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Breast Biopsy - Sentinel Node Biopsy Omaha NE

Sentinel node biopsy is a less invasive procedure and carries a lower risk of complications than axillary node dissection. The sentinel node is the first lymph node that filters fluid from the breast. Many cancer experts believe that malignant cells reach the sentinel node first and that this lymph node is more likely to contain cancer cells.

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Breast Biopsy - Sentinel Node Biopsy

Based on this assumption, the node most likely to contain malignant cells should be removed and analyzed. If the sentinel is free of cancer cells, then it is highly unlikely that the other nodes are positive. This technique, combined with lumpectomy, is easily performed as an outpatient procedure and causes less pain and deformity than an axillary node dissection.

Surgical Procedure

Sentinel node biopsy involves injecting a radioactive tracer and/or blue dye into and around the tumor. In some cases, a numbing medication (local anesthesia) or a sedative is administered prior to the tracer injection. When anesthesia is not used, patients may experience a burning sensation during the injection. With a small, hand-held Geiger counter, the surgeon tracks the path the tracer takes as it travels away from the breast and under the arm to the first lymph node. Once located, the sentinel node is removed through a small incision and sent to the laboratory for diagnosis.

If the results are negative, it is assumed that the cancer has not spread and there is no need for further surgery. If the sentinel node is positive, the surgeon may perform an axillary node dissection to assess how many other lymph nodes are affected.

Preoperative Procedures

The anesthesiologist must make sure that the patient does not have a history of allergy to the radioactive tracer or blue dye that is injected into and around the tumor.

Postoperative Care

Because sentinel node biopsy removes fewer lymph nodes than axillary lymph node dissection, many patients have no side effec...

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THE NEBRASKA MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 280013 Title: THE NEBRASKA MEDICA...

ProviderNumber: 280013

Title: THE NEBRASKA MEDICAL CENTER

Address1: 987400 NEBRASKA MEDICAL CENTER

City: OMAHA

State Code: NE

Zip Code: 68198

County: DOUGLAS

Phone Number: 4025522040

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: No Different (Number of Patients: 232; Rate: 125.59; Lower Est.: 95.5; Higher Est.: 155.68)

Collapsed lung due to medical treatment Compared to National Average: No Different (Number of Patients: 13520; Rate: 0.62; Lower Est.: 0.35; Higher Est.: 0.89)

Breathing failure after surgery Compared to National Average: No Different (Number of Patients: 2359; Rate: 10.26; Lower Est.: 7.52; Higher Est.: 13)

Serious blood clots after surgery Compared to National Average: No Different (Number of Patients: 5004; Rate: 6.48; Lower Est.: 4.17; Higher Est.: 8.79)

A wound that splits open after surgery Compared to National Average: No Different (Number of Patients: 750; Rate: 2.44; Lower Est.: 0.7; Higher Est.: 4.18)

Accidental cuts and tears from medical treatment Compared to National Average: Better (Number of Patients: 14538; Rate: 1.3; Lower Est.: 0.54; Higher Est.: 2.06)

Serious Complications Compared to National Average: No Different (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: No Different (Number of Patients: 41; Rate: 3.05; Lower Est.: 0.74; Higher Est.: 5.36)

Deaths after admission for broken hip Compared to National Average: No Different (Number of Patients: 213; Rate: 3.02; Lower Est.: 1.57; Higher Est.: 4.47)

Deaths from Certain Conditions Compared to National Average: No Different (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 3; Usually: 19; Always: 78
Doctors communicated well - Sometimes/Never: 5; Usually: 18; Always: 77
Receive help as soon as they want - Sometimes/Never: 8; Usually: 31; Always: 61
Pain was well controlled - Sometimes/Never: 6; Usually: 27; Always: 67
Explained about medicines before giving it to them - Sometimes/Never: 19; Usually: 21; Always: 60
Clean room and bathroom - Sometimes/Never: 8; Usually: 22; Always: 70
Area around their room were quiet at night - Sometimes/Never: 12; Usually: 34; Always: 54
Provided recovery at home instructions - Yes: 85; No: 15
Hospital rating (O to 10; 10 highest) - 6 or lower: 7; 7 or 8: 22; 9 or 10: 71
YES, would recommend the hospital: 77
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 71

Percentage of Patients who would recommend the hospital: Definitely Recommend: 77; Probably Recommend: 20; Not Recommend: 3

Surgery patients given the right antibiotic to prevent infection: 99% (Number of Patients: 390)

Patients treated at the right time within 24 hrs before or after: 91% (Number of Patients: 185)

Outpatients having surgery who got an antibiotic at the right time: 83% (Number of Patients: 359)

Outpatients having surgery who got the right kind of antibiotic: 96% (Number of Patients: 335)

MIDWEST SURGICAL HOSPITAL LLC

from: Medicare.govHospitalCompare_General

ProviderNumber: 280131 Title: MIDWEST SURGICAL HO...

ProviderNumber: 280131

Title: MIDWEST SURGICAL HOSPITAL LLC

Address1: 7915 FARNAM DRIVE

City: OMAHA

State Code: NE

Zip Code: 68114

County: DOUGLAS

Phone Number: 4023991900

Hospital Type: Acute Care Hospitals

Hospital Ownership: Proprietary

Emergency Services: No

Registries: Registries: Cardiac Surgery - NO; Stroke Care - NO; Nursing Care - NO

Death from serious treatable complications after surgery Compared to National Average: Number of Cases Too Small - Number of Patients: 6; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: No Different (Number of Patients: 389; Rate: 0.37; Lower Est.: 0; Higher Est.: 0.94)

Breathing failure after surgery Compared to National Average: No Different (Number of Patients: 390; Rate: 6.06; Lower Est.: 0; Higher Est.: 14.12)

Serious blood clots after surgery Compared to National Average: No Different (Number of Patients: 389; Rate: 5.13; Lower Est.: 0; Higher Est.: 14.4)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: No Different (Number of Patients: 134; Rate: 2.63; Lower Est.: 0; Higher Est.: 5.71)

Serious Complications Compared to National Average: No Different (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 1; Usually: 6; Always: 93
Doctors communicated well - Sometimes/Never: 2; Usually: 7; Always: 91
Receive help as soon as they want - Sometimes/Never: 1; Usually: 5; Always: 94
Pain was well controlled - Sometimes/Never: 2; Usually: 14; Always: 84
Explained about medicines before giving it to them - Sometimes/Never: 7; Usually: 12; Always: 81
Clean room and bathroom - Sometimes/Never: 3; Usually: 7; Always: 90
Area around their room were quiet at night - Sometimes/Never: 1; Usually: 9; Always: 90
Provided recovery at home instructions - Yes: 91; No: 9
Hospital rating (O to 10; 10 highest) - 6 or lower: 1; 7 or 8: 3; 9 or 10: 96
YES, would recommend the hospital: 95
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 96

Percentage of Patients who would recommend the hospital: Definitely Recommend: 95; Probably Recommend: 4; Not Recommend: 1

Surgery patients given the right antibiotic to prevent infection: 100% (Number of Patients: 154)

Patients treated at the right time within 24 hrs before or after: 100% (Number of Patients: 3)

Outpatients having surgery who got an antibiotic at the right time: 96% (Number of Patients: 382)

Outpatients having surgery who got the right kind of antibiotic: 99% (Number of Patients: 380)

NEBRASKA SPINE HOSPITAL, LLC

from: Medicare.govHospitalCompare_General

ProviderNumber: 280133 Title: NEBRASKA SPINE HOSP...

ProviderNumber: 280133

Title: NEBRASKA SPINE HOSPITAL, LLC

Address1: 6901 NORTH 72ND STREET, SUITE 20300

City: OMAHA

State Code: NE

Zip Code: 68122

County: DOUGLAS

Phone Number: 4025723000

Hospital Type: Acute Care Hospitals

Hospital Ownership: Proprietary

Emergency Services: No

Registries: Registries: Cardiac Surgery - NA; Stroke Care - NA; Nursing Care - NA

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Doctors communicated well - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Receive help as soon as they want - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Pain was well controlled - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Explained about medicines before giving it to them - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Clean room and bathroom - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Area around their room were quiet at night - Sometimes/Never: N/A; Usually: N/A; Always: N/A
Provided recovery at home instructions - Yes: N/A; No: N/A
Hospital rating (O to 10; 10 highest) - 6 or lower: N/A; 7 or 8: N/A; 9 or 10: N/A
YES, would recommend the hospital: N/A
Number of completed Surveys: N/A

Patients who gave their hospital a rating of 9 or 10 on a scale:

Percentage of Patients who would recommend the hospital: Definitely Recommend: N/A; Probably Recommend: N/A; Not Recommend: N/A

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA