Mammology: Radical Mastectomy in Breast Cancer with the Fascia of a Large or Small Pectoral Muscle
Most breast cancers are treated surgically. The scope of surgery is determined for each patient individually, depending on the tumor size. At the initial stages of the disease, the breast removal (mastectomy) with the fascia of pectoral muscles is considered effective. The muscles themselves are retained, thus avoiding the upper limb dysfunction after surgery.
The surgery is performed under general anesthesia. The anesthetics are administered intravenously or endotracheally. In the latter case, a tube is inserted into the patient's airway, through which an inhalation drug is delivered.
Once the patient is asleep, the surgeon makes markings on the breast skin, along which the cuts are made. Then he sequentially removes:
- subcutaneous fat accommodating the lymph nodes,
- pectoral muscles surrounding the shell, i.e. fascia.
Then, the drainage tube is inserted into the wound. The bioresorbable sutures are applied to the skin.
After the procedure, the patient is transported to the ward where s/he stays under continuous supervision of nurses. In the early days, the wound is cleaned through the drainage from accumulated lymph and blood residues. To prevent complications, the physician prescribes antibiotics. The drainage tube is removed on day 5 or 6. The patient is discharged on day 10 after the check-up examination by the surgeon and receipt of required recommendations.Hide
See also for breast cancer:
- Reconstruction with an expander or allo prosthesis
- Diep-flap plastic reconstruction with own tissues
- Reconstruction with own tissue or implant after radical mastectomy
- Lumpectomy and lymphadenectomy by metastases to lymph nodes
- Sectoral resection with flap plastic
- Cancer rehabilitation
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