Tuesday, November 17, 2009

About Mastectomy Operations

Among the many vacillating changes in a woman's body, the last thing she wants to face is the possibility of a mastectomy operation, which removes one of the most visible defining factors of her womanhood. On the other hand, there are some preventative measures that can be taken before things ever get to that point, and supportive means to assist during such a process.


Types


After the anesthesia has set in, a horizontal or diagonal incision will be made across the breast. Once the incision is made, the surgeon will proceed to remove the lymph nodes (also known as lymph glands) and breast tissue. In a simple mastectomy all breast tissue is removed; a tube is usually inserted for drainage during the operation. The tube is removed a few days following surgery, usually once drainage is less than 20-30 ml/day. In addition to breast removal, all fatty tissue and lymph nodes are removed during a modified radical mastectomy, and the major and minor pectoral muscles behind the breast are removed in a radical or halsted mastectomy.


Types


To preserve the skin during surgery, the breast tissue is removed via an incision in the areola in what's called a "skin-sparing mastectomy." Historically done for benign tumors, a "subcutaneous mastectomy" will be performed, removing the breast tissue while preserving the areola (the dark part around the nipple).


Considerations


After the operation, your surgeon will consult with you about the different types breast reconstruction. You can have this done during or after the operation. About a week after the operation, your stitches will be removed. If dissolvable stitches were used, they will automatically vanish within 7-10 days. Another thing you may want to consider before undergoing surgery is to make sure any pressing or time-sensitive issues are handled, because it is not advisable to sign any important documents, drink alcohol, drive or operate machinery about 48 hours after the operation.


Time Frame


Depending on the surgeon and type of mastectomy, the operation may last about one to two hours. The hospital stay after surgery is about 10 days, once again depending on the type of surgery performed. Fasting is usually required leading up to the operation, which means you will likely be asked not to eat or drink anything approximately six hours before receiving anesthesia.


Warning


Before opting to have a mastectomy, be certain that you are clearly aware of the possible side affects and/or complications associated. If any complications are to occur, they will likely do so during or after surgery. Some complications may arise out of an unforeseen reaction to anesthesia; blood clotting for excess bleeding may occur. Other possible complications may appear after surgery, such as uncomfortable sensations and/or pain (some numbness may even be experienced). Fluid build up is unlikely but possible, causing pain and swelling in the arm. Pain traveling from the armpit to the hand is another possible complication/side effect; however, an antibiotic and physiotherapy can aid in this recovery process.







Tags: breast tissue, after surgery, about hours, after operation, breast tissue removed, during after, lymph nodes