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Institutional reports and a randomized trial have shown surgery followed by IORT to yield lower local-regional recurrence rates compared with surgery alone, although a positive impact on survival has not been readily demonstrated.
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Seeking to attract or educate patients, entice donors, gain recognition and recruit or retain top doctors, hospitals are using Twitter from operating rooms, showing surgery on YouTube and having patients blog about their procedures.
In fact, the studies show surgery is far from useless.
It shows surgery at its best.
ICSS showed surgery was safer compared with previous randomized trials of symptomatic patients undergoing CEA, which might have limited ability to detect other predictors of risk.
Patients with the highest Pgp activity (lowest K1 values) before surgery showed optimal surgery outcome (seizure and medication free) whereas those with the lowest Pgp activity continued to have seizures and to take medication even after surgery.
It has been shown that surgery can trigger GBS [1, 2].
Previous studies have shown early surgery results in better mobilisation postoperatively, and this should translate into earlier discharge [13, 14].
We have clearly shown that surgery is ineffective.
In a previous study, it was shown that surgery itself (and wound infection especially) increases serum procollagen concentrations [ 35].
Table 4 shows surgery details including type of resection, metastases removed, lymph node dissection, time from last dose of neoadjuvant treatment to surgery and surgical complications.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com