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Everything You Need to Know About Mastectomy: Q&A
Before the Procedure · 11 Questions
Breast cancers are classified according to stage, invasiveness and location. Starting from Stage I cancers are treated with either lumpectomy or Mastectomy
It all depends how your body adjusts after Mastectomy. A medical breakthrough, back in 2012, when Australian surgeons claimed to have such a case of breast tissue growth but breast reconstruction surgery is done most commonly
Although both surgeries are done at separate intervals, but yes they can be done at the same time. Talk to the plastic surgeon about the advantages and disadvantages of it.
Decision on the type of surgery is made depending on location and spread of cancer. If the surgeon can remove the tumour and leave the healthy tissue so that the shape of breast is little altered then Breast Conservation surgery is advised. Having said that, you can opt for immediate breast reconstruction after breast removal and both can be part of the same surgery.
Breast reconstruction requires a surgery, which take time and money, so women prefere breast prosthetics. Breast prosthetic allow you to get back to normal life early. Having said that, breast reconstruction can be done at the same time as breast removal surgery.. Hence, patient comes with a breast and can potentially go back with a breast.
Normally after consultation, evaluation, biopsy the decision is made for the surgery. Considering preanaesthetic evaluation 3 to 4 days of stay in hospital is required for the surgery.
Modified radical mastectomy is the procedure in which the entire breast wall is removed including the skin, areola, nipple and the axillary lymph nodes. Hew years before this method was primarily used for the treatment of breast cancer.
In simple mastectomy the breast tissue, nipple areola and the skin are removed but lymph nodes are not removed while in modified radical mastectomy the entire breast including breast tissue, skin, areola and nipple and most of the underarm lymph nodes are being removed.
This is used in surgery for breast cancer patient in which maximum or all of the lymph nodes placed under the and the lining of chest muscle re removed. In some cases surgeon also removes a part of chest wall muscle.
The most common sign of modified radical mastectomy is presence or lump located in breast. Lump can be detected either by self examination or by physical examination of doctor.
The diagnosis for modified radical mastectomy is being made by biopsy, it determines the extent of cancer and its spread to the regional lymph nodes.
During the Procedure · 5 Questions
Depending on the location and the size of the tumour minimum 2 to 3 hours is the duration of surgery.
The time taken to perform radical mastectomy will take around two to three hours.
The procedure can be done under general anaesthesia.
In the procedure of modified radical mastectomy the surgeon will remove breast, areola along with lymph nodes below the arm. The doctor will mark your chest and prepare for incisions, by making one incision across your chest the doctor will carefully pull your skin back for removing the breast tissue and they also remove the lymph nodes under your arm. Once your lymph nodes are removed, your doctor will examine them to determine whether cancer has spread to them or through them to other areas of your body. Your doctor will also place thin plastic tubes in your breast area to drain any excess fluid.
Complications related with modified radical mastectomy includes wound healing such as hematoma, infection, seroma and skin necrosis.
Post the Procedure · 12 Questions
The operated site is very senstive for few weeks. It will also have drains inserted. So it is not advisable to sleep on the operated site or on stomach for 2 weeks.
Mastectomy bra offers a lot of comfort immediately following surgery. Mastectomy bras have soft inner linings, which won't rub against sensitive skin or scars as they heal; they have special pockets to accommodate a prosthesis as well. It should be worn fro 4 to 6 weeks
You should plan to wear loose long dresses to disguise drains attached to the surgery site
A lump of scar tissue is formed post surgery which can be broken by steroid injections or surgery (capsulectomy ), pressure treatment with an individually tailored elastic garment may help reduce a scar.
After any major surgery, sponge wash is commonly advised after 48 hrs if the incision is dry and bath with little water if your doctor allows. Its difficult to bathe during 1st week
Normally 6 weeks wait after surgery is recommend, depending on your recovery you can drive as early as after 3 weeks. You should note if there is any pain in the operated site while driving.
From Day 1 to day 6, body needs time to heal and drains need to be inserted in th opertaed site, so you need to wear comfortable special tops. Between week 2 to week 5 depending on body comfort you can start wearing bra
You should take medications as prescribed by your doctor, you should do arm exercises daily. You should not lift any heavy objects and involve in any strenuous exercise.
Modified radical mastectomy is generally recommended to those patient whose breast cancer has spread to axillary lymph nodes. This is also an option for treating breast cancer but there can also be the reason for removing axillary lymph nodes.
Recovery time of the surgery varies from patient to patient. Mostly patient remain in hospital for one to two days after surgery. The doctor may recommend you to perform radiotherapy or chemotherapy after the procedure.
Having pain after surgery is normal but you may also experience some discomfort your doctor may suggest you to take painkillers.
Pain, swelling, constipation and bruises are the most common side effects of the surgery. To overcome this side effects you have to take medications and modify your diet.







