"There must be a final limit to the development of
manipulative surgery, knife cannot always have fresh fields for conquest.
That limit is nearly reached, very little remains for the boldest to devise or
the most dextrous to perform."
These were the words of Sir John Erichsen which was
published in Lancet , 1873. However all the phenomenal advances in surgery has been after this
period. Thanks to the development of anesthesia, bacteriology, antisepsis,
radiology and blood transfusion which made surgery humane.
The treatment of cancer has been documented as early as 1600
BC in the Edwin Smith's papyrus. Surgery as a treatment for cancer remained the only modality for a very long
time, with medical and radiation oncology being the newest additions. Surgery for cancer has also traversed an all familiar path
of conservatism to radicality and then for rationalized surgery, which was the
result of better understanding of the tumor biology and advances in allied
specialities in oncology. Oncological
surgery was equated with mutilation and radicality, however the changing
paradigm in cancer surgery has been the organ preservation and improving the
quality of life.
Breast cancer surgery: Surgery for breast cancer has come a long way from
Halstedian mastectomy to breast conservation to the current standard of oncoplastic
surgeries and sentinel node biopsies.Thus many of the women are spared
the mutilating effects of mastectomy and can preserve the form and
aesthetics of the breast.
Muskuloskeletal Tumors: Amputations were the rule in extremity tumor has now been
relegated to a position where it is performed as a last resort or for specific
reasons. This has been possible due to advances on medical oncology, radiation
oncology and prosthesis industry. Titanium custom megaprosthesis
has been a boon in the treatment of these tumors , thereby salvaging many a
limbs.
Reconstructive Surgery: Advances in reconstruction mainly through microvascular
free flaps has helped in
reconstruction and restoration of many of the mutilating defect resulting from
radical resections.
Minimally Invasive
Surgey: Selected GI, Gynaecological, Thoracic and Urological
malignancies can now be extripated using minimally invasive techniques and this
has been possible mainly due to advances in Laparoscopic surgeries and
developement of robotic surgeries.
"To sure sometimes, relive often and comfort always."
Dr Dileep
Damodaran MS, DNB, Mch (Surg Onco)
Surgical Oncology, MIMS
Dr Dileep Damodaran completed training from Cancer Institute Adyar, in the field of Cancer Surgery.
Dr Dileep Damodaran completed training from Cancer Institute Adyar, in the field of Cancer Surgery.
About MIMS Hospital:
The Malabar institute of Medical sciences Ltd (MIMS), the
first NABH Accredited multi specialty Hospital in India, is situated in the
heart of Calicut (Kozhikode), Kerala, India. It is a pioneer hospital in India
renowned for its excellent medical expertise, nursing care and quality of
diagnostic services. For more details : Visit http://www.mimsindia.com
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