Feasibility of Total Mastectomy in Ambulatory Care
Conditions: Breast Cancer; Mastectomy; Ambulatory Care Intervention: Procedure: total mastectomy Sponsors: Centre Hospitalier Universitaire, Amiens; Centre hospitalier de Beauvais; Centre Hospitalier de Saint-Quentin Not yet recruiting
This Viewpoint investigates the safety, efficacy, and cost profile of robotic-assisted mastectomy over traditional open mastectomy for the potential treatment or prevention of breast cancer.
Conclusions: Reconstructive practices in a modern cohort of plastic surgeons suggest that immediate and implant reconstructions are performed preferentially. Respondents perceived a number of factors, including surgeon training, time spent in the operating room, and insurance reimbursement, to negatively influence the performance of autologous reconstruction.
Conclusion: Patients with moderate to severe breast ptosis and/or macromastia who wish to undergo mastectomy with reconstruction can be offered nipple-sparing approaches safely if a staged algorithm is implemented. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Same-Day Discharge After Mastectomy: Breast Cancer Surgery in the Era of ERAS®. Ann Surg Oncol. 2020 Mar 27;: Authors: Jogerst K, Thomas O, Kosiorek HE, Gray R, Cronin P, Casey W, Rebecca A, Craner R, Young-Fadok T, Pockaj B Abstract BACKGROUND: Enhanced recovery after surgery (ERAS®) principles have been beneficial in major abdominal surgery. ERAS® was instituted in our breast surgery practice in 2017. The goal of this study was to evaluate the feasibility of outpatient mastectomies before and after ERAS®. METHODS: A retrospective review of all mastectomies between 1/2013 and 6/2...
, Nyman J Abstract During fractionated radiotherapy, epithelial cell populations are thought to decrease initially, followed by accelerated repopulation to compensate cell loss. However, previous findings in skin with daily 1.1 Gy dose fractions indicate continued and increasing cell depletion. Here we investigated epidermal keratinocyte response with daily 2 Gy fractions as well as accelerated and hypofractionation. Epidermal interfollicular melanocytes were also assessed. Skin-punch biopsies were collected from breast cancer patients before, during and after mastectomy radiotherapy to the thoracic wall with dail...
Conclusion: Breast-conserving surgery and radiation therapy prove to be an appropriate treatment option for breast cancer patients in terms of overall survival and disease-free survival when indicated. PMID: 32181017 [PubMed - in process]
In this study, we aimed to evaluate the data of patients diagnosed with primary breast neuroendocrine carcinoma. METHODS: Patients with more than 50% neuroendocrine differentiation identified in the histopathological examination between January 2010 and January 2015 and who had no other focus on imaging were evaluated retrospectively from the hospital registry system. Patients with secondary neuroendocrine tumor of the breast and male patients were excluded from the study. All patients gave informed consent. Patients were staged according to TNM classification. RESULTS: During the study period, 425 patients were op...
ConclusionThere is consensus among physicians on the most appropriate indication for CPM but opinions vary on CPM as a quality measure and insurance coverage for CPM. These findings can help guide discussions on CPM among a multidisciplinary team of physicians.
ConclusionMale breast cancer is rare and patients usually present late, Lack of knowledge, public education, and embarrassment are the important related factors.
Conditions: Surgical Wound; Breast Cancer; Mastectomy; Tissue Necrosis; Incision Wound Intervention: Device: Transcu O2® Sponsors: Baylor College of Medicine; Electrochemical Oxygen Concepts, Inc. Not yet recruiting