Round block technique in the management of early stages of breast cancer: an assessment of the technique, oncological safety, and cosmetic outcomes

Mohsen, Sherief M; Marzouk, M. A.

doi:10.4103/ejs.ejs_90_17

Cited by 1 publication

(5 citation statements)

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“…As mentioned, the overall percentage of reexcision from pooled data is 6.1% (95% CI: 3.7%-9.7%). The highest percentage for re-excision was mentioned by Mohsen et al, [10] From what is demonstrated before, it was noticed that there is a connection between the results of Positive margins, re-excision, and completion mastectomy. Nearly all the Patients who had positive margins underwent re-excision again.…”

Section: Discussionmentioning

confidence: 79%

“…Only four studies reported that complication. These complications varied between areolar widening and post-operative nipple retraction reported by Kim et al [14] , blood flow insufficiency to the Nipple-areola complex reported by Ogawa [15] , partial nipple necrosis reported by Mohsen et al [10] and Nipple necrosis reported by Abdl rahman et al [22] . The highest among them was Kim et al [14] with a percentage of 28.3%.…”

Section: Discussionmentioning

confidence: 96%

“…The overall percentage of wound dehiscence/ delayed wound healing from pooled data is 3.3% (95% CI: 2.2%-5.1%). Only four studies reported that complication Bramhall et al [17] , Mohsen et al [10] , Refaat et al, [21] and Kyung In et al [14] the highest among them was Mohsen et al [10] with a percentage of 6.7%.…”

Section: Discussionmentioning

confidence: 96%

“…On reviewing the hospital stays, it was nearly 2 days except in the work of Mohsen et al, [10] who showed increase in the stay for about 3.5 days because patients with chronic illness or morbid obesity were admitted 1 or 2 days before surgery. While operation duration was reported to be about 120 minutes in average, except El Atrash et al 19 and Abdl Rahman et al, [22] who showed an increase in the operative time up to 170 minutes and 165 minutes respectively.…”

Section: Discussionmentioning

confidence: 99%

“…It's done by a periareolar incision that allows removing the excess skin of breast ptosis, manipulating the breast tissue, and placing the nipple in a higher position. It can be used also in the treatment of breast cancer with early stages [10] .…”

Section: Introductionmentioning

confidence: 99%

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Round Block Technique in the Management of Breast Cancer, Meta-Analysis Study

ABD-ERRAZIK¹,

ABDELNASSER

2022

The Medical Journal of Cairo University

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Background: Breast cancer is the one of the important medical issues nowadays. The surgical treatment of breast cancer has evolved greatly over the past years. It has developed from a radical procedure to a procedure combining both oncologic and aesthetic principles. Upon well-understanding of the anatomy of the breast, surgeons could develop the oncoplastic procedures. Aim of Study:To assess, through the available literature, the oncologic and aesthetic outcomes of the Round Block Technique and to identify the post-operative complications after the use of this technique.Material and Methods: Publications from Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available on the Internet till 2021. This is a meta-analysis of the Round Block Technique in the surgical management for breast cancer. It was done from December 2020 till January 2022. This review was conducted according to the Preferred Reporting Items for Meta-Analyses (PRISMA) guidelines. 80 The PRISMA Statement was published in 2009. If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, appropriate controls, and adequate information and defined assessment measures.Results: As regards the total post-operative complications, they were low after the use of the Round Block Technique. It had a percentage of 17.2% (95% CI: 12.4-23.4%). Infection was reported in percentage of 4% (95% CI: 2.9%-5.5%), seroma had a percentage of 6.5% (95% CI: 3.7%-11.4%), hematoma had a percentage of 3.8% (95% CI: 2.6%-5.4%), wound complications had a percentage of 3.3% (95% CI: 2.2%-5.1%) while the Nipple-areola complex complications had a percentage of 2.4% (95% CI: 0.8&-6.9%). After all these results, it's obvious that the Round Block technique had a low rate of different types of post-operative complications. Conclusion:Round Block technique is an excellent choice as an oncoplastic technique in patients with early breast cancer with mild to moderate ptosis. It's safe oncologically with a

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Section: Discussionmentioning

confidence: 79%