Justification for the use of the PROBE range in ONNCOLOGICAL surgeries
The scientific and technological evolution presents huge modifications in the surgical and clinical conducts for patients with various types of malignant neoplasms.
The spread of the disease in some histological types of various sites, such as breast cancer, cervical cancer, melanoma, among others is done through the regional lymphatic network and sometimes reaching the lymph nodes.
For example, in breast cancer until a few years ago the axillary lymphadenectomy did and is part of the surgical treatment in many cases, this procedure, which can generate some complications, mainly the edema of arm (lymphedema), sometimes of large volume and Little chance of downsizing, even with the necessary care.
It is observed however that the histopathological examinations of the lymph nodes removed, show that in more initial stages (ECI) only 10% of the cases present metastasis and the 90% restantesmostram negativity of these lymph nodes and therefore would be unnecessary to Performing this routine procedure.
Currently with conducting an exam called Linfocintilografia (with technetium or with blue patent dye), we can detect what we call the sentinel lymph node which is that most important ganglion and that located through the use of the Pro gamma apparatus Be (see photo and description Attached) We can recognize this lymph node and remove it surgically being examined during surgery by Anatomopatologistae if it shows that it is disease-free we will avoid the approach of other regional lymph nodes (armpit) , With this procedure we will be preventing the FOrmação lymphedema, reduction of surgical time and costs.
In the Hospital Eonsto Gaertner we performed only in breast cancer about 800 surgeries in the year and in 90% of them avoid the realization of the radical surgery (lymphadenectomy axillary).
The same technique can be used in melanoma (skin cancer), uterine cervical cancer, mouth cancer, etc.
We emphasize that the patients served in our organization (Hospital Eraso Gaertner-ccpl), are patients dependent on the single system of health (SUS).
Dr. Sergio Bruno Bonatto Hatschbach