Gastric pull-up after total pharyngolaryngectomy

In this study, 50 patients with hypopharyngeal carcinoma underwent gastric pull-up following total laryngopharyngectomy. The postoperative mortality was 10% and the postoperative morbidity was mainly due to pleural injury, hemorrhage, minor fistulae and mediastinitis. It was found that fistulae occurred in 16% of the cases, hemorrhage in 4% and abdominal wound dehiscence in 4%. The perioperative mortality was 10% in the cases

Conservative treatment versus mastectomy in the treatment of stage I and II breast cancer

Analysis of the patterns of failure for breast cancer patients who underwent modified mastectomy, or lumpectomy with axillary dissection and radiation therapy, as well as the prognostic factors that have an independent effect on treatment failures and overall survival. Sixty six patients with clinical stage I and II breast cancer were randomly assigned to undergo either modified radical mastectomy or lumpectomy, axillary, dissection and radiation therapy. All patients with positive nodes received adjuvant systemic therapy. Annual mammography was an integral component of the follow-up program. Diagnostic studies for systemic disease were performed as clinically indicated. At five years, overall survival was 79% for patients assigned to mastectomy and 91% for those assigned to lumpectomy [P=0. 97]. Disease-free survival was 74% for patients assigned to mastectomy and 72% for those assigned to lumpectomy [P=0.7]. The rate of local recurrence was 8.8% after mastectomy and 12.5% after lumpectomy [P=0.92]. Breast conservation with lumpectomy and irradiation offers results at five years that are equivalent to those obtained with mastectomy

Local facial flaps for reconstruction of post-resectional facial defects in basal cell carcinoma

This study includes 60 cases with Basal Cell Carcinoma [BCC] of the face. They are 37 males and 23 females, with average age 58 years. There are 26 cases with BCC of the cheek, 26 cases with BCC of the nose, 5 cases with BCC of the lip and 3 cases with BCC of the forehead. The repair of the defect after surgical excision of the lesion with adequate safety margin was done as follow: nasolabial flap in 20 cases. local cheek flap in 16 cases, glabellar and forehead flap in 10 cases, advancement in 4 cases, Kite flap in 6 cases and double flaps in 4 cases. There are minimal complications such as haemorrhage in 2 cases, infection in 2 cases, partial dehiscence in 3 cases, partial necrosis in 4 cases, deformity in 2 cases and tumor recurrence in 2 cases. The aesthetic results were excellent in 20 cases, good in 32 cases, moderate in 6 cases and poor in 2 cases