The Role of Intraoperative Consultation in Patient Management - Dr. Paul Cross

Explore the critical role of intraoperative consultation in patient management through this informative talk by Dr. Paul Cross. Delve into the use of frozen sections and cytology, examining their advantages, disadvantages, and common issues. Gain insights into various applications of intraoperative consultation, including ovarian pathology, endometrial adenocarcinoma assessment, Mohs surgery, normal tissue identification, and Hirschsprung's disease diagnosis. Learn about tissue processing types, frozen section indications, cryostat usage, and the comparison between frozen and FFPE sections. Understand the accuracy of frozen sections, proper reporting techniques, and the methodology behind intraoperative cytology. Analyze real-world data on frozen section performance in ovarian pathology cases from QEH, spanning from 2001 to 2018.

Intro
Why do an intraoperative consultation?
Types of tissue processing
FS Indications
Cryostat
FS - general points
Problems with Frozen sections
Graph 3 - showing assessment comments distribution frozen section submissions
FS vs FFPE sections
How good are frozen sections?
IOC reporting
Intraoperative cytology
Method
Examples of intraoperative consultation in patient management
Frozen section in ovarian pathology
QEH FS Ovaries January 2001- December 2018
QEH FS Ovaries overall performance January 2001. December 2018
Depth of endometrial adenocarcinoma into myometrium - assessment at FS - 1
Mohs surgery
Normal tissue identification
Use in Hirschprung's disease
Conclusion