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Surgical Management of Bone Metastases: Principle and Updates
Surgical management of bone metastases plays a crucial role in improving the quality of life for patients with advanced cancers. The primary goals of surgery are pain relief, stabilization of fractures, and restoration of function. Advances in surgical techniques now emphasize minimally invasive approaches, enhancing recovery times and reducing complications. Recent updates include the use of cementoplasty, advanced fixation methods, and intraoperative imaging to improve precision and outcomes. Multidisciplinary care, including orthopedic surgeons, oncologists, and radiologists, is essential for optimizing treatment strategies based on the patient’s overall health and cancer stage.
About the Speaker

Dr. Srimanth B. S
Lead Consultant, Orthopaedic Oncology, Manipal Hospitals, Bengaluru
Dr. Srimanth B S is an experienced surgeon specializing in the diagnosis and treatment of musculoskeletal tumors. With a focus on primary bone and soft tissue tumors as well as metastatic bone disease, Dr. Srimanth is dedicated to providing comprehensive care to his patients. Having obtained a degree in orthopedics, Dr. Srimanth further honed his skills in the field of orthopedic oncology through extensive training at prestigious national and international centers of excellence. He completed his specialization at the Tata Memorial Hospital in Mumbai, renowned for its expertise in cancer care. Additionally, he gained valuable insights and experience at the Rizzoli Orthopaedic Institute in Italy and Seoul National University in South Korea. Currently, he is leading the orthopedic oncology program at Manipal Hospitals, Bengaluru as Lead Consultant with an experience of 12 years.
Upcoming Case Discussions
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Congenital Uterine Anomalies
Congenital uterine anomalies are structural abnormalities of the uterus resulting from improper fusion, canalization, or resorption of the Müllerian ducts during fetal development. These anomalies include septate, bicornuate, unicornuate, and didelphys uterus, among others. They can be asymptomatic or associated with infertility, recurrent pregnancy loss, preterm birth, or abnormal menstruation. Diagnosis is typically made using imaging modalities like ultrasound, MRI, or hysterosalpingography. Treatment depends on the type and severity of the anomaly, with surgical correction such as hysteroscopic septum resection often indicated in symptomatic cases. Early detection is crucial for optimizing reproductive outcomes and guiding appropriate management strategies.
Management of Postoperative Pain: Best Practices for GP’s
Effective management of postoperative pain is crucial for promoting recovery and preventing complications. General practitioners should start by assessing pain severity using appropriate scales, then tailor the treatment plan based on the patient's medical history and the type of surgery. A combination of pharmacological approaches, such as non-opioid analgesics (e.g., NSAIDs) and opioids when necessary, should be used to minimize pain while reducing the risk of addiction. Multimodal strategies, including physical therapy and non-pharmacological techniques like cold therapy or mindfulness, can further enhance pain relief. Close follow-up is essential to adjust the treatment as needed and ensure the patient's pain is well-controlled.
Diabetes and Stem Cells: What Does the Future Hold?
The future of diabetes treatment may be revolutionized by stem cell research, offering hope for a long-term cure. Scientists are developing stem cell therapies that could regenerate insulin-producing beta cells in the pancreas, potentially restoring natural insulin production in people with type 1 diabetes. Early clinical trials have shown promising results, with some patients reducing or eliminating their need for insulin injections. While challenges like immune rejection and long-term efficacy remain, continued advancements suggest stem cell therapy could significantly change diabetes management in the coming years.