The Experts below are selected from a list of 228 Experts worldwide ranked by ideXlab platform
Xiao Ning - One of the best experts on this subject based on the ideXlab platform.
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Clinic value of modified Radical Mastectomy preserving intercostobrachial nerve
Journal of Hainan Medical University, 2010Co-Authors: Xiao NingAbstract:Objective: To discuss the clinic application of modified Radical Mastectomy preserving intercostobrachialnerve.Methods: Modified Radical Mastectomy preserving intercostobrachialnerve was carried out to 96 cases with breast cancer,including 72 cases with intercostobrachial nerve preserved and 24 cases without preservation.Sensation function in media arms was observed.Results: Sixty-six out of 72 cases with intercostobrachial nerve preserved had normal sensation in media arms(91.7%),and 6 cases had abnormal sense(8.3%),while all 24 cases without preservation had abnormal sensation(100%).Conclusions: Modified Radical Mastectomy preserving intercostobrachial nerve can effectively prevent sensation disturbance and decrease the incidence of complication.It has no effect on Radical cure of surgery and can improve the qulity of patients' life.
Gong Wen-qing - One of the best experts on this subject based on the ideXlab platform.
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The clinical significance of preserving intercostobrachial nerve in modified Radical Mastectomy
Journal of Hainan Medical University, 2012Co-Authors: Gong Wen-qingAbstract:Objective: To investigate the clinical value preserving intercostobarchial nerve in modified Radical Mastectomy,especially its prognostic value for the treatment of breast cancer.Methods: Data of 89 cases of breast cancer admitted to our hospital from Mar.2009 to Jun.2010 were reviewed,of which 47 cases(observation group) were subjected to the Radical Mastectomy with preservation of intercostobarchial nerve while 42 cases(control group) were subjected to Radical Mastectomy without preservation of intercostobarchial nerve.The postoperational sensory functions of interior upper arms and armpits were tracked and compared between the two groups.Results: After 12 months of follow-up,41(87.23%) cases of the observation group showed normal sensory functions;while 6(12.77%) showed abnormal sensory functions;the corresponding data of the control group was 22(52.38%) and 20(47.62%) showing significant difference between the two groups(P0.05).Conclusions:Radical Mastectomy with preservation of intercostobarchial nerve can prevent the sensory disorders of interior upper arms and armpits without increasing the risk of recurrence.This operation is worthy of adopting as a norm in modified Radical Mastectomy.
Ma Ron - One of the best experts on this subject based on the ideXlab platform.
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Psychological analysis of patients with modified Radical Mastectomy
Chinese Journal of Surgical Oncology, 2011Co-Authors: Ma RonAbstract:Objective To discuss the psychological condition of 70 patients with modified Radical Mastectomy.Methods 70 breast cancer patients carried out SCL-90 questionnaire at 10 days after modified Radical Mastectomy,compared with Chinese normal health group,and analysed psychological condition of these patients.Results Breast cancer patients have anxiety,depression and other psychological problems.Conclusions To carry out psychological intervention as soon as possible after modified Radical Mastectomy is benefit to rehabilitation of patients.
Guo Xu-hui - One of the best experts on this subject based on the ideXlab platform.
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The double cannula negative pressure drainage preventing serous after Radical Mastectomy
Journal of Modern Oncology, 2006Co-Authors: Guo Xu-huiAbstract:Objective:Comparing the single catheters with the double cannula negtive pressure drainage in the effect of preventing serous after Radical Mastectomy of breast cancer . Methods:A total of 190 cases were divided into the single catheters negtive pressure drainage group and the double cannula negtive pressure drainage group randomly to compare the two groups' fluid accumulation incidence. Results:The rate of wound hydrops in the single catheters negtive pressure drainage was 17.48%, while those of the double cannula negtive pressure drainage was 5.88% (P0.05), the difference was significant. Conclusion: Application of the double cannula negative pressure drainage in Radical Mastectomy is more effective than that of the single catheters compressive bandage in decreasing the rate of serous after Radical Mastectomy of breast cancer.
N K Shukla - One of the best experts on this subject based on the ideXlab platform.
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a comparative study of modified Radical Mastectomy using harmonic scalpel and electrocautery
Singapore Medical Journal, 2002Co-Authors: N K Shukla, Sonal Asthana, B Niranjan, G SrinivasAbstract: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.
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modified Radical Mastectomy using harmonic scalpel
Journal of Surgical Oncology, 2000Co-Authors: N K ShuklaAbstract: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.
