conservative surgery Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Original Articles

    Intraoperative Ultrasound Leads to Conservative Management of Benign Ovarian Tumors: A Retrospective, Single-Center Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(11):673-678

    Summary

    Original Articles

    Intraoperative Ultrasound Leads to Conservative Management of Benign Ovarian Tumors: A Retrospective, Single-Center Study

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(11):673-678

    DOI 10.1055/s-0039-1698774

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    Abstract

    Objective

    To evaluate whether the use of intraoperative ultrasound leads to more conservative surgeries for benign ovarian tumors.

    Methods

    Women who underwent surgery between 2007 and 2017 for benign ovarian tumors were retrospectively analyzed. The women were classified into two groups: those who underwent intraoperative ultrasound (group A) and those who did not (group B). In group A, minimally-invasive surgery was performed for most patients (a specific laparoscopic ultrasound probe was used), and four patients were submitted to laparotomy (a linear ultrasound probe was used). The primary endpoint was ovarian sparing surgery (oophoroplasty).

    Results

    Among the 82 cases identified, only 36 met the inclusion criteria for the present study. Out of these cases, 25 underwent intraoperative ultrasound, and 11 did not. There were no significant differences in arterial hypertension, diabetes, smoking history, and body mass index for the two groups (p=0.450). Tumor diameter was also similar for both groups, ranging from 1 cm to 11 cm in group A and from 1.3 cm to 10 cm in group B (p=0.594). Tumor histology confirmed mature teratomas for all of the cases in group B and for 68.0% of the cases in group A. When the intraoperative ultrasound was performed, a more conservative surgery was performed (p<0.001).

    Conclusion

    The use of intraoperative ultrasound resulted in more conservative surgeries for the resection of benign ovarian tumors at our center.

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    Intraoperative Ultrasound Leads to Conservative Management of Benign Ovarian Tumors: A Retrospective, Single-Center Study
  • Trabalhos Originais

    Influence of skin sparing in conservative surgery for breast cancer on the rates of local and distant recurrence

    Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(6):403-409

    Summary

    Trabalhos Originais

    Influence of skin sparing in conservative surgery for breast cancer on the rates of local and distant recurrence

    Revista Brasileira de Ginecologia e Obstetrícia. 2003;25(6):403-409

    DOI 10.1590/S0100-72032003000600004

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    PURPOSE: to evaluate the local, regional and distant recurrence rate of a new surgical technique for the conservative treatment of the breast cancer in early stages. The technique is based on breast segmental resection with axillary dissection and skin sparing by a single periareolar incision. METHODS: one hundred and nineteen patients with breast cancer stages I and II constituted the present study. The study group comprised fifty-seven patients who were submitted to surgery by the proposed technique, while 62 patients submitted to the classic quadrantectomy constituted the control group. Postoperative radiotherapy and boost were perfomed in both groups. The average follow-up was 50.1 months for the study group and 51.2 months for the control group. The rates of recurrence, global survival and disease-free survival were analyzed and compared between the two groups. RESULTS: the rate of local recurrence in the period was 3.5% for the study group and 4.8% for the control group. There was no statistically significant difference between the groups as to disease-free survival and global survival rates. CONCLUSION: we demonstrated that the technique of segmental resection with axillary dissection by a single periareolar incision, preserving skin, did not show difference in relation to the classic quadrantectomy, regarding rates of recurrence, global survival and disease-free survival.

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    Influence of skin sparing in conservative surgery for breast cancer on the rates of local and distant recurrence

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