Posts Tagged ‘excision’

An uncommon presentation of hydatid cyst in submandibular salivary gland—a case report

Abstract  Hydatid disease is a parasitosis known as hydatidosis or echinococcosis. It affects both animals and humans. Hydatid cyst
of the head and neck region is uncommon and the involvement of salivary glands, especially the submandibular gland is very
rare. A case of submandibular gland hydatid cyst is reported in this article. A patient presented with a swelling of submandibular
region since 8 months. On examination, swelling revealed a soft, non-tender, mobile mass with fluctuation positive when done
bimanually measuring 8?×?6 cm. Chest X-ray and abdominal ultrasonography were normal. Excision of the submandibular gland
with the mass was performed and pathological examination confirmed the swelling to be a hydatid cyst of the right submandibular
gland.
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Surgical versus pathological excision margins—an excision too far?

Abstract  A common observation by clinicians who surgically excise skin pathology is the discrepancy between the measured size of the
surgical specimen and that of the measurements reported by the examining pathologist. This discrepancy can often be the difference
between whether, in the case of skin malignancies, the patient requires further wider excision, follow-up and, in cases where
relevant, discharge. Could it therefore mean that patients are needlessly undergoing further excisions that could be avoided
with more careful attention to specimen measurements and specimen ‘shrinkage,’ both surgically and pathologically? We measured
the length and width of skin lesions excised pre- and post-operatively and compared these measurements with the reported histopathological…

Dermatofibrosarcoma protuberans—a review of 10-year experience on wide local excision

Abstract  Dermatofibrosarcoma protuberans (DFSP) is a rare cutaneous sarcoma of low to intermediate grade. Correct diagnosis is very
often difficult to make on initial presentation. It is a locally destructive tumour which seldom metastasizes. Excision with
an adequate margin is the recommended treatment. However, local recurrence is not uncommon with ranges from 4% to 21% in the
literature. Medical records of all patients suffering from DFSP who received operation in our centre were reviewed. The age,
gender, location of tumour and method of wound closure were described. Factors that may contribute to tumour recurrence were
analysed. Between January 1997 and December 2007, 32 patients (20 men) with DFSP, age ranging between 15 and 78 years, were
treated. The lesions (…

Vishweshwaraiah Iron Steel Limited (VISL) fire disasters following steel converter blast, 30 July 2003

Abstract: A fire disaster occurred in Vishweshwaraiah Iron Steel Limited (VISL), Bhadravathi, India on 30 July 2003. The steel converter containing 24,000kg of liquid metal (pig iron) at very high temperature exploded. A total of 30 workers became victims. Seven persons died on the spot. Twenty-three victims were transferred to the VISL hospital; of these, six were transferred to the burns unit of the Kasturba Hospital, Manipal (180km from VISL). All six treated at the burns unit suffered 3–65% total body surface area (TBSA) burn, two had external injuries and two had eye involvement. Out of the six patients admitted at the burns unit, two expired (one due to refractory shock and another due to pulmonary embolism). Out of four survivors, one underwent tangential excision; another underwe…

Integra Artificial Skin® for burn scar revision in adolescents and children

Abstract: Integra Artificial Skin®, a biosynthetic dermal template, is well established in acute burn surgery. The aim of the study was to determine the role of Integra in the surgical treatment of postburn scars in a younger population.Between March 1998 and November 2004, 17 patients (n=17; mean age=13.15 years) underwent complete excision of hypertrophic scars or keloids (1–4% TBSA; extremities=47%, head/neck=35%, trunk=18%) with subsequent implantation of Integra for defect closure. Split thickness skin grafting (STSG) of the Integra-derived neodermis was performed 3 weeks after the first operation.Scar excision and primary Integra implantation was successful in all but one patient (94%) who (6%) needed reimplantation once. Integra’s mean take rate was 99.7% for all primarily succes…