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Majumder KR, Shrivastava A, Maitra D, Siddique MI, Rahman MM. Fish-tail Plasty: A Secure Technique to Enhance Cosmesis at the Lateral End of Mastectomy Scar and Prevent Dog Ear. Mymensingh Med J 2024; 33:160-167. [PMID: 38163788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
Mastectomy is very common surgical procedure for breast cancer. The closure of transverse elliptical mastectomy incisions has been represented with numerous modifications since 1915. The technical challenge is to avoid a fold of skin dogging laterally ("dog-ear"). This might lead to off future discomfort and poor cosmetic result. However, various surgical techniques are reported to tackle this lateral dog ear, there is no standardized technique. We therefore conduct a systematic review of the surgical techniques with the aim of comparing the merits and limitations of every technique. The comparative study among 72 patients was performed in Bangabandhu Sheikh Mujib Medical University, Anower Khan Modern Medical College & Hospital and Care Medical College & Hospital, Bangladesh from July 2017 to January 2020. Patients were divided randomly into two groups: Group I underwent fishtail technique group (36 patients), Group II underwent modified suturing technique group (36 patients). The follow up periods were 1 month and 3 months post-operatively for determination of the presence of dog ear and patient's satisfaction regarding cosmetic outcome and comfortability. Incidence of dog ear in fish-tail plasty group patients was less than that for Group II yet the difference is not significant less (p value 0.001). In consideration of patient satisfaction, doctor satisfaction and patient comfortability were significantly higher in Group I than Group II (p value 0.476 and 0.001 respectively). Fish-tail plasty was significantly better in patient satisfaction, comfortability and doctor satisfaction than modified suturing techniques and it might be recommended following mastectomy in obese patients for improving cosmesis and avoiding discomfort due to redundant skin.
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Affiliation(s)
- K R Majumder
- Dr Krisna Rani Majumder, Associate Professor of Surgical Oncology, Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:
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Bhattacharya A, Maitra D. A comparative analysis between vertical rectus abdominis myocutaneous (VRAM) flap and transverse rectus abdominis myocutaneous (TRAM) flap as options for post-mastectomy chest wall reconstruction. Eur J Cancer 2022. [DOI: 10.1016/s0959-8049(22)01400-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Ormsby NM, Bermingham HN, Joshi HM, Chadwick M, Samad A, Maitra D, Scott M, Kelly S, Whitmarsh K, Rajaganeshan R. The significance of extramural venous invasion in R1 positive rectal cancer. Int J Colorectal Dis 2017; 32:119-124. [PMID: 27695932 DOI: 10.1007/s00384-016-2658-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/19/2016] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIMS Evidence has shown that a positive resection margin (R1) is a key determinant of subsequent local recurrence and a poor prognostic factor in rectal cancer. The aim of this study was to evaluate the outcomes and prognosticators in patients with R1 resection of rectal cancer. MATERIAL AND METHODS Retrospective study of all patients operatively managed within our institution between April 2008 and April 2013 for rectal cancer. Baseline demographics and multiple outcome measures recorded. Overall survival (OS), disease-free survival (DFS) and recurrence were the primary outcome measures. RESULTS Overall, there were 306 primary rectal cancers. Seventy-six percent were grade T3/4 tumours. OS was 30 months. R1 rate was 16 % (48 patients). Thirty-one patients underwent APR and 17 AR. In patients who responded to neoadjuvant chemotherapy (NAC), overall survival was 55 months, with no extramural venous invasion (EMV) seen in this cohort. In non-responders OS was 29 months, with EMV in 48 %. In patients who did not receive NAC, OS was 23 months, with EMV in 74 %. EMV is a strong predictor for poor survival following R1 (p = 0.001). We also found a correlation between number of positive nodes and OS/DFS (p = 0.004). CONCLUSIONS In this small cohort of patients with R1 positive rectal cancers, response to NAC is the strongest predictor of poor overall and disease-free survival. In patients who respond to NAC, OS and DFS has been shown to be positive, with a reduced rate of EMV.
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Affiliation(s)
- N M Ormsby
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK.
| | - H N Bermingham
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - H M Joshi
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - M Chadwick
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - A Samad
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - D Maitra
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - M Scott
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - S Kelly
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - K Whitmarsh
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
| | - R Rajaganeshan
- Department of Colorectal Surgery, St Helens and Knowsley NHS Trust, Warrington Rd, Merseyside, L35 5DR, UK
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Reis RC, Miller JM, Reynolds MT, Gültekin K, Maitra D, King AL, Strohmayer TE. A 200-Second Quasi-Periodicity After the Tidal Disruption of a Star by a Dormant Black Hole. Science 2012; 337:949-51. [DOI: 10.1126/science.1223940] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Affiliation(s)
- R. C. Reis
- Department of Astronomy, University of Michigan, Ann Arbor, MI 48109, USA
| | - J. M. Miller
- Department of Astronomy, University of Michigan, Ann Arbor, MI 48109, USA
| | - M. T. Reynolds
- Department of Astronomy, University of Michigan, Ann Arbor, MI 48109, USA
| | - K. Gültekin
- Department of Astronomy, University of Michigan, Ann Arbor, MI 48109, USA
| | - D. Maitra
- Department of Astronomy, University of Michigan, Ann Arbor, MI 48109, USA
| | - A. L. King
- Department of Astronomy, University of Michigan, Ann Arbor, MI 48109, USA
| | - T. E. Strohmayer
- Astrophysics Science Division, NASA Goddard Space Flight Center, Greenbelt, MD 20771, USA
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Banerjee J, Maitra D, Shaeib F, Saed G, Diamond M, Abu-Soud H. Role of melatonin in preventing hypochlorous acid induced alterations in microtubule and chromosomal structure in metaphase-II mouse oocytes in vitro. Fertil Steril 2011. [DOI: 10.1016/j.fertnstert.2011.07.917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Abstract
Wegener's granulomatosis is a necrotizing vasculitic disease principally affecting upper and lower airways and commonly the kidneys. The disease process may, however, manifest itself in any organ system and cases continue to be reported to substantiate this (Hoffman et al, 1992).
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Affiliation(s)
- P Skaife
- Department of Surgery, Royal Liverpool University Hospitals
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Chatterjee T, Maitra D, Chakravarty T, Datta AG. Studies on plasma fibrinogen level in pre-eclampsia and eclampsia. Experientia 1978; 34:562-3. [PMID: 658223 DOI: 10.1007/bf01936958] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The plasma fibrinogen level of maternal blood has been estimated in 30 cases of pre-eclampsia, 60 cases of eclampsia and 35 cases of normal pregnancy of 3rd trimester. The plasma fibrinogen value increased by about 70% and 145% in pre-eclampsia and eclampsia, respectively. In essential hypertension, the fibrinogen level remains more or less the same as in normal pregnancy.
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