yu Wang ◽  
Rui Chen ◽  
Zhenrong Tang ◽  
Shengchun Liu
Keyword(s):  
Retrospective Analysis ◽  
Smooth Muscle Actin ◽  
Clinical Information ◽  
Dermatofibrosarcoma Protuberans ◽  
Surgical Excision ◽  
Low Grade ◽  
Pubmed Database ◽  
Storiform Pattern ◽  
Rare Malignancy

Dermatofibrosarcoma protuberans (DFSP) is a rare low-grade fibroblastic mesenchymal tumor derived from the dermis. The aim of this retrospective analysis was to summarize the clinicopathological data from our cases and published cases to offer more evidence for the recognition of dermatofibrosarcoma protuberans (DFSP). A total of 6 breast DFSP patients who had received treatment in our hospital were retrospectively enrolled, and detailed clinicopathological data were gathered for analysis. The median age was 29.5 years (ranging from 17 to 42 years). Most cases presented a red or brown-red, mobile, well-circumscribed, protruding, breast mass (ranging from 1 to 3 cm). For histopathology, all cases (6/6) showed a storiform pattern of spindle cells that were positive for CD34 (6/6) and Vimentin (5/6) and negative for smooth muscle actin (0/6) and S-100 protein (0/6). The majority of patients (5/6) underwent wide local excision, with 2 cases treated with radiotherapy. With a median follow-up of 36 months, all 6 patients survived without recurrence or metastasis. The PubMed database was used to search for similar cases. Eventually, 36 cases were included in this review, while cases without detailed clinical information or not reported in English were excluded from the analysis. To summarize, DFSP of the breast is an extremely rare malignancy characterized by spindle tumor cells arranged in a storiform pattern and positivity for CD34. The core needle biopsy is one of the crucial methods for its preoperative diagnosis. Management of DFSP is mainly based on surgical excision. It is prone to local recurrence, so long-term follow-up is required.

Decreased Surgical Time with a Vessel Sealing Device Versus a Surgical Stapler in Performance of Canine Splenectomy

2014 ◽  
Vol 50 (1) ◽  
pp. 42-45 ◽  
Author(s):  
Christopher J. Monarski ◽  
Michael H. Jaffe ◽  
Phillip H. Kass
Keyword(s):  
Adverse Effect ◽  
Retrospective Study ◽  
Median Time ◽  
Surgical Time ◽  
Surgical Stapler ◽  
Surgical Stapling ◽  
Stapling Device ◽  
Vessel Sealing ◽  
Mean Time ◽  
Sealing Device

The purpose of this retrospective study of 72 dogs was to compare a vessel sealing device with a surgical stapling device for performance of splenectomy. The results of this study demonstrate a statistically significant shorter surgical time for splenectomy, without an adverse effect on outcomes, performed in dogs with the vessel sealing device (mean time, 58.4 min ± 3.3 min; median time, 60 min; range, 22–131 min) compared with a traditional stapling device (mean time, 66.9 min ± 2.4 min; median time, 66 min; range, 40–100 min). No other significant differences were found between the two groups of patients.

scholarly journals Ectopic intraconal orbital meningioma – A rare case report

2021 ◽  
Vol 12 ◽  
pp. 305
Author(s):  
Anil Kumar Sharma ◽  
Charandeep Singh Gandhoke ◽  
Somen Misra ◽  
Ashik Ravi ◽  
Rakesh Kumar Gupta ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Visual Outcome ◽  
Surgical Excision ◽  
Histopathological Diagnosis ◽  
Who Grade ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Orbital Meningioma

Background: Ectopic orbital meningiomas (OM) are a rare subset of OMs which are neither attached to the optic nerve sheath nor to the surrounding bone. Case Description: We report the case of a 65-year-old female who presented with a 1 year history of proptosis followed by visual loss and restricted right eye movements since 3 months. Radiology of the orbits was suggestive of intraorbital, intraconal, and heterogeneous contrast enhancing right eye lesion which was completely excised through supraorbital orbitotomy approach. Intraoperatively, the right optic nerve, though compressed, and displaced inferiorly, was free from the lesion. The final histopathological diagnosis was “Meningioma WHO Grade I.” At 3 months follow-up, patient’s vision in the right eye improved from perception of light positive to 6/12 and there was no evidence of recurrence. Conclusion: Rarity of ectopic OM, total surgical excision with an excellent postoperative visual outcome prompted us to report this case.

Addition of an Oblique Interfragmentary Screw to T-plate Fixation Decreases Nonunion Rate in Trapeziometacarpal Arthrodesis

Hand ◽  
2020 ◽  
pp. 155894472093736
Author(s):  
Lacey R. Pflibsen ◽  
Shelley S. Noland ◽  
Annica C. Eells ◽  
Anthony A. Smith
Keyword(s):  
Surgical Technique ◽  
Plate Fixation ◽  
Complete Healing ◽  
Dominant Hand ◽  
Popular Method ◽  
Novel Technique ◽  
Clinical Healing ◽  
Mean Time ◽  
Radiographic Union

Background: T-plate fixation is a popular method for trapeziometacarpal arthrodesis in patients with osteoarthritis. Previous studies report an 8% to 18% rate of symptomatic nonunion and a 26% rate of radiographic nonunion. In this study, we present our surgical technique of trapeziometacarpal arthrodesis using the addition of an oblique interfragmentary screw to T-plate fixation on the rate of symptomatic and radiographic nonunion. Methods: A retrospective review of all trapeziometacarpal arthrodeses for osteoarthritis was completed by a single surgeon between 2010 and 2018. Preoperative demographics, pain, and Eaton classification were included. The technique was identical in all surgical cases, using a T-plate and oblique interfragmentary screw across the arthrodesis site from the metacarpal to the trapezium. Postoperative nonunion rate and time to clinical healing (absence of pain) and radiographic union were reviewed. Results: A total of 22 trapeziometacarpal arthrodeses were performed on 17 patients using the above technique. The average age was 53 years, 71% were women, and 53% involved the dominant hand. Mean preoperative Eaton classification was 2.74 (±0.73). Mean time to clinical healing was 34 days (±12 days), and mean time to radiographic union was 55 days (±23 days). Mean follow-up was 9 months, and no patients were found to have symptomatic or radiographic nonunion. Hardware removal was required bilaterally in 1 patient after complete healing. Conclusions: The addition of an oblique interfragmentary screw to T-plate fixation is a novel technique in trapeziometacarpal arthrodesis, resulting in no symptomatic or radiographic nonunion.

The association of human epidermal growth factor receptor-2 (HER-2) expression with clinicopathologic findings in patients with colorectal cancer receiving adjuvant therapy.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e14089-e14089
Author(s):  
Halit Karaca ◽  
Veli Berk ◽  
Mevlude Inanc ◽  
Kemal Deniz ◽  
Metin Ozkan
Keyword(s):  
Adjuvant Therapy ◽  
Survival Data ◽  
Statistical Significance ◽  
Disease Free Survival ◽  
Tnm Staging ◽  
Current Data ◽  
Histopathological Diagnosis ◽  
Clinicopathological Findings ◽  
Her 2

e14089 Background: Colorectal cancers (CRC) are the third frequent cancer worldwide. Like in other cancers; factors which might be associated with prognosis and treatment of the disease are investigated in molecular basis. In this study, it was aimed to determine the levels of HER-2 expression and it’s association with clinicopathological findings in patients with CRC receiving adjuvant therapy. Methods: A total of 80 patients (48 female, 32 male) whom were diagnosed with CRC and received adjuvant FOLFOX-4 from March 2006 to September 2010 were included in the study. The parameters; age, gender, histopathological diagnosis, tumor localization, presence of obsruction-perforation-bleeding history, grades, presence of perineural-lymphovascular invasion, pathological TNM staging at time of diagnosis, findings of relapse-metastasis, history of surgery and radiotherapy, the chemotherapy regimens received in adjuvant and metastatic stages, follow up intervals and survival data were analyzed. HER-2 receptors were stained immunohistochemically. FISH was performed for samples which were stained (++) or (+++). Statistical analysis was performed for the data. Results: Median follow up was found 24 months (min-max: 1-67) and median age was 59 (min-max: 33-84). Thirteen patients (16%) died and 17 patients relapsed (21%) during follow-up. The median disease-free survival was found 55 months (95% CI: 42.84-55.95). Themedian overall survival was not reached yet.In immunohistochemical stainings; (+++) staining was found in 2 patients (2.5%) while (++) was in 13 (16%) patients. All of 15 patients were performed FISH for HER-2; samples which were (+++) showed positivity but the ones with (++) were negative for FISH. No significant correlation was found between HER-2 expression and clinicopathological findings (p>0.05). Also, no statistical significance was found between HER-2 expression and survival (p>0.05). Conclusions: To current data; prognostic and predictive value of HER-2 overexpression for CRC seems to be poor. Larger, prospective and long-lasting studies are required to clarify this controversial topic.

scholarly journals Periosteal Osteosarcoma: A Review of 17 Cases with Mean Follow-up of 52 Months

Sarcoma ◽  
2002 ◽  
Vol 6 (4) ◽  
pp. 123-130 ◽  
Author(s):  
Matthew P. Revell ◽  
Neeta Deshmukh ◽  
Robert J. Grimer ◽  
Simon R. Carter ◽  
Roger M. Tillman
Keyword(s):  
Adjuvant Therapy ◽  
World Literature ◽  
Surgical Excision ◽  
High Grade ◽  
Future Treatment ◽  
The World ◽  
Periosteal Osteosarcoma ◽  
Low Incidence ◽  
Consistent Approach

Purpose:Periosteal osteosarcomas are rare cartilage-rich bone tumours characterized by a juxtacortical eccentric position and are normally regarded oncologically as of intermediate to high grade.Their low incidence is mirrored by a small number of reported cases in the world literature. While there is general agreement that wide surgical excision is required, there is a paucity of evidence regarding adjuvant therapy. Previous reports have not indicated any consistent approach to this to allow appraisal.Patients and methods:We report 17 cases treated at our centre over 16 years. Our policy was to use chemotherapy when the tumour showed any features of high grade.Results:To date, no deaths have resulted from recurrence or metastasis of the tumour although there have been two deaths from other causes.Discussion:Comparison of survival with existing studies is made to draw conclusions regarding future treatment of this condition in terms of surgical and adjuvant approaches.

scholarly journals SURGERY OF JUGULAR FORAMEN LESIONS - AN INSTITUTIONAL EXPERIENCE

2020 ◽  
Vol VOLUME 8 (ONE) ◽  
pp. 1-11
Author(s):  
Simple Patadia
Keyword(s):  
Cranial Nerve ◽  
Postoperative Radiotherapy ◽  
Infratemporal Fossa ◽  
Surgical Excision ◽  
Jugular Foramen ◽  
Histopathological Diagnosis ◽  
Eighth Cranial Nerve ◽  
Lower Cranial Nerve ◽  
Temporal Bones

Jugular foramen tumors are rare skull base tumors having complex neurovascular anatomy. Most common being paragangliomas, lower cranial nerve schwannomas and meningiomas. Being the conduit for important neuro-vascular structures, potential complications following surgery are a frequent source of morbidity. Retrospective study done from March 2008 to September 2014. All patients underwent highresolution computer tomography (HRCT) of temporal bones and magnetic resonance imaging (MRI) with angiography in pre-operative period. Surgical approach and pre-operative endovascular intervention depended on the site and extent of the lesion. Extent of tumor removal was determined at the time of surgery. Patients with incomplete excisions in postoperative imaging were subjected to radiotherapy depending on histo-pathological diagnosis. Total of 22 patients of jugular foramen lesion were operated. Histopathological diagnosis included paraganglioma(n=18), schwannomas(n=2), p l a s m a c y t o m a ( n = 1 ) , s q u a m o u s c e l l carcinoma(n=1). Eighth cranial nerve was the most common involved nerve preoperatively (100%). Infratemporal Fossa approach, along with its modication, and conservative jugulopetrosectomy approach were used for surgical excision as per the extent of tumor. Complete excision was done in 73% (n=16), and postoperative radiotherapy was given to rest of the patients. The most common postoperative complication was lower cranial nerve decit in immediate post op period(n=15, 68%) (new onset n= 3, 13% and n=12, 55% had preoperative paresis), on follow up lower cranial nerve palsy improved in 50% in follow up (n=7). Most common tumor of the jugular foramen was paraganglioma followed by lower cranial nerve schwannoma. Surgical management depends on the extent of tumor. Multidisciplinary approach provides better patient outcome. Histopathological diagnosis aids to give targeted radiotherapy to the local site, and hence surgical excision of JFT(Jugular foramen tumor) is recommended.

Patient outcomes following wrist ganglion excision surgery

2012 ◽  
Vol 37 (7) ◽  
pp. 673-677 ◽  
Author(s):  
J. D. Craik ◽  
S. P. Walsh
Keyword(s):  
Recurrence Rate ◽  
Patient Outcomes ◽  
Surgical Excision ◽  
Present Patient ◽  
Mean Time

We present patient outcomes following surgical excision of primary wrist ganglia over a 5 year period. Patients (48 of 59; 81%) responded to a questionnaire by post or telephone, with a mean time to follow-up of 44 (range 21–77) months. There was a statistically significant reduction in all reported symptoms, including pain, paraesthesia, weakness, stiffness, and cosmesis. The recurrence rate was 8%. In total, 98% of patients were satisfied or very satisfied with treatment. Surgical excision of primary wrist ganglia may have advantages over aspiration and reassurance alone, particularly in reducing recurrence and hastening resolution of symptoms.

Spinal cord ependymoma: Retrospective analysis of treatment outcomes of 14 patients

2004 ◽  
Vol 4 (4) ◽  
pp. 155-160 ◽  
Author(s):  
R. Zaucha ◽  
K. Sosińska-Mielcarek ◽  
I. Zander ◽  
P. Szewczyk ◽  
J. Jassem
Keyword(s):  
Spinal Cord ◽  
Retrospective Analysis ◽  
Postoperative Radiotherapy ◽  
Primary Tumour ◽  
Surgical Excision ◽  
Subtotal Resection ◽  
Term Survival ◽  
Primary Surgery ◽  
Rare Tumours

Spinal cord ependymomas are relatively rare tumours and their management is not well established. This retrospective analysis was performed to examine the outcome of patients treated for this malignancy at our institution between 1982 and 2004.Hospital charts of 14 consecutive patients (10 men and four women) aged 8 to 58 years (median 32 years) were retrospectively analysed. This series included nine extramedullary and five intramedullary well differentiated (eight – G1, six – G2) ependymomas. All patients were treated with primary surgery. Postoperative radiotherapy was administered in 12 patients after subtotal excision. Total dose ranged from 35Gy in 17 fractions to 50.4Gy in 28 fractions. One patient experienced spinal axis failure despite complete resection of the primary tumour and was managed with salvage radiotherapy and chemotherapy following surgical excision of the relapse. There have been no radiotherapy-related serious side effects.One patient was lost to follow-up. Of the remaining 13 patients, at a median follow-up of 5.5 years (3 months to 20 years), 12 were alive including 11 without progression.Conclusion: In our group of patients radiotherapy following subtotal resection or used as a single modality was well tolerated and resulted in 92% long-term survival.

Improving Patient Care by Incorporation of Multidisciplinary Breast Radiology-Pathology Correlation Conference

2016 ◽  
Vol 67 (2) ◽  
pp. 122-129 ◽  
Author(s):  
Seema Prakash ◽  
Shambhavi Venkataraman ◽  
Priscilla J. Slanetz ◽  
Vandana Dialani ◽  
Valerie Fein-Zachary ◽  
...  
Keyword(s):  
Patient Care ◽  
Short Interval ◽  
Surgical Excision ◽  
Breast Disease ◽  
Histopathological Diagnosis ◽  
Case Review ◽  
Pathologic Correlation ◽  
Academic Practices ◽  
The Impact

Purpose It is well known that radiologic-pathologic correlation is critical in managing patients with breast disease. Although regular multidisciplinary conferences addressing radiologic-pathologic correlation are common at most major academic institutions, this approach is not universal in community-based settings or even some of the smaller academic practices. This study was performed to assess the impact of a weekly multidisciplinary conference on patient care to determine whether all breast practices should adopt this approach as a means to streamline and improve the quality of patient care. Methods We reviewed cases of percutaneous breast core biopsies presented at our weekly breast radiology-pathology correlation conference from July 1, 2008, to June 30, 2012. Each reviewed case was assigned to 1 of 4 categories (concordant → concordant, concordant → discordant, discordant → discordant, and discordant → concordant) based on the “initial” and “final” impressions of concordance between radiology and pathology. Changes in concordance, histopathological diagnosis, or management that occurred during the conference were recorded prospectively and analysed. Changes in management that were considered significant included changes in recommendations for surgery, repeat core biopsy, or follow-up imaging. Results Of 1387 presented at the conference, 1313 (94.7%) had no change during the meeting, confirming 1279 (92.2%) concordant and 34 (2.4%) discordant cases. A total of 74 (5.3%) cases had a change during the conference: 22 of 74 (29.7%) were changed from discordant to concordant, avoiding surgical excision in 15 and short interval imaging in 7; 23 of 74 (31.1%) were changed from concordant to discordant; on excision 3 were cancer, 3 atypia, 10 benign, 2 stable on follow-up imaging, and 5 lost to follow-up; the remaining 29 of 74 (39.2%) stayed concordant after review, but had a change in management, avoiding surgery in 14 and short interval imaging in 15. Overall, as a result of this conference, repeat biopsy or excision was recommended in 23, surgery was avoided in 29, short interval imaging avoided in 22, and cancer detected in 3 cases. Conclusions Our weekly breast radiology-pathology correlation conference impacted patient management in up to 5.3% of cases. These results support the need to incorporate a weekly multidisciplinary case review of breast core biopsies into all breast care practices. Such a conference maximizes cancer detection, identifies discordant cases in a timely manner, decreases follow-up imaging, and avoids unnecessary surgical intervention.

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