Shanthala S, U. Amirtham, C. Gopal, Ravi Arjun, Linu Jacob
{"title":"Prognostic Implications of Concurrent Ductal Carcinoma In Situ in Invasive Breast Cancer: an Observational Nested Cohort Study from a Regional Cancer Center in India","authors":"Shanthala S, U. Amirtham, C. Gopal, Ravi Arjun, Linu Jacob","doi":"10.1007/s13193-023-01853-2","DOIUrl":"https://doi.org/10.1007/s13193-023-01853-2","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"3 20","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Deepa Chandramohan, Faheez Mohamed, Syam Vikram, Deepak Damodaran, Shafeek Shamsudeen, Faslu Rahman, John J Alapatt, Gokul R Krishnan, R Dayananda, Muhammed P Shahid, Arun P Das, Jinu Varghese, Aditi Bhatt, Dileep Damodaran
{"title":"Standardised Critical Care Strategies Improve Outcomes Following Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy in an Indian Peritoneal Malignancy Centre.","authors":"Deepa Chandramohan, Faheez Mohamed, Syam Vikram, Deepak Damodaran, Shafeek Shamsudeen, Faslu Rahman, John J Alapatt, Gokul R Krishnan, R Dayananda, Muhammed P Shahid, Arun P Das, Jinu Varghese, Aditi Bhatt, Dileep Damodaran","doi":"10.1007/s13193-023-01803-y","DOIUrl":"10.1007/s13193-023-01803-y","url":null,"abstract":"<p><p>Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is a major undertaking with profound peri-operative metabolic and haemodynamic alterations. It requires standardised protocols for immediate postoperative intensive care management to improve patient-related outcomes. A retrospective analysis of a prospectively maintained data-base of 244 patients who underwent CRS and HIPEC between June 2017 and July 2022 in our institute was done. Based on the audit, six strategies were implemented, namely, (1) dynamic multiparameter-based IVF therapy to aggressively correct the hyperlactatemia, (2) initiation of IV 20% human albumin infusion from POD-0, (3) correction of serum iCa<sup>2+</sup> levels, (4) initiation of diuresis from POD-1, (5) prophylactic use of HFNO immediately post-extubation and (6) serum procalcitonin level-based empiric escalation of IV antibiotics. Patients were divided into two cohorts, pre-protocol group of 145 patients (from June 2017 to December 2020) and post-protocol group comprising of 99 patients (from January 2021 to July 2022), and were analysed for compliance and patient-related outcomes. Implementation of these strategies improved the patient-related outcomes among the two cohorts with significant reduction of Clavien-Dindo grade III/IV complications and improvement in failure to rescue (FTR) index (<i>p</i> < 0.05). There was highly significant reduction in median ICU and hospital stay among the two cohorts (<i>p</i> < 0.001). The formulated protocols of management strategies especially multiparameter-based dynamic fluid therapy, planned diuresis and prophylactic HFNO have improved the outcomes in our patients undergoing CRS and HIPEC.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"1 1","pages":"920-927"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"52744748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Down the Memory Lane.","authors":"R A Badwe","doi":"10.1007/s13193-023-01868-9","DOIUrl":"10.1007/s13193-023-01868-9","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"14 4","pages":"755-757"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latissimus Dorsi kiss Flap for Reconstruction of Large Chest Wall Defect-an Underutilized Option?","authors":"Manish Sahni, Kamal Kishore Lakhera, Suresh Singh, Pinakin Patel, Rajgovind Sharma","doi":"10.1007/s13193-023-01813-w","DOIUrl":"10.1007/s13193-023-01813-w","url":null,"abstract":"<p><p>The utility of pedicled latissimus dorsi kiss flap for the reconstruction of chest wall defect is still an underutilized option. But the peculiar design and structure of the kiss flap with two semicircular flaps of equal diameter with same vascular trunk makes it amenable to cover large chest wall defects especially at places where plastic surgery facility is unavailable. We have used this flap to reconstruct large chest wall defect of size 20×18 cm in our patient operated for recurrent chest wall dermatofibrosarcoma protuberans. In the follow-up, both recipient kiss latissimus dorsi flap and donor site flap healed well without edema or extravasation.</p>","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"1 1","pages":"939-942"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10766923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41782116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Germ Cell Tumor Presenting as a Mesenteric Cyst: a Case Report and Literature Review","authors":"Sana Ahuja, Saba Naaz, A. Khan, S. Zaheer","doi":"10.1007/s13193-023-01854-1","DOIUrl":"https://doi.org/10.1007/s13193-023-01854-1","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"77 12","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinicopathological and Oncological Outcomes of Borderline Mucinous Tumours of Ovary: a Large Case Series","authors":"T. Shylasree, Devyani Mahajan, Aditi Chaturvedi, Santosh Menon, Stuti Gupta, Meenakshi Thakur, Pabashi Poddar, Amita Maheshwari","doi":"10.1007/s13193-023-01849-y","DOIUrl":"https://doi.org/10.1007/s13193-023-01849-y","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"77 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cherry Bansal, Amanpreet Singh, Dimple Kapoor, Charu Nayyar, Mohammed Nadeem Shaikh, P. C. Swami
{"title":"Cytodiagnostic Dilemma in a Lung Mass as the First Presentation of Testicular Mixed Germ Cell Tumor Metastasis","authors":"Cherry Bansal, Amanpreet Singh, Dimple Kapoor, Charu Nayyar, Mohammed Nadeem Shaikh, P. C. Swami","doi":"10.1007/s13193-023-01850-5","DOIUrl":"https://doi.org/10.1007/s13193-023-01850-5","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"17 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139238585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Desmoplastic Melanoma of the Chest Wall: a Diagnostic Dilemma","authors":"A. Khan, S. Zaheer, Parth Gulati, Sana Ahuja","doi":"10.1007/s13193-023-01851-4","DOIUrl":"https://doi.org/10.1007/s13193-023-01851-4","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"109 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139245329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monika Pohekar, Jakiyuddin Rampurwala, Sabireen, Rajesh S. Shinde
{"title":"Gastric Schwannoma—Two Unusual Cases with Usual Presentation and Review of Literature","authors":"Monika Pohekar, Jakiyuddin Rampurwala, Sabireen, Rajesh S. Shinde","doi":"10.1007/s13193-023-01847-0","DOIUrl":"https://doi.org/10.1007/s13193-023-01847-0","url":null,"abstract":"","PeriodicalId":46707,"journal":{"name":"Indian Journal of Surgical Oncology","volume":"14 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139254768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}