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 43
- Downloads 0
Femoral Shaft Fractures in Children Age 1-5 years Treated with Single Leg Walking Spica, Our Experience
Introduction: Femoral shaft fractures are common in children. These fractures are classified according to the area of fracture involved. The treatment of femoral shaft fractures depends upon the age of patient. In childr...
Surgical Outcome of Fungating Sarcomas.
Objective: To determine the surgical outcomes of fungating sarcomas. Methods: This descriptive study was conducted in Orthopaedics and Spine Unit Hayatabad Medical Complex Peshawar and Rehman Medical Institute Hayatab...
The Association of Disease Duration & Patient Activity Loss with Incident Depressive Symptoms in Adult Orthopedic Trauma Patients.
Objective: The objective of this study was to find the association of disease duration & patient activity loss with the incident depressive symptoms in adult orthopedic trauma patients in population of DIKhan division, P...
Outcome of Total Knee Replacement in Terms of Knee Society and Functional Score
Objective: To evaluate the knee society and functional score in pre-and post-operative patients of Total Knee Replacement. Method: A cross sectional, observational study comprising of 40 patients evaluated at 1 year f...
Functional Outcome of Diaphyseal Fracture of Femur Managed by Locked Intra-Medullary Nailing in Adults
The purpose of our study was to determine the outcome of diaphyseal fracture of femur managed by locked intramedullary nailing in adults and to compare these results with other available published studies. Study Desig...