Unplanned Surgical Incisions in Bone and Soft Tissue Tumor Biopsy: Are we up to the mark?
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2022, Vol 34, Issue 04
Abstract
Objective: To determine the frequency of inappropriately placed biopsy incision in patients with bone and soft tissue tumors. Methods: This retrospective cross sectional study was conducted in Orthopaedic and Oncology unit Rehman Medical Institute. The records of all the patients with bone and soft tissue tumors presented during time period extending from 23rd May 2017 to 23rd June 2022 were reviewed. Appropriateness of the surgical margins and surgical scars were assessed after complete staging studies. During subsequent surgery, if required, the need for complex reconstructive procedures in the form of local or free flaps or skin grafting was assessed along with ablative surgery due to the wrongly placed surgical incisions. Results: The records of 451 patients were studied out of which 184(40.79%) patients had biopsies performed in the author's institution. Of the remaining patients 77(28.83%) had wrong or inappropriately based surgical incisions with most of those were in soft tissue tumor cases (75.32%). Few (10.38%, n=8) of the inappropriately based incision cases had to undergo amputation while the rest had their limb salvaged. Conclusion: The frequency of inappropriately placed biopsy incision in patients with bone and soft tissue tumors was high. We are not up to the mark. We recommend further training for musculoskeletal (MSK) oncology cases performed only in referral units to optimize outcome.
Authors and Affiliations
Farman Ullah,1Syed Asif Shah,2Zeeshan Khan. 3
Keywords
Related Articles
- EP ID EP740930
- DOI -
- Views 56
- Downloads 0
Functional and Radiological Outcome of Fracture Subtrochanteric Femur Treated by Proximal Femoral Nail Antirotation (PFNA)
femur treated by PFNA. Methods: A prospective analytic cross-sectional study was conducted at Orthopaedic Surgery department, Dow Medical College & Dr. Ruth Pfau Civil Hospital Karachi during the period from January 2...
Unveiling the Rarity: A Case Report on Distal Femur Parosteal Osteosarcoma
The parosteal osteosarcomas represents a rare low grade malignant but less metastasizing tumour. They often present with a simulating clinic-radiological features of other similar conditions like osteochondroma. Local wi...
Postoperative Pain in Total Knee Arthoplasty Patients: The Effectiveness of Local Anaesthetic and Analgesic Agents
To determine the efficacy of a periarticular injection of multimodal drugs, consisting of bupivacaine (a long acting local anesthetic), ketorolac ( Nonsteroidal anti-inflammatory) and epinephrine in providing effective p...
Arthroscopic ACL Reconstruction Using Single Bundle BPTB Autograft: Transtibial versus Anteromedial Portal Technique for Femoral Tunnel Placement
Objective: To compare the postoperative outcome in patients who underwent arthroscopic single-bundle non-anatomic reconstruction of anterior cruciate ligament (ACL) through transtibial portal technique for femoral tunnel...
Augmented Repair of Massive Rotator cuff tear with Tensor Fascia Lata Autograft.
Objective: To determine the functional outcome of massive rotator cuff tear treated with tensor fascia lata autograft. Methods: This descriptive study was conducted in Hand and Upper limb surgery Center CMH Lahore Med...