Seeing what works: identifying and enhancing successful interprofessional collaboration between pathology and surgery.

Seeing what works: identifying and enhancing successful interprofessional collaboration between pathology and surgery. J Interprof Care. 2018 Oct 18;:1-13 Authors: Carroll K, Mesman J, McLeod H, Boughey J, Keeney G, Habermann E Abstract Utilising frozen section technologies, Mayo Clinic has one of the lowest reoperation rates for breast lumpectomy in the United States. The research reported on sought to understand the successful teamwork between the Breast Surgery Team and the Frozen Section Laboratory at Mayo Clinic. Researchers worked collaboratively with healthcare staff from breast surgery and the frozen section pathology laboratory to identify communication styles and strategies that contribute to the timely and accurate intraoperative evaluation of breast cancer specimens. Using the video-reflexive ethnography (VRE) methodology underpinned by a positive theoretical approach to researching quality and safety in healthcare, the researchers video-recorded the communications associated with specimen resections in surgery and the subsequent pathology diagnoses. Then, 57 staff from the breast surgery and frozen section laboratory teams attended video-reflexivity sessions to collaboratively analyse their communication practices and identify opportunities to optimize interprofessional communication. In this article, we focus on how the flexible, interdisciplinary, and cross-hierarchical communication within the frozen section laboratory supports a rapid and...
Source: Journal of Interprofessional Care - Category: Health Management Tags: J Interprof Care Source Type: research

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AbstractBackgroundThe evolving conceptualization of the management of surgical pain was a major contributor to the supply of narcotics that led to the opioid crisis. We designed and implemented a breast surgery-specific Enhanced Recovery After Surgery (ERAS) protocol using opioid-sparing techniques to eliminate narcotic prescription at discharge without sacrificing perioperative pain control.MethodsA pilot observational study included patients with and without cancer undergoing lumpectomy. The convenience sample consisted of an ERAS group and a control usual care (UC) group who underwent surgery during the same time period...
Source: Breast Cancer Research and Treatment - Category: Cancer & Oncology Source Type: research
Conclusions Applying principles taken from the cosmetic plastic surgery lies at the base of any high standard reconstructive surgery in general and oncoplastic breast surgery in particular. The chest wall–based flap is suitable for the reconstruction of a wide range of breast lumpectomy defects and is feasible for small- to medium-sized breasts, which are usually not easily amenable to tissue rearrangement techniques. The learning curve is short, with replicable results.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research
Publication date: Available online 27 March 2018Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Filip E.F. Thiessen, Wiebren A.A. Tjalma, Thierry TonduAbstractConservative breast surgery followed by irradiation, often referred to as Breast conserving therapy (BCT), has replaced modified radical mastectomy for the treatment of early stage invasive breast cancer and ductal carcinoma in situ (DCIS). About 10% to 40% of the patients treated with BCT have poor cosmetic outcome results. Small tumours in large breasts can be successfully treated by lumpectomy and radiotherapy, with good c...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Conservative breast surgery followed by irradiation, often referred to as Breast conserving therapy (BCT), has replaced modified radical mastectomy for the treatment of early stage invasive breast cancer and ductal carcinoma in situ (DCIS). About 10% to 40% of the patients treated with BCT have poor cosmetic outcome results. Small tumours in large breasts can be successfully treated by lumpectomy and radiotherapy, with good cosmetic outcome. However when the tumour breast ratio is higher, the cosmetic outcome can be very disappointing.
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research
The development of the field of Oncoplastic breast surgery has expanded the number of patients eligible for breast conserving therapy for breast cancer. Studies have demonstrated equivalent survival and locoregional control to conventional lumpectomy and mastectomy1 and oncoplastics has developed as the third pathway for surgical treatment of breast cancer. In Canada only 7% of patients have immediate breast reconstruction with mastectomy often a result of challenges coordinating combined procedures and concerns about effects of radiation on reconstruction.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
The development of the field of Oncoplastic breast surgery has expanded the number of patients eligible for breast conserving therapy for breast cancer. Studies have demonstrated equivalent survival and locoregional control to conventional lumpectomy and mastectomy1 and oncoplastics has developed as the third pathway for surgical treatment of breast cancer. In Canada only 7% of patients have immediate breast reconstruction with mastectomy often a result of challenges coordinating combined procedures and concerns about effects of radiation on reconstruction.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
The development of the field of Oncoplastic breast surgery has expanded the number of patients eligible for breast conserving therapy for breast cancer. Studies have demonstrated equivalent survival and locoregional control to conventional lumpectomy and mastectomy1 and oncoplastics has developed as the third pathway for surgical treatment of breast cancer. In Canada only 7% of patients have immediate breast reconstruction with mastectomy often a result of challenges coordinating combined procedures and concerns about effects of radiation on reconstruction.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
The development of the field of Oncoplastic breast surgery has expanded the number of patients eligible for breast conserving therapy for breast cancer. Studies have demonstrated equivalent survival and locoregional control to conventional lumpectomy and mastectomy1 and oncoplastics has developed as the third pathway for surgical treatment of breast cancer. In Canada only 7% of patients have immediate breast reconstruction with mastectomy often a result of challenges coordinating combined procedures and concerns about effects of radiation on reconstruction.
Source: American Journal of Surgery - Category: Surgery Authors: Source Type: research
Recent research has shown that despite more having more treatment options, women with cancer in one breast are increasingly choosing to remove both breasts—even though experts in the field say the procedure is not necessarily accompanied by better outcomes. Now, a new study published Wednesday in JAMA Surgery finds that the increase is being driven in part by their surgeons. Doctors generally discourage contralateral prophylactic mastectomy—also known as CPM, or the removal of a healthy breast when the other has cancer—for women at an average risk for additional breast cancer. They do recommend it for wo...
Source: TIME.com: Top Science and Health Stories - Category: Consumer Health News Authors: Tags: Uncategorized Breast Cancer breast cancer treatment contralateral prophylactic mastectomy double mastectomy lumpectomy symptoms breast cancer Source Type: news
We report the successful use of hypnosis in combination with an axillary compartment block for lumpectomy and axillary lymph node dissection.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
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