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Difference between revisions of "Intraoperative consultation"
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Intraoperative consultation (view source)
Revision as of 18:50, 19 January 2015
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[[Image:Tissue for frozen section in cryostat.JPG|thumb|right|Tissue within a cryostat, as seen during an intraoperative consultation. (WC/000jaw)]] | |||
'''Intraoperative consultation''', also '''quick section''' and '''frozen section''', is when a surgeon requests an opinion during an operation so that they can appropriately manage a patient. It is abbreviated '''IC'''. Frozen section is often abbreviated '''FS'''. | '''Intraoperative consultation''', also '''quick section''' and '''frozen section''', is when a surgeon requests an opinion during an operation so that they can appropriately manage a patient. It is abbreviated '''IC'''. Frozen section is often abbreviated '''FS'''. | ||
| Line 62: | Line 63: | ||
| [[head and neck pathology]] | | [[head and neck pathology]] | ||
|- | |- | ||
| Whipple procedure | | [[Whipple procedure]] | ||
| margins | | margins | ||
| [[gastrointestinal pathology]] | | [[gastrointestinal pathology]] | ||
| Line 120: | Line 121: | ||
====Genitourinary tract==== | ====Genitourinary tract==== | ||
* | *Cystoprostatectomy/cystectomy - ureteral margins. | ||
====Pulmonary==== | ====Pulmonary==== | ||
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#* Part(s) submitted. | #* Part(s) submitted. | ||
# [[Diagnosis]]. | # [[Diagnosis]]. | ||
# Repeat of diagnosis from surgeon. | # Repeat of diagnosis from surgeon (known as ''read-back confirmation''<ref name=pmid22032564>{{Cite journal | last1 = Nakhleh | first1 = RE. | title = Quality in surgical pathology communication and reporting. | journal = Arch Pathol Lab Med | volume = 135 | issue = 11 | pages = 1394-7 | month = Nov | year = 2011 | doi = 10.5858/arpa.2011-0192-RA | PMID = 22032564 | URL = http://www.archivesofpathology.org/doi/full/10.5858/arpa.2011-0192-RA }}</ref>). | ||
# Additional requests? | # Additional requests? | ||
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*[[Paraganglioma]]. | *[[Paraganglioma]]. | ||
Notes: | |||
* † It is ''not'' possible to determine which one without history ''or'' all parathyroid glands. | * † It is ''not'' possible to determine which one without history ''or'' all parathyroid glands. | ||
* Surgeons are pretty good at identifying parathyroid tissue ~ 94% accurate in one series.<ref name=pmid16360503>{{Cite journal | last1 = Dewan | first1 = AK. | last2 = Kapadia | first2 = SB. | last3 = Hollenbeak | first3 = CS. | last4 = Stack | first4 = BC. | title = Is routine frozen section necessary for parathyroid surgery? | journal = Otolaryngol Head Neck Surg | volume = 133 | issue = 6 | pages = 857-62 | month = Dec | year = 2005 | doi = 10.1016/j.otohns.2005.05.001 | PMID = 16360503 }}</ref> | * Surgeons are pretty good at identifying parathyroid tissue ~ 94% accurate in one series.<ref name=pmid16360503>{{Cite journal | last1 = Dewan | first1 = AK. | last2 = Kapadia | first2 = SB. | last3 = Hollenbeak | first3 = CS. | last4 = Stack | first4 = BC. | title = Is routine frozen section necessary for parathyroid surgery? | journal = Otolaryngol Head Neck Surg | volume = 133 | issue = 6 | pages = 857-62 | month = Dec | year = 2005 | doi = 10.1016/j.otohns.2005.05.001 | PMID = 16360503 }}</ref> | ||
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QUERY PARATHYROID GLAND: | QUERY PARATHYROID GLAND: | ||
- PARATHYROID GLAND. | - PARATHYROID GLAND. | ||
</pre> | |||
===Whipple specimen=== | |||
====Sign out==== | |||
<pre> | |||
BILE DUCT MARGIN: | |||
- NEGATIVE FOR MALIGNANCY. | |||
</pre> | </pre> | ||