The Experts below are selected from a list of 306 Experts worldwide ranked by ideXlab platform

Xiao Gao-ming - One of the best experts on this subject based on the ideXlab platform.

  • Exploration of Immediate Breast Reconstruction After Modified Radical Mastectomy for Breast Cancer Patients
    Journal of Elinical Research, 2005
    Co-Authors: Xiao Gao-ming
    Abstract:

    ObjectiveTo explore various usual methods and their advantages or disadvantages of immediate breast reconstruction after Modified Radical Mastectomy for breast cancer patients.From January 2004 to December 2004, immediate breast reconstruction after Modified Radical Mastectomy was performed on 8 breast cancer in-patients in our hospital.Healing of the incision of all 8 cases by first intention with this method and the breast shape was basically symmetrical and the effect was satisfactory in 7 cases. [Conclusion] Immediate breast reconstruction after Modified Radical Mastectomy is fit for tumor cure and esthetic aim and can accomplish post-operative chemotherapy and radiotherapy on schedule.

N K Shukla - One of the best experts on this subject based on the ideXlab platform.

  • a comparative study of Modified Radical Mastectomy using harmonic scalpel and electrocautery
    Singapore Medical Journal, 2002
    Co-Authors: N K Shukla, Sonal Asthana, B Niranjan, G Srinivas
    Abstract:

    AIM: The harmonic scalpel is recently emerging as an alternative surgical tool for dissection and haemostasis and has been extensively used in the field of minimally invasive surgery. We studied the utility and advantages of this instrument over electrocautery for performing Modified Radical Mastectomy. METHODS: The operative and morbidity details of twenty-three breast cancer patients who underwent Modified Radical Mastectomy using the harmonic scalpel were compared with 23 matched controls operated with electrocautery by the same surgical team. RESULTS: There was no significant difference in the operating time between the harmonic scalpel and electrocautery group (104 and 100 mins, p > 0.05). The blood loss (60 +/- 35 ml and 294 +/- 155, p < 0.001) and drainage volume (590 +/- 430 ml and 1,085 +/- 690 ml, p < 0.001) were significantly lower in the harmonic scalpel group. There was a significant reduction of drain days in harmonic scalpel group (mean five and nine days, p < 0.05). There was no significant difference in the seroma rate between two groups (16% and 22%). CONCLUSION: Modified Radical Mastectomy using harmonic scalpel is feasible and learning curve is short. Harmonic scalpel significantly reduces the blood loss and duration of drainage as compared to electrocautery.

  • A Comparative Study of Modified Radical Mastectomy Using Harmonic Scalpel and Electrocautery
    Singapore medical journal, 2002
    Co-Authors: Svs Deo, Sonal Asthana, B Niranjan, N K Shukla, G Srinivas
    Abstract:

    Aim: The harmonic scalpel is recently emerging as an alternative surgical tool for dissection and haemostasis and has been extensively used in the field of minimally invasive surgery. We studied the utility and advantages of this instrument over electrocautery for performing Modified Radical Mastectomy. Methods: The operative and morbidity details of twenty-three breast cancer patients who underwent Modified Radical Mastectomy using the harmonic scalpel were compared with 23 matched controls operated with electrocautery by the same surgical team. Results: There was no significant difference in the operating time between the harmonic scalpel and electrocautery group (104 and 100 mins, p>0.05). The blood loss (60 ± 35 ml and 294 ± 155, p

  • Modified Radical Mastectomy using harmonic scalpel
    Journal of Surgical Oncology, 2000
    Co-Authors: N K Shukla
    Abstract:

    Background and Objectives Modified Radical Mastectomy (MRM) remains the most commonly performed surgery for breast cancer today. Conventional surgery using scalpel and electrocautery is associated with moderate blood loss and morbidity in the form of haematoma, flap necrosis, prolonged axillary drainage, and seroma. This study was performed to evaluate the feasibility of using ultrasonic energy (harmonic scalpel) for MRM and to standardise the operative technique of harmonic scalpel MRM using various available accessories of the harmonic scalpel. Methods Fourteen patients suffering from carcinoma breast planned for MRM were included in the study. Results The learning curve of harmonic scalpel MRM was short. Harmonic scalpel is a multifunctional instrument and the whole operative procedure could be accomplished with the currently available accessories. No sutures or electrocautery were used. The mean blood loss was 57.5 ml and the mean operative time was 117 min. There were no hematomas or flap necroses, whereas one patient developed seroma. The mean postoperative drainage volume was 430 ml. Conclusions In comparison to the historical data of conventional Mastectomy, there seems to be a reduction in the blood loss and drainage volume using harmonic scalpel. Results of our study show that Modified Radical Mastectomy using the harmonic scalpel is feasible and the learning curve is short, however, further studies are needed to assess the impact on morbidity. J. Surg. Oncol. 2000;74:204–207. © 2000 Wiley-Liss, Inc.

Zhou Lei - One of the best experts on this subject based on the ideXlab platform.

  • Comparision of Breast-conserving Surgery and Modified Radical Mastectomy for Early Breast Cancer
    Chinese Journal of General Practice, 2013
    Co-Authors: Zhou Lei
    Abstract:

    Objective To compare breast-conserving surgery and Modified Radical Mastectomy for early breast cancer prognosis.Methods Clinically relevant information of menstrual reserved breast surgical treatment of 50 patients with early breast cancer patients in Department of Surgical Oncology of Anhui Suzhou Municipal Hospital from June 2005 to June 2011 was compared with Modified Radical Mastectomy with the same period in 50 patients,a retrospective analysis was conducted.Results Breast-conserving surgery did not increase in patients with local recurrence rate,metastasis rate,mortality and survival rates with the same period in the implementation of the Modified Radical Mastectomy fairly,and kept well in patients with breast appearance.Conclusion To fully grasp the premise of breast-conserving treatment indications,standardize the surgical approach,formal postoperative adjuvant therapy,radiotherapy,chemotherapy and endocrine therapy,can not only treat tumor,but also significantly improve the quality of life of patients,the treatment was the ideal method of early breast cancer.Practice had proved that for early stage breast cancer,breast-conserving surgery was a surgical procedure-kind of practical and worth promoting.

Weiping Yang - One of the best experts on this subject based on the ideXlab platform.

  • harmonic scalpel versus electrocautery dissection in Modified Radical Mastectomy for breast cancer a meta analysis
    PLOS ONE, 2015
    Co-Authors: Jinbo Huang, Qinguo Mo, Yinghua Yu, Weiping Yang
    Abstract:

    Background Despite the common use of conventional electrocautery in Modified Radical Mastectomy for breast cancer, the harmonic scalpel is recently emerging as a dominant surgical instrument for dissection and haemostasis, which is thought to reduce the morbidity, such as seroma and blood loss. But the results of published trials are inconsistent. So we made the meta-analysis to assess the intraoperative and postoperative endpoints among women undergoing Modified Radical Mastectomy with harmonic scalpel or electrocautery. Methods A comprehensive literature search of case-control studies from PubMed, MEDLINE, EMBASE and Cochrane Library databases involving Modified Radical Mastectomy with harmonic scalpel or electrocautery was performed. We carried out a meta-analysis of primary endpoints including postoperative drainage, seroma development, intraoperative blood loss and secondly endpoints including operative time and wound complications. We used odds ratios (ORs) with 95% confidence intervals (CIs) to evaluate the effect size for categorical outcomes and standardised mean differences (SMDs) for continuous outcomes. Results A total of 11 studies with 702 patients were included for this meta-analysis. There was significant difference in total postoperative drainage (SMD: -0.74 [95%CI: -1.31, -0.16]; P< 0.01), seroma development[OR: 0.49 (0.34, 0.70); P < 0.01], intraoperative blood loss(SMD: -1.14 [95%CI: -1.81,-0.47]; P < 0.01) and wound complications [OR: 0.38 (0.24, 0.59); P < 0.01] between harmonic scalpel dissection and standard electrocautery in Modified Radical Mastectomy for breast cancer. No difference was found as for operative time between harmonic scalpel dissection and standard electrocautery (SMD: 0.04 [95%CI: -0.41, 0.50]; P = 0.85). Conclusion Compared to standard electrocautery, harmonic scalpel dissection presents significant advantages in decreasing postoperative drainage, seroma development, intraoperative blood loss and wound complications in Modified Radical Mastectomy for breast cancer, without increasing operative time. Harmonic scalpel can be recommended as a preferential surgical instrument in Modified Radical Mastectomy.

Ying Chen - One of the best experts on this subject based on the ideXlab platform.

  • Perioperative application of comfortable nursing schema in patients undergoing Modified Radical Mastectomy with immediate breast reconstruction surgery
    International Medicine and Health Guidance News, 2014
    Co-Authors: Jiehong Chen, Weijie Gao, Jiaoxia Cai, Ying Chen
    Abstract:

    Objective To explore the effect of comfortable nursing schema in patients undergoing Modified Radical Mastectomy with immediate breast reconstruction surgeu.Methods From March 2011 to December 2013,we established comfortable nursing measures according to causes of postoperative discomfort in different stages for patients who had received Modified Radical Mastectomy followed by immediate breast reconstruction surgery.Results There were four causes of perioperative discomfort in 22 patients who had received Modified Radical Mastectomy with immediate breast reconstruction surgery,including psychological,physical,social and environmental factors.Conclusions Perioperative implementation of comfortable nursing schema in patients undergoing Modified Radical Mastectomy with immediate breast reconstruction surgery significantly improves the comfort level of patients,is helpful to rehabilitation,reflects self-worth of nurses,tightens the relationship between nurses and patients,ameliorates patients and their families' satisfaction on nursing service,and might further enhance social influence of hospital. Key words: Comfortable nursing;  Modified Radical Mastectomy with immediate breast reconstruction surgery;  Application