A novel modality for intraoperative margin assessment and its impact on re-excision rates in breast conserving surgery.

Background: A single center retrospective chart review was performed examining the ability of a novel radiofrequency probe (Margin Probe; Dune Medical Devices, Caesarea, Israel) for intraoperative margin assessment to reduce the number of reexcisions in breast-conserving surgery.

Methods: Reexcision rates were evaluated in one-hundred and twenty consecutive patients before and after the institution of the device. Utility of the device was evaluated by comparing intraoperative feedback with postoperative pathology reports.

Breast Cancer in a 19-Year-Old Female Adolescent Identified with Li-Fraumeni Syndrome.

Background: Breast cancer is rare in adolescents. In one study, breast carcinoma accounted for 0.02% of breast masses surgically removed in young women.

Improving breast cancer care through a regional quality collaborative.

Background: Regional collaborative organizations provide an effective structure for improving the quality of surgical care. With low complication rates and a long latency between surgical care and outcomes such as survival and local recurrence, quality measurement in breast cancer surgery is ideally suited to process measures. Diagnostic biopsy technique for breast cancer diagnosis is measurable and amenable to change at the provider level.

Paravertebral blocks in breast cancer surgery: is there a difference in postoperative pain, nausea, and vomiting?

Background: The purpose of this study was to evaluate postoperative pain and postoperative nausea and vomiting (PONV) in patients with paravertebral blocks (PVB) undergoing breast cancer surgery with or without axillary staging.

Methods: An Institutional Review Board approved, retrospective chart review from January 2007 to December 2009 was performed at a single institution. Charts were reviewed for type of breast cancer surgery, axillary staging, PVB, PONV, postoperative pain score, dosages of pain medication and antiemetic medication given in the Post Anesthesia Care Unit (PACU), and during the postoperative days (POD).

Inguinal hernia recurrence following preperitoneal Kugel patch repair.

Three hundred eighty-six preperitoneal inguinal herniorrhaphies using a polypropylene Kugel patch (Davol) were performed in 355 consecutive patients by six surgeons. Variables for recurrence evaluated included age, gender, hernia type, whether the Kugel patch was placed for a primary or recurrent hernia, and the experience of the surgeon. Of 336 patients with long-term follow-up available (18 months to 63 months, median 42 months) 28 recurrences developed 1 to 48 months (mean 16 months) after 366 Kugel patch repairs (7.

An analysis of filtration and volume of radionucleotide in sentinel lymph node biopsy in breast cancer patients.

Controversy has occurred regarding whether to filter or not to filter the radionucleotide and what the optimal volume is when performing sentinel lymph node biopsies. To try and resolve this question we retrospectively looked at sentinel-node biopsies for breast cancer performed at our institution over an 18-month period. One hundred seven patients underwent sentinel node biopsy.