A study of Surgical Complexity in the Management of Epithelial Ovarian Cancer
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Surgery plays a major role in ovarian cancers. Successful cytoreductive surgery is significantly associated with improved survival. As the disease load increases, the surgical complexity also increases. Complex surgical procedures require specialized training. This study aims to determine the need for complex surgical procedures in the management of epithelial ovarian cancers. A retrospective analysis of hospital records of cases of ovarian cancers, from May 2015 to June 2017 was done . 54 cases of surgically treated Epithelial Ovarian Cancers were taken for final analysis .Interval cytoreduction was the most common surgical procedure performed , accounting for 75.9% of cases. Optimal cytoreduction , defined as less than 1 cm residual disease , was achieved in 77.7% of cases. Routine surgery , defined as Type I hysterectomy, BSO, Omentectomy, Pelvic lymphadenectomy , Para aortic nodal sampling and peritoneal biopsies was done in one third of the cases. Additional surgical procedures were needed in 66.6% of cases. Extensive radical surgical procedures were necessary in 33.3% of cases. Thus, ovarian cancer requires complex surgery in two thirds of the cases . Hence, surgical management of suspected and proven ovarian cancers are to be undertaken only in high volume centers and are to be performed only by qualified and trained surgeons
Authors and Affiliations
Dr. Kavitha Su kumar, Dr. D. Suresh Kumar
Keywords
Related Articles
- EP ID EP244427
- DOI 10.9790/0853-1610102225
- Views 104
- Downloads 0
“Clinical profile in Children with Enteric Fever: A study in Dhaka shishu( children) hospital, Dhaka, Bangladesh”
We conducted a cross-sectional comparative study in the Department of Paediatric Medicine of Dhaka Shishu (children) Hospital during the period from 10th October 2013 to 9th April 2014 with the aim was to document clinic...
Preliminary Screening of Aqueous Alstonia Scholaris Linn Bark Extract for Antivenom Activity in Experimental Animal Model
Aim: Snake envenomation is a major cause of death and disability in the developing countries, particularly in South East Asia. Since 1894, commercial snake venom antiserum developed by Calmette is the only specific treat...
Darier’s Disease in Pregnancy
Darier’s disease ( keratosis follicularis or Darier- white disease ) is a rare congenital acantholytic , autosomal dominant disease .We report three rare cases of 22-28 year old full term pregnant women with Darier’s dis...
Grading of Quality and Level of Adherence to the Care and Treatment among Clients Receiving of Antiretroviral Therapy Dessie Referral Hospital, South Wollo, Ethiopia
Background: Antiretroviral therapy (ART) is one of the interventions implemented to reduce morbidity and mortality due to HIV/AIDS. The evaluation of implementation process and its fidelity can give insight in to the “bl...
Serum ferritin levels among Hepatitis B Sudanese patients in Kha rtoum, 2018
Background: Hepatitis B is an infectious disease caused by the hepatitis B virus (HBV) which affects the liver. I t can cause both acute and chronic infections.Ferritin is a universal intracellular protein that stores ir...