Epidural Fibrosis after Lumbar Disc Surgery: Prevention and Outcome Evaluation.

Study Design: This is a prospective, randomized, controlled study designed and conducted over 10 years from 2002 to 2012.

Purpose: The study aimed to monitor the effect of suction drains (SD) on the incidence of epidural fibrosis (EF) and to test, if the use of SD alone, SD with local steroids application, SD combined with fat grafts and local steroids application, or SD combined with fat grafts and without local steroids application, would improve outcome.

Overview Of Literature: EF contributes to significant unsatisfactory failed-back syndrome.

Missed breast carcinoma; why and how to avoid?

Introduction : Despite the advances in mammography techniques, it still has a number of limitations. It is estimated that about 10 to 25% of lesions are overlooked in mammograms out of which about two thirds are detected retrospectively by radiologists and oncologists. Causes of missed breast cancer on mammography can be secondary to many factors including those related to the patient (whether inherent or acquired), the nature of the malignant mass itself, poor mammographic techniques, provider factors or interpretive skills of radiologists and oncologists (including perception and interpretation errors).