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https://www.readbyqxmd.com/read/27034079/additional-cavity-shaving-at-the-time-of-breast-conserving-surgery-enhances-accuracy-of-margin-status-examination
#1
Giacomo Pata, Michele Bartoli, Anna Bianchi, Mario Pasini, Stefano Roncali, Fulvio Ragni
PURPOSE: We addressed the impact of separate cavity margin excision (shaving) during breast-conserving surgery (BCS) for breast cancer on specimen volume, tumor margin clearance, re-excision rate, local recurrence and survival. METHODS: A retrospective case-matched study was performed on 298 women with stage 0-III breast cancer; 179 patients received shaving (shaving + lumpectomy group; SLG) and 119 patients did not (lumpectomy group; LG). RESULTS: The two groups had similar baseline characteristics...
September 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/26879246/the-effects-of-different-types-of-hair-shaving-on-the-body-image-and-surgical-site-infection-in-elective-cranial-surgery
#2
Gulsah Kose, Sevinc Tastan, Murat Kutlay, Orhan Bedir
AIMS AND OBJECTIVES: To investigate the effects of different types of shaving on body image and surgical site infection in elective cranial surgery. BACKGROUND: Hair shaving before cranial surgery is commonly performed in many countries. However, the impact of shaving on the patients' body image and surgical site infection is not, as yet, well investigated. DESIGN: A randomised-controlled design was used in this study. METHODS: The sample comprised 200 patients who underwent elective cranial surgery between March 2013-August 2014...
July 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26583644/bill-and-jean-a-lifetime-together
#3
Tina Vallier
No abstract text is available yet for this article.
December 2015: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/26445291/ultraviolet-fluorescent-tattoo-facilitates-accurate-identification-of-biopsy-sites
#4
Kathryn Russell, Rachel Schleichert, Bertha Baum, Miguel Villacorta, Patrick Hardigan, Jacqueline Thomas, Eduardo Weiss
BACKGROUND: Cutaneous biopsy sites are often difficult to discern or are frequently misidentified when patients present for the treatment of skin cancers. This frustrating situation can lead to delays in treatment and wrong site surgeries. Current methods aiming to prevent this situation are not perfect. OBJECTIVE: This study seeks to determine the efficacy of ultraviolet-fluorescent tattoos in facilitating the correct identification of suspected nonmelanoma skin cancer biopsy sites...
November 2015: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/26341142/traditional-versus-streamlined-management-of-basal-cell-carcinoma-bcc-a-cost-analysis
#5
Xinyuan Wu, Elena B Elkin, Chih-Shan Jason Chen, Ashfaq Marghoob
BACKGROUND: Facing rising incidence of basal cell carcinoma (BCC) and increasing pressure to contain health care spending, physicians need to contemplate cost-effective paradigms for managing BCC. OBJECTIVE: We sought to perform a cost analysis comparing the traditional BCC management scheme with a simplified detect-and-treat scheme that eliminates the biopsy before initiating definitive treatment. METHODS: A decision analytic model was developed to compare the costs of traditional BCC management with the detect-and-treat scheme, under which qualifying lesions diagnosed clinically were either treated with shave removal or referred to Mohs micrographic surgery for on-site histologic check...
November 2015: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/26215198/toolbox-to-reduce-lumpectomy-reoperations-and-improve-cosmetic-outcome-in-breast-cancer-patients-the-american-society-of-breast-surgeons-consensus-conference
#6
Jeffrey Landercasper, Deanna Attai, Dunya Atisha, Peter Beitsch, Linda Bosserman, Judy Boughey, Jodi Carter, Stephen Edge, Sheldon Feldman, Joshua Froman, Caprice Greenberg, Cary Kaufman, Monica Morrow, Barbara Pockaj, Melvin Silverstein, Lawrence Solin, Alicia Staley, Frank Vicini, Lee Wilke, Wei Yang, Hiram Cody
BACKGROUND: Multiple recent reports have documented significant variability of reoperation rates after initial lumpectomy for breast cancer. To address this issue, a multidisciplinary consensus conference was convened during the American Society of Breast Surgeons 2015 annual meeting. METHODS: The conference mission statement was to "reduce the national reoperation rate in patients undergoing breast conserving surgery for cancer, without increasing mastectomy rates or adversely affecting cosmetic outcome, thereby improving value of care...
October 2015: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/26201679/does-laparoscopic-shaving-for-deep-infiltrating-endometriosis-alter-intestinal-function-a-prospective-study
#7
Renato Seracchioli, Giulia Ferrini, Giulia Montanari, Diego Raimondo, Emanuela Spagnolo, Nadine Di Donato
BACKGROUND: 5-12% of deep infiltrating endometriosis involves the digestive tract, especially the distal sigmoid colon and rectum. Bowel endometriosis surgery may be associated with neurological complications. AIM: The aim of this study was to objectively evaluate whether excision of rectosigmoid deep infiltrating endometriosis by shaving technique alters intestinal and defecatory function at 6-months post-surgery. MATERIALS AND METHODS: Nineteen women were enrolled in our tertiary care university hospital...
August 2015: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/26028131/a-randomized-controlled-trial-of-cavity-shave-margins-in-breast-cancer
#8
RANDOMIZED CONTROLLED TRIAL
Anees B Chagpar, Brigid K Killelea, Theodore N Tsangaris, Meghan Butler, Karen Stavris, Fangyong Li, Xiaopan Yao, Veerle Bossuyt, Malini Harigopal, Donald R Lannin, Lajos Pusztai, Nina R Horowitz
BACKGROUND: Routine resection of cavity shave margins (additional tissue circumferentially around the cavity left by partial mastectomy) may reduce the rates of positive margins (margins positive for tumor) and reexcision among patients undergoing partial mastectomy for breast cancer. METHODS: In this randomized, controlled trial, we assigned, in a 1:1 ratio, 235 patients with breast cancer of stage 0 to III who were undergoing partial mastectomy, with or without resection of selective margins, to have further cavity shave margins resected (shave group) or not to have further cavity shave margins resected (no-shave group)...
August 6, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/25544711/urodynamic-evaluation-and-anorectal-manometry-pre-and-post-operative-bowel-shaving-surgical-procedure-for-posterior-deep-infiltrating-endometriosis-a-pilot-study
#9
E Spagnolo, L Zannoni, D Raimondo, G Ferrini, M Mabrouk, A Benfenati, G Villa, V Bertoldo, Renato Seracchioli
STUDY OBJECTIVE: To analyze bowel and urinary function in patients with posterior deep infiltrating endometriosis (DIE) >30 mm in largest diameter at transvaginal ultrasound before and after surgical nerve-sparing excision. DESIGN: Prospective observational study (Canadian Task Force classification III). SETTING: Tertiary care university hospital in Bologna, Italy. PATIENTS: Twenty-five patients with posterior DIE were included in the study between June 2011 and December 2012...
November 2014: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/25176003/percutaneous-osteotomy-of-the-fifth-metatarsal-for-symptomatic-bunionette
#10
Tun Hing Lui
The bunionette is a lateral prominence of the fifth metatarsal head. Operative correction of a symptomatic bunionette is indicated if conservative treatment has failed to relieve the symptoms. Although numerous bony or soft tissue surgical procedures have been described, the ideal treatment has not yet been identified. The aim of the present study was to retrospectively evaluate the results of a series of 15 feet affected by symptomatic bunionette deformity treated by percutaneous osteotomy of the fifth metatarsal...
November 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23898444/minimal-subdermal-shaving-by-means-of-sclerotherapy-using-absolute-ethanol-a-new-method-for-the-treatment-of-axillary-osmidrosis
#11
Hyung-Sup Shim, Sung-Kee Min, Jin-Soo Lim, Ki-Taik Han, Min-Cheol Kim
BACKGROUND: Axillary osmidrosis is characterized by unpleasant odors originating from the axillary apocrine glands, resulting in psychosocial stress. The main treatment modality is apocrine gland removal. Until now, of the various surgical techniques have sometimes caused serious complications. We describe herein the favorable outcomes of a new method for ablating apocrine glands by minimal subdermal shaving using sclerotherapy with absolute ethanol. METHODS: A total of 12 patients underwent the procedure...
July 2013: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/23752142/building-consensus-development-of-a-best-practice-guideline-bpg-for-surgical-site-infection-ssi-prevention-in-high-risk-pediatric-spine-surgery
#12
Michael G Vitale, Matthew D Riedel, Michael P Glotzbecker, Hiroko Matsumoto, David P Roye, Behrooz A Akbarnia, Richard C E Anderson, Douglas L Brockmeyer, John B Emans, Mark Erickson, John M Flynn, Lawrence G Lenke, Stephen J Lewis, Scott J Luhmann, Lisa M McLeod, Peter O Newton, Ann-Christine Nyquist, B Stephens Richards, Suken A Shah, David L Skaggs, John T Smith, Paul D Sponseller, Daniel J Sucato, Reinhard D Zeller, Lisa Saiman
BACKGROUND: Perioperative surgical site infection (SSI) after pediatric spine fusion is a recognized complication with rates between 0.5% and 1.6% in adolescent idiopathic scoliosis and up to 22% in "high risk" patients. Significant variation in the approach to infection prophylaxis has been well documented. The purpose of this initiative is to develop a consensus-based "Best Practice" Guideline (BPG), informed by both the available evidence in the literature and expert opinion, for high-risk pediatric patients undergoing spine fusion...
July 2013: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/23702196/timing-of-intra-lesion-shaving-for-surgical-treatment-of-chronic-tophus
#13
Su-Shin Lee, Meng-Chum Chen, Yun-Hui Chou, Sin-Daw Lin, Chung-Sheng Lai, Ying-Cheng Chen
OBJECTIVES: Gouty arthritis results from the deposition of monosodium urate crystals in synovial spaces. The literature shows that a tophus may require surgical treatment to improve cosmesis or function, to alleviate pain, to eradicate sinus drainage or to remove large urate deposits. However, forceful curettage to remove tophus particles embedded in the thin attenuated skin flap may compromise blood circulation and cause other complications. This series presents the experience of the authors in performing intra-lesion shaving during the surgical treatment of tophus patients...
August 2013: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/23583209/bowel-dysfunction-before-and-after-surgery-for-endometriosis
#14
Horace Roman, Valérie Bridoux, Jean Jacques Tuech, Loic Marpeau, Carla da Costa, Guillaume Savoye, Lucian Puscasiu
The relationship between deep fibrotic endometriosis of the rectum and digestive symptoms as well as the impact of surgical treatment on digestive complaints appears increasingly complex. With the exception of cases in which the disease leads to rectal stenosis, it seems likely that certain digestive symptoms are a result of cyclic inflammatory phenomena leading to irritation of the digestive tract and not necessarily the result of actual involvement of the rectum by the disease itself because they frequently occur in women free of rectal nodules...
December 2013: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/23562035/clean-technique-for-prolonged-nonsurvival-cardiothoracic-surgery-in-swine-sus-scrofa
#15
Maia M Chan, David G Rabkin, Ida M Washington
Laboratory animal regulations provide little guidance regarding duration of nonsurvival surgery requiring aseptic technique. We hypothesized that swine would experience no sepsis during nonsurvival cardiothoracic surgery accomplished by using clean technique and lasting 8 h or less. Incision sites of 5 male farm pigs (Sus scrofa) were shaved and then cleaned with alcohol and povidone-iodine. The surgeon wore sterile gloves, clean scrubs, and hair bonnet; assistants wore clean scrubs and nonsterile gloves; most instruments were autoclaved...
January 2013: Journal of the American Association for Laboratory Animal Science: JAALAS
https://www.readbyqxmd.com/read/23465818/postoperative-digestive-function-after-radical-versus-conservative-surgical-philosophy-for-deep-endometriosis-infiltrating-the-rectum
#16
COMPARATIVE STUDY
Horace Roman, Maud Vassilieff, Jean Jacques Tuech, Emmanuel Huet, Guillaume Savoye, Loïc Marpeau, Lucian Puscasiu
OBJECTIVE: To compare delayed digestive outcomes in women managed by two different surgical philosophies: a radical approach mainly related to colorectal resection, and a conservative approach involving rectal shaving and rectal nodule excision. DESIGN: "Before and after" comparative retrospective study. SETTING: University tertiary referral center. PATIENT(S): Seventy-five patients managed by surgery for deep endometriosis infiltrating the rectum...
May 2013: Fertility and Sterility
https://www.readbyqxmd.com/read/23407258/scalp-metastasis-from-esophageal-adenocarcinoma-comparative-histopathology-dictates-surgical-approach
#17
Gaby Doumit, William Abouhassan, Melissa P Piliang, Jeffrey M Uchin, Francis Papay
Cutaneous metastasis of esophageal cancer, in particular esophageal adenocarcinoma, is rare and metastasis to the scalp is extremely rare. We describe such a case that was originally diagnosed as an adnexal carcinoma. A 77-year-old male with a history of esophageal adenocarcinoma status after esophagectomy at our institution 4.5 years prior, presented to our plastic surgery clinic with a 2-month history of 2 temporoparietal scalp lesions. He was referred to our clinic by a community dermatologist who had performed a shave biopsy of the lesions...
July 2013: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/23171148/the-incidence-of-infection-for-adults-undergoing-supra-tentorial-craniotomy-for-tumours-without-hair-removal
#18
COMPARATIVE STUDY
M I Bhatti, P A Leach
AIMS & OBJECTIVES: The aim of the study was to look at the infection rate in adults undergoing craniotomies without hair removal and compare the results with the usual practice of pre-operative shaving/clipping. MATERIALS & METHODS: One-hundred consecutive adult patients who had elective supra-tentorial craniotomy for tumour were studied prospectively. A uniform policy of performing surgery without hair removal was adopted. Patients were followed up prospectively to look for surgical site infection...
April 2013: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/22913205/giant-condylomata-buschke-l%C3%A3-wenstein-tumours-our-case-load-in-surgical-treatment-and-review-of-the-current-therapies
#19
M Tripoli, A Cordova, F Maggì, F Moschella
BACKGROUND: Buschke-Löwenstein tumour (BLT) or giant condyloma is a verrucous infiltrating lesion, due to a sexually transmitted virus infection, human papilloma virus subtypes 6 and 11. Poor hygiene, promiscuity, chronic irritation and cellular immunocompromised states are often implicated in its genesis. Typical treatment of giant condyloma includes imiquimod cream, podophillin resin, cryotherapy, laser surgery, tangential shave excision with electrocautery. OBJECTIVE: The authors report their case load in the treatment of giant condyloma and the review of the modern therapies...
June 2012: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/22812663/a-pharmacokinetic-study-of-a-topical-anesthetic-emla%C3%A2-in-mouse-soft-tissue-laceration
#20
COMPARATIVE STUDY
Alaa Al-Musawi, Kamal Matar, Samuel B Kombian, Lars Andersson
The use of topical anesthesia instead of injection of local anesthetics for managing soft tissue lacerations in the emergency situations may be a relief for both patients and surgeons. Topical anesthesia in the form of a cream eutectic mixture of local anesthetics (EMLA®) containing 2.5% lidocaine and 2.5% prilocaine has been reported as an efficient anesthetic on skin before venipuncture anesthesia and as an alternative to injection anesthesia in some minor surgery situations. The aim of this study was to compare the pharmacokinetics of EMLA® when applied in a laceration with topical skin application in the mouse...
December 2012: Dental Traumatology: Official Publication of International Association for Dental Traumatology
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