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B Moldovan, F Pescaru, D Pocreaţă, P Biriş, A Moldovan, M E Căpîlna
UNLABELLED: Summary BACKGROUND: This paper aims to present a "pattern" of oncosurgery solution in a case generally considered unrecoverable: intestinal occlusion in case of ovarian carcinoma and carcinomatosis. CASE REPORT: A 62-year-old female patient with ascites, carcinomatosis, unresectable pelvic tumour, and intestinal obstruction suffered a five-step oncosurgery "model": three surgical interventions overlapping chemotherapy administered via the systemic and intraperitoneal route: Step 1: colostomy and partial omentectomy; Step 2: five courses of systemic chemotherapy supported by granulocyte colony-stimulating factor; Step 3: radical surgery--total hysterectomy, bilateral adnexectomy, pelvic lymphadenectomy, omentectomy, appendectomy, pelvic peritonectomy, and hyperthermic intraperitoneal chemotherapy; Step 4: consolidation systemic chemotherapy consisting of three more similar cycles; Step 5: closure of the colostomy...
2016: European Journal of Gynaecological Oncology
Ankit Gupta, Atul Kulkarni
BACKGROUND AND AIMS: Anaesthetic management of patients undergoing supra-major orthopaedic oncosurgeries is challenging. We wanted to evaluate the effects of pre-operative co-morbid conditions, intraoperative blood loss and transfusion, haemodynamic instability on post-operative complications and hospital outcomes in patients after such surgeries. METHODS: We collected data from the patient files, anaesthesia records and the electronic medical records about pre-operative morbidities, intraoperative management, complications, blood loss, fluid therapy and blood products transfused...
April 2016: Indian Journal of Anaesthesia
Sven Becker, Rudy Leon De Wilde
Complications are the limiting factors of all surgeries. More than performing the actual surgery, learning how to avoid complications before, during, and after surgery is the most important task of every surgeon. Severe complications can lead to patient death. Complications such as ureterovaginal fistulas, resulting from <2 s of inattentive preparation, can lead to years of hardship, suffering, accusation, and litigation. Excellent surgery is about performing the right surgery for the right patient without any complications...
August 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
René Adam, Aimery de Gramont, Joan Figueras, Norihiro Kokudo, Francis Kunstlinger, Evelyne Loyer, Graeme Poston, Philippe Rougier, Laura Rubbia-Brandt, Alberto Sobrero, Catherine Teh, Sabine Tejpar, Eric Van Cutsem, Jean-Nicolas Vauthey, Lars Påhlman
An international panel of multidisciplinary experts convened to develop recommendations for managing patients with colorectal cancer (CRC) and synchronous liver metastases (CRCLM). A modified Delphi method was used. CRCLM is defined as liver metastases detected at or before diagnosis of the primary CRC. Early and late metachronous metastases are defined as those detected ⩽12months and >12months after surgery, respectively. To provide information on potential curability, use of high-quality contrast-enhanced computed tomography (CT) before chemotherapy is recommended...
November 2015: Cancer Treatment Reviews
Shagun Bhatia Shah, Ajay Kumar Bhargava, Itee Choudhury
BACKGROUND: Recent reports of increased intracranial pressure (ICP) due to steep Trendelenburg (ST) position causing neurological deterioration, decreased regional cerebral oxygen saturation and postoperative visual loss after robotic urological and gynecological surgeries led us to consider a simple technique of ICP monitoring. Ours is one of the first instances reported of quantitative noninvasive measurement of increase in ICP with ST position by serial measurement of binocular optic nerve sheath diameter (ONSD) in patients undergoing robot assisted urological and gynecological oncosurgery...
July 2015: Saudi Journal of Anaesthesia
Sangeet Kumar Agarwal, Manish Munjal, Rakesh Koul, Rajeev Agarwal
BACKGROUND: This prospective study was to evaluate the changes in quality of life (QOL) after 12 months post treatment from their pre-treatment levels, using specific questionnaires of well-known acceptability, responsiveness, and validity, with special emphasis on domains such as chewing, swallowing, speech, psychological aspects (mood and anxiety) and pain. METHODS: This prospective analytical study included a total of 72 patients affected by oral tongue cancer (T1-2N0M0) who underwent treatment [wide local excision with selective + radiotherapy (RT)] from 2009 to 2012 at the Department of Oncosurgery and Otorhinolaryngology-Head and Neck Surgery, Sir Ganga Ram Hospital, New Delhi...
October 2014: Annals of Palliative Medicine
Mihaly Orsolya, Mihaly Attila-Zoltan, Vitalie Gherman, Florin Zaharie, Sorana Bolboaca, Cipriana Chira, Constantin Bodolea, Ciprian Tomuleasa, Alexandru Irimie, Ioan Coman, Daniela Ionescu
PURPOSE: The main objective of this study was to compare the effect of two anaesthetic techniques (general vs combined) on plasma levels of NGAL (Neutrophil Gelatinase Associated Lipocalin) after robotic urogenital oncosurgery. The secondary objective was to correlate NGAL levels with the incidence of acute kidney injury (AKI). METHODS: This was a longitudinal prospective study. Forty patients were included and randomized in 2 groups: group C (N=16 cases; combined general-epidural anesthesia) and group G (N=24 cases; control group with general anesthesia)...
January 2015: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
R Babita, N Kumar, R K Karwasra, M Singh, J S Malik, A Kaur
Context: Worldwide, breast cancer is the most common cancer among women. In India and other developing countries, breast carcinoma ranks second only to cervical carcinoma among women. But the incidence of breast cancer is on the rise and may become number one cancer in females in near future. Aims: (1) To find out the magnitude of reproductive risk factors of carcinoma breast among the study subjects; and (2) to find out the association of reproductive risk factors with breast carcinoma. Materials and Methods: The study was done in the wards of General Surgery and Oncosurgery from August 2009-July 2010 in a tertiary care institute...
July 2014: Indian Journal of Cancer
Richard Pink, Martin Molitor, Peter Tvrdy, Petr Michl, Jindrich Pazdera, Vitezslav Zboril, Bohumil Zalesak
OBJECTIVE: Oropharyngeal cancers are a biologically heterogenous group of tumors with diverse risk factors including tobacco, alcohol, HPV, inherited disorders, the acquired immunodeficiency of Karposi's Sarcoma and non Hodgkin's lymphoma. In the Czech Republic, oropharyngeal cancers represent around 2% of all cancers. The treatment of these tumors is long and complex. Reconstructive procedures in maxillofacial oncosurgery demand good interdisciplinary collaboration and great professional preparedness of the surgical and nursing team...
March 2016: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
M Duda, M Ryska, J Zaloudík
No abstract text is available yet for this article.
May 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Babita, Neelam Kumar, Mahavir Singh, Jagbir S Malik, Meenakshi Kalhan
BACKGROUND: Worldwide, breast cancer is the most common cancer among women. In India and other developing countries, breast carcinoma ranks second only to cervical carcinoma among women. Although studies have been done globally, to find the association between breastfeeding and breast cancer, very few studies in India document such a benefit. METHODS: A case-control study was done from August 2009 to July 2010 in the wards of General Surgery and Oncosurgery at Pt...
June 2014: International Journal of Preventive Medicine
M Duda, M Ryska, J Zaloudík, J Gatěk
An analysis of the current situation in the surgical treatment of solid malignant tumors in the Czech Republic demonstrates the need to impose a concept of oncosurgical care, which would lead to a steady improvement in the quality of care provided by surgeons in oncosurgery. The primary aim is that surgery plays an appropriate role in the complex care of oncology patients and that surgeons become equal partners to radiation and internal oncologists in the determination of diagnostic - therapeutic plans and in other decision-making processes...
May 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Jyotirmoy Das, Sudhir Kumar, Sangeeta Khanna, Yatin Mehta
Newer developments in the field of chemotherapeutic drug regimes, radiotherapy, and surgical techniques have improved the prognosis of cancer patients tremendously. Today increasing numbers of patients with aggressive disease are posted for surgical resection. The advances in reconstructive flap surgery offer the patient a near normal dignified postresection life. Hence, the expectations from the patients are also on the rise. Anesthetic challenges known in oncosurgery are that of difficult airway, maintenance of hemodynamics and temperature during long surgical hours, pain management, and postoperative intensive care management...
April 2014: Journal of Anaesthesiology, Clinical Pharmacology
J Zaloudik
No abstract text is available yet for this article.
March 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
M Trnková
In recent years breast-conserving therapy has become the most frequently used therapy for early stages of breast cancer. The complete excision of a tumour using this protocol is a statistically significant parameter which influences the incidence of local recurrence and overall survival. Evaluation of the completeness of the resection and especially the distance of the tumour from the margins of the lumpectomy, however, brings a number of problems which arise not only from the character of the tissue with a majority of adipose stroma, but also from the character of the tumour tissue itself regarding growth pattern and multifocality...
February 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Mahavir Singh, Babita Jangra
BACKGROUND: Worldwide, breast cancer is most common cancer among women. In India and other developing countries, breast carcinoma ranks second only to cervical carcinoma among women. Although studies have been done globally, to find association between BMI and breast cancer, very few studies in India document any such association. PURPOSE: To find out the association between BMI and breast cancer. MATERIALS AND METHODS: A Case-control study was done from August 2009 - July 2010 in the wards of General Surgery and Oncosurgery at Pt...
July 2013: South Asian Journal of Cancer
Rajendra B Metgudmath, Anjali R Metgudmath, Vinita V Metgudmath, Biswanath Roy, Amal T Das
The objective of this study was to assess the versatility of pectoralis major myocutaneous (PMMC) flap in the reconstruction of diverse surgical defects following resection of various head and neck malignancies. We performed retrospective analysis of patients in whom PMMC was used to reconstruct head and neck surgical defects during May 2006 to December 2010. The study was carried out at KLES Dr. Prabhakar kore Hospital & M.R.C, Belgaum and involved 95 patients. The patients were grouped depending on the site of defect reconstructed and were analyzed in detail...
July 2013: Indian Journal of Otolaryngology and Head and Neck Surgery
(no author information available yet)
Even in modern conditions of achievements in the head and neck oncosurgery the restoration of the volume defects of the bone tissue in a jaw-facial region is impossible to do without the orthopedic methods application because of present severe psychoemotional and general state of the patients. The problem of prophylaxis of mandibular pathological fractures in its malignant affection constitute a peculiar place, taking into account a complexity and numerousness of the unsolved issues. There was elaborated and constructed apparatus for the pathological fracture prophylaxis or for fixing of fragments in the angle of a toothless mandibula...
July 2013: Klinichna Khirurhiia
Atul P Kulkarni, Rishikesh M Awode
CONTEXT: Infectious complications of invasive procedures affect patient outcomes adversely. Choice of antiseptic solution at the time of insertion is one of the major factors affecting their incidence. AIMS: This study was undertaken to compare efficacy of chlorhexidine 2% and povidone iodine 10% for skin disinfection prior to placement of epidural and central venous catheters (CVCs). SETTINGS AND DESIGN: A prospective randomised trial in the operating rooms of a tertiary referral cancer centre...
May 2013: Indian Journal of Anaesthesia
D Langer, J Pudil, J Rudiš, M Ryska
INTRODUCTION: The robotization of minimally invasive treatment in surgery has been evident since the beginning of the third Millennium. The authors present their current evaluation of the benefits of the da Vinci robotic system in the treatment of abdominal malignancy. MATERIAL AND METHODS: The authors summarize published studies in the Medline and Pubmed databases that compare robotic, laparoscopic and open approaches in the treatment of abdominal malignancy. Epidemiological data, intraoperative blood loss, complications and oncological outcomes are monitored in a group of 30 patients with carcinoma of rectum...
February 2013: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
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