ISSN: 2734-3138 E-ISSN: 2971-625X

Orient Journal of Surgical Sciences

The official Publication of the Department of Surgery
Chukwuemeka Odumegwu Ojukwu University Teaching Hospital
Awka Anambra State Nigeria
Orient Journal of Surgical Sciences

Abstract

“GLOVE-SHIELD” MASTECTOMY FOR FUNGATING BREAST CANCER

Background - Late presentation is the norm for breast cancer cases in many parts of the developing world.

Consequently, some of these lesions are fungating at the time of presentation for medical treatment. The intraoperative

handling of these ulcerated tumours could be messy and daunting to the surgeon if no barrier measures are provided.

Objective - To describe the use of “glove-shield” as the improvisation we found consistently useful in isolating and concealing fungating breast wounds intraoperatively. This barrier mitigates the peculiar challenges faced by the surgeon during the palliative resection of ulcerated breast malignancies.

Methodology - A retrospective study of 7 consecutive histologically confirmed cases of fungating breast cancer who underwent palliative mastectomy at a mission hospital over a three-year period (2015 – 2018). Intraoperatively, routine skin preparation and draping were performed before the ulcerated tumour was enclosed within a stretched sterile latex glove to create what we termed “glove-shield” which completely concealed the ulcerated surface.

Results - All 7 patients were females. Their ages ranged between 29 years and 56 years. The “glove-shield” was used to achieve concealment of the ulcerated tumour surface in these patients. Mean duration of post operative hospital stay was 22 days. No perioperative mortality was recorded.

Conclusion - Late cases of breast cancer may present as fungating lesions. The “glove-shield” is an intra-operative barrier which mitigates the peculiar challenges posed by fungating breast cancers to the attending surgeon during palliative (toilet) mastectomy.

Key Words - Glove-shield; Fungating breast cancer; Barrier; Late presentation; Palliative mastectomy.


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    This 3rd Volume of the Orient Journal of Surgical Sciences is out with a bang. An Orthopaedic article is featured along with original articles from the fields of Ophthalmology and General surgery.

    As is consistent with the policy of the Journal, each published article provides unique valuable clinical and scientific information on the respective subjects presented.

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    Thanks for your interest in the Orient Journal of Surgical Sciences (eISSN: 2971-625X & ISSN: 2734-3138)

  • 2 Dec 2021
    Publication of 2nd edition of the Orient Journal of Surgical Sciences

    The department of surgery of the Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Awka, Nigeria is pleased to publish this 2nd edition of the Orient Journal of Surgical Sciences.

     

    The foremost aspiration of the editorial team is to publish quality peer reviewed articles that meet international standards at a minimum frequency of once per year in the select specialties and this volume has met that commitment. This volume contains articles of great importance particularly to the Ophthal-mologists and Surgeons.


     

  • 26 Mar 2020
    Publication of Maiden Edition of the Orient Journal of Surgical Sciences March 2020 Vol.1, No.1

    The Maiden Edition of the Orient Journal of Surgical Sciences Was Published on Wednesday 25th March 2020.

    Hard Copies are now available at ₦1,000 per copy (or its USD $ equivalent) payable at site of collection at the Department of Surgery Office, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH) Awka, Nigeria or into the Journal bank account with the following details:

    Bank - Zenith bank; Account Number: 1016472847; Account Name: COOUTH - The Orient Journal of Surgical Sciences.

     



    The Editorial Board is also calling on all prospective Authors for the submission of new articles towards the 2nd issue scheduled for publication in September 2020. 

     

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ISSN: 2734-3138
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