Retrospective analysis of re-excision rates in breast cancer surgery

s / International Journal of Surgery 12 (2014) S13eS117 S19 no or mild pain in recovery. Similarly the patients who experiencedmild to moderate pain on days 1, 2 and 3 was 86%, 92% and 93 % while severe pain was 14% , 8% and 7% respectively. A significant number of patients did not require any additional pain relief 73% Vs 27% while only 4/36 reported of nausea only. The overall patient satisfaction regarding pain control was 100%, which helped achieve a discharge of over 90% of patients by day 3. Conclusions: The use of patient controlled wound soakers is a safe, effective and reliable method of post-op pain control following breast reconstruction. *Median. 1187: RETROSPECTIVE ANALYSIS OF RE-EXCISION RATES IN BREAST CANCER SURGERY Michael Ding, Roderick Prawiradiradja , Mark Yun , Ernest Chew, Habib Tafazal . Heart of England NHS Trust, Birmingham, UK; NHS, London, UK; NHS, Birmingham, UK; University College London, London, UK. Introduction: It is important to obtain sufficient margins when performing curative breast surgery. Surgery for re-excision is associated with increased morbidity and postoperative complications. Our aim was to evaluate the rate of re-excisions for inadequate margins in our unit. Methods: A retrospective study was conducted on all surgeries performed for breast cancer between 1/8/12 and 1/3/13 at a District General Hospital. Data was obtained from histopathology and electronic patient records. Results: 132 patients were included in the study. 77 WLE (Wide Local Excision) and 55 mastectomies were performed with intraoperative radiological margins assessment. 54.5% (n1⁄442) WLE were wire-guided. The overall re-excision rate was 29.9% (n1⁄423). 23.8 % (n1⁄410) wire guided procedures resulted in reexcision and 37.1% (n1⁄413) nonwire-guided underwent re-excision. 7 WLE resulted in mastectomy. 34 patients had margins of <2mm and 64.7% (n1⁄422) underwent re-excision. Conclusions: Re-excision rates for breast conserving surgery remains high despite intraoperative radiological margin assessment. 1361: LYMPHOSCINTIGRAM AND SENTINEL NODE BIOPSY: DOWE NEED A PICTURE? Somashree Chatterji, Grit Dabritz. North Manchester General Hospital,