Untitled video

DD
by Dobromir Dimitrov12 views·Updated Sep 11, 2021
Re-use contentCreate your own

Chapters

Audio TranscriptAuto-generated

  1. their colleagues, their participants, their friends.
  2. It's a great honor and pleasure to be with you
  3. today at this webinar.
  4. Thank you to Dr Vasilyeva created this webinar and think
  5. of food.
  6. Oh participation.
  7. I hope that you're enjoying even that we are only
  8. one in the this webinar and I hope that some
  9. days we can welcome you at the present a conference
  10. in Medical university player today.
  11. I'm going to speak about the vacuum assisted biopsy addressed
  12. legends and to share with you the indications and contraindications
  13. of this innovative procedure.
  14. We have different biopsy techniques as you know.
  15. It's very important together.
  16. Real good biopsy and proven the body of the tumor
  17. before the decision of the treatment.
  18. That's why sometimes we have to uh use it one
  19. or several of these techniques.
  20. Sometimes the diagnosis of breast cancer is really hard.
  21. We have institutional biopsy techniques.
  22. We have a wire guided text, additional biopsy in non
  23. palpable mammogram positive lessons.
  24. We have finding the aspiration for the revelation of legal
  25. status. Sometimes we have to use the extension of biopsy
  26. but should be aware that sometimes this is very blinded
  27. technique and the we as a surgeon should have to
  28. be very careful about using of these techniques.
  29. We have a core needle biopsy and we have a
  30. new innovative interactive ah uh stereotype active.
  31. Welcomes vacuum assisted babs.
  32. According to the FCC guidelines In the bio at four
  33. and 5 pleasures.
  34. We have a core needle biopsy indication and uh most
  35. popular diagnostic methods and more useful right now in the
  36. current situation is the cognitive OBA.
  37. This is the difference indication from the biopsy of the
  38. suspicious breast legends.
  39. If we have a cases with palpable legend, easy to
  40. fix. We have used called needle biopsy under the manual
  41. control. If we have a legends less than two cm,
  42. we have used it to ultrasound guided core needle biopsy.
  43. Non popular legend.
  44. Who does sound visible?
  45. You have possibilities to use again.
  46. Due to some guy that called needle biopsy.
  47. If we if we have a non palpable legend, who
  48. does sound non visible, we have to use wire guided
  49. excision of biopsy or stereotype Actiq vacuum assisted bob's group
  50. classifications are indicated.
  51. Again folks, stay productive vacuum aspiration biopsy or guided taxation
  52. of biopsy, suspicious laser legends of clinical examination are indicated
  53. for excision biopsy tornado perhaps not available is indicated.
  54. This situation is indicated for exceptional.
  55. Perhaps you're finding the inspiration.
  56. Benign legend of clinical examination and imaging are indicated for
  57. finding the respiration suspicious.
  58. Actually not as I told you, are indicate for fine
  59. needle aspiration.
  60. In some situation.
  61. Core needle biopsy is indicated.
  62. Stereotype stick vacuum assisted biopsy is minimal invasive procedure in
  63. which a sample of breast tissue is removed for examination.
  64. This procedure is less invasive alternative to work guided excision
  65. biopsy. Non palpable breast lesions which are not seen on
  66. the water sound.
  67. These techniques is less painful for the patient has shorter
  68. operative time, better cosmetic result.
  69. It's a real time imaging of the specimen.
  70. Real time imaging of the breast after procedure.
  71. This is how the system looks like the system which
  72. using Kanawa center.
  73. The aim of our presentation today is to present the
  74. current indication and country indication for steri attacked IQ vacuum
  75. assisted biopsy in breast legends diagnosis and to demonstrate some
  76. technical challenges in our initial experience to the best of
  77. our knowledge.
  78. This is the first experience with stereo tactic, vacuum assisted
  79. babs in Bulgaria material methods.
  80. From March last year until the july this year 18
  81. patient was done with this procedure or the patient you
  82. know patient work on the east Asia was used a
  83. non systemic literal literature review for indication and country indication
  84. of stereotyped vacuum assisted perhaps she was done.
  85. This is how the system looks like.
  86. We have uh two screens.
  87. The small screen is from the control of the uh
  88. needle, vacuum operated needle.
  89. And the big screen monitor is uh for the uh
  90. x ray examination of the specimen immediately after the procedure.
  91. This is the small X ray box which is placed
  92. inside of the the devices these devices uh is not
  93. so huge.
  94. One is very small device and it's very useful.
  95. It's very movable and this is absolutely the same day
  96. surgery procedure, interventional procedure and the patient have possibilities to
  97. discharge from the hospital in one hour after the procedure.
  98. This is how the stereotype to control was done in
  99. our procedure.
  100. This is the mama.
  101. Uh x ray mammogram devices.
  102. We have a special arm for the stereotype active control
  103. biopsy mode which is placed in the earlier X ray
  104. device. This means that you have to if you would
  105. like to use this uh device you have to upgrade
  106. your uh salmon spawning grounds indication for stereotyped in vacuum
  107. aspiration biopsy is a group calcifications, non palpable relations of
  108. the breasts, architectural distortion of the breast, parent Hema focal
  109. palpable or non palpable mass.
  110. After negative core needle biopsy, complete aspiration removal of the
  111. benign legends Embraced legends as a February autonomous that are
  112. 1.5- two in volume.
  113. Is this procedure for this indication is not yet in
  114. the guidelines of course, but single studies with more than
  115. 150 patient confirming safety and efficiency of this procedure.
  116. Country indication of terra tactic, vacuum, inspiration biopsy.
  117. His negative mammograms.
  118. Leisure's previous excision abnormal coagulation of the patient claustrophobia as
  119. the comparability in possibility for the presentation of the table.
  120. Media procedure time including the mammograms and localization was 47
  121. million minutes.
  122. In the last three cases it was Improved to 33
  123. minutes. This means that the procedure time is depending from
  124. the experience of the team Media intervention time, biopsy itself,
  125. needle inpatient 5.4 minutes complication.
  126. In one patient with post intercourse with posted intervention of
  127. hematoma nine G.
  128. Needle was used comparison with 14 G.
  129. And company.
  130. The biopsy press legend.
  131. In 16 18 4 lymph nodes in six of our
  132. 18 cases breast cancer was proof.
  133. This is how the specimen looks like on the real
  134. time image control.
  135. Immediately the vacuum after the vacuum of creative the tissue
  136. going to the X ray box.
  137. And we have possibilities to evaluate the specimen Perrin Hema.
  138. Immediately after the procedure.
  139. In this image you can see the micro calcifications and
  140. suspicious breast tissue for the cardinal.
  141. And these uh pictures.
  142. You see the non palpable by its five legends with
  143. the size around 8-10 mm.
  144. And we have possibilities to put the vacuum Nido inside
  145. of the legend And most of the legend to be
  146. evacuated in vomit and uh evaporated under pathology examination we
  147. have a 12 cycles of biopsy.
  148. We have possibilities to To doing the second perhaps.
  149. Emote with another 12 props.
  150. And you have possibilities that on the extra examination, real
  151. time extra examination of the uh parent humor breast you
  152. have possibilities to see which is the most good uh
  153. pro for you and to mark to pathological uh department
  154. which means that they're going to evaluate much more uh
  155. with higher intention and higher concentration.
  156. This very indicated tissues as this one.
  157. This one.
  158. This one in that case which is the our technical
  159. difficulties in our beginning the upper functions of localization of
  160. the breast legends this lesson which is close to chest
  161. full completely new procedure for the surgeon as well.
  162. Specific software steri attacked IQ device multiple mammograms to obtain
  163. the best position sometimes needed, which is time consuming procedure,
  164. small window of the view and the target area.
  165. As a conclusion, we gave possibilities to say that stereotype
  166. stick vacuum aspiration biopsy is a safe, minimally invasive procedure
  167. with less drama and smaller scar than other procedures for
  168. non palpable breast leisure's which are not seen on the
  169. water sound.
  170. The learning curve needs to be considered and in interdisciplinary
  171. team between surgeons and cardiologists could decrease the rate of
  172. technical difficulties future.
  173. As the conclusion, you can see the future is created
  174. by what you do do today.
  175. So never stop doing your best.
  176. Thank you for your rotation.
  177. I was happy to be with you today at this
  178. innovative breast cancer policy webinar.
  179. And I hope that you enjoy doing during my presentation.
  180. Goodbye for now and keep in touch with all of
  181. you. Thanks so much.