ABSTRACT
Introduction: Ambulatory definitive breast cancer surgery has been evolving over the last two decades. The experience of treating such patients in a dedicated day case surgical unit is presented here. Method: The records of 173 consecutive patients with invasive breast cancer, who received definitive surgical treatment in the Day Surgery Unit (DSU) of our Institution, were retrospectively reviewed. Results: The mean age of patients was 51.5 years (range 30 - 76). Only one of them stayed in hospital overnight due to postoperative cardiac arrhythmia. All the patients who underwent either a mastectomy or an axillary clearance were discharged with their drains which were removed in the outpatient clinic at a mean time of 5 days (range 1-8). There were no readmissions. Likewise, the wound complications which ensued in 16 patients were successfully treated in the outpatient clinic. In cases of axillary clearance the mean number of the harvested lymph nodes was 15 (range 10-28). Conclusion: Day surgery for breast cancer, is safe and effective in appropriately selected patients (AU)
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Subject(s)
Humans , Female , Adult , Middle Aged , Aged , Breast Neoplasms/surgery , Mastectomy/methods , Ambulatory Surgical Procedures/methods , Lymphatic Metastasis/diagnosis , Risk Factors , Retrospective StudiesABSTRACT
An unusual case of early nephrotic syndrome without hypertension which slightly resolved after delivery is documented. Renal biopsy was performed postpartum and the diagnosis was focal and segmental glomerulosclerosis with moderate chronic renal changes. It is questioned whether the case was due to preeclampsia or was the initial diagnosis of chronic renal disease which was made during pregnancy. The role of renal biopsy in such cases is briefly discussed (Tab. 2, Ref. 15). Full Text (Free, PDF) www.bmj.sk.
