Objective: Breast-conserving surgery (BCS) experienced a significant surge during the last decades due to increase of early breast cancer detection. Central discussion is margin adequacy which represents one most predictive factors for local relapse. This paper aims shed light on problem margins in surgery. Mechanism: We performed systematic narrative review literature by conducting search usin...

Neoadjuvant chemotherapy (NACT) is generally recommended for patients with locally advanced breast cancer which are inoperable, or for operable who wish to have breastconserving surgery...

BACKGROUND Frailty assessment provides a means of identifying older adults most vulnerable to adverse outcomes. Attention to frailty in clinical practice is more likely with better understanding of its prevalence and associations with patient characteristics. We sought to provide national estimates of frailty in older people. METHODS A popular, validated frailty phenotype proposed by Fried an...

OBJECTIVE To determine the attributable costs associated with surgical site infection (SSI) following breast surgery. DESIGN AND SETTING Cost analysis of a retrospective cohort in a tertiary care university hospital. PATIENTS All persons who underwent breast surgery other than breast-conserving surgery from July 1, 1999, through June 30, 2002. MAIN OUTCOME MEASURES Surgical site infection...

The practice of outpatient breast cancer surgery has been controversial in the United States. This study aimed to update time trends and geographic variation in outpatient breast cancer surgery among elderly Medicare fee-for-service women in the United States. Using the 1993-2002 linked Surveillance, Epidemiology and End Results (SEER)-Medicare claims data and the Area Resource Files, we identi...

This study evaluated the effectiveness of manual lymphatic drainage (MLD) in the prevention of secondary lymphedema after treatment of breast cancer. The study consisted of 67 women, who underwent breast surgery for primary breast cancer. From the second day of surgery, 33 randomly chosen women were given MLD. The control group consisted of 34 women who did not receive MLD. Measurements of the ...

background : emergence agitation is a transient confusional state that usually occurs within 10 to 30 minutes of recovery from general anesthesia. it may lead to serious consequences and increasing hospital costs. this study evaluates the effect of gabapentin on emergence agitation in patients undergoing breast cancer surgery. methods : this randomized, double blind controlled trial enrolled 10...

BACKGROUND In primary breast cancer, breast conserving surgery and mastectomy are equal options with regard to patient survival. We therefore investigated whether and how the type of surgery has impact on the patients' quality of life (QoL) in order to support individualized surgical concepts in treatment of breast cancer. 3 types of surgery are compared: breast-conserving surgery; modified rad...

The last decade has ushered in a rapidly expanding global discussion regarding acellular dermal matrix (ADM) applications, economic analyses, technical considerations, benefits, and risks, with recent emphasis on ADM use in breast surgery. This study aims to evaluate global trends in ADM research using bibliometric analysis. The top nine Plastic Surgery journals were determined by impact factor...

Optimal oncological results and patient outcomes are achieved in surgery for early breast cancer with conserving (BCS) where this is appropriate. A limitation of BCS when cancer...