Imperial College London
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Mr Daniel Richard Leff

Faculty of Medicine, Department of Surgery & Cancer

Reader in Breast Surgery
 
 
 
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Contact

 

d.leff Website

 
 
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Location

 

016Paterson WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Grant:2021:10.1016/j.ejso.2021.03.199,
author = {Grant, Y and Leff, D},
doi = {10.1016/j.ejso.2021.03.199},
journal = {EJSO - European Journal of Surgical Oncology},
pages = {e286--e287},
title = {Staged unilateral versus immediate bilateral symmetrising mammoplasty: a sensitivity analysis of patient level costs},
url = {http://dx.doi.org/10.1016/j.ejso.2021.03.199},
volume = {47},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction: The incidence of lactational mastitis ranges between 2 to 33% with an average incidence of 10%. It is highest in first few weeks and decreases gradually. Breast abscess occurs in 3-11% of cases of mastitis. The cause can be mainly attributed to maternal factors (nipple abnormalities, faulty feeding technique).Aims: Evaluation of nipple abnormality and counselling of pregnant women during pregnancy is likely to increase establishment of breastfeeding rate and reduction of lactational mastitis and abscess.Methodology: Intervention arm (group A,n=100 ): The pregnant ladies were counselled about correct technique of lactation. The nipple was examined to check if it can cause any hindrance to breastfeeding (Inverted, Flat, Very large, Very small). Control Arm (group B, n=92): The pregnant ladies (equally matched) with group A were included. The result was analysed using chi square test using SPSS software version24Result Analysis: In Gr A 90 out of 100 mothers could establish breast feeding. Out of 10, 2 developed mastitis. In Gr B 60 out of 92 established breastfeeding. Of the 32 remaining mothers, 18 developed mastitis. There was significant improvement in establishment of breast feeding amongst mothers who were counselled/examined during pregnancy (The chi-square statistic is 17.2204. The p-value is .000033). The incidence of lactational mastitis was significantly lower in GrA (The chi-square statistic is 4.0139. The p-value is .045128)Discussion: Predelivery counselling and evaluation of nipple abnormalities (and appropriate measures) improves establishment of lactation and reduction of lactational mastitis/ breast abscess.
AU  - Grant,Y
AU  - Leff,D
DO  - 10.1016/j.ejso.2021.03.199
EP  - 287
PY  - 2021///
SN  - 0748-7983
SP  - 286
TI  - Staged unilateral versus immediate bilateral symmetrising mammoplasty: a sensitivity analysis of patient level costs
T2  - EJSO - European Journal of Surgical Oncology
UR  - http://dx.doi.org/10.1016/j.ejso.2021.03.199
UR  - https://www.sciencedirect.com/science/article/pii/S074879832100322X?via%3Dihub
VL  - 47
ER  -
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