Type of Surgery

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Last updated: 11/24/2009

Risks

The risks involved with simple mastectomy are the same for any major surgery. There may, however, be a need for more extensive surgery once the surgeon examines the tumor, the tissues surrounding it, and the lymph nodes nearby. A biopsy of the lymph...

nodes is usually performed during surgery and a determination is made whether to remove them. Simple mastectomy usually has limited impact on range of motion of the arm nearest the breast that is removed, but physical therapy may still be necessary to restore complete movement.

There is also the risk of infection around the incision. When the lymph nodes are removed, lymphedema may also occur. This condition is a result of damage to the lymph system. The arm on the side nearest the affected breast may become swollen. It can either resolve itself or worsen.

As in any surgery, the risk of developing a blood clot after a mastectomy is a serious matter. All hospitals use a variety of techniques to prevent blood clots from forming. It is important for the patient to walk daily when at home.

Finally, there is the risk that not all cancer cells were removed. Further treatment may be necessary.



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A modified radical mastectomy is a major surgery used to treat breast cancer. This animation shows which anatomical structures are removed during a modified radical mastectomy and how the procedure is different from other forms of mastectomy (breast removal surgery).

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In a simple mastectomy, the skin over the tumor is cut open (A). The tumor and tissue surrounding it are removed (B), and the wound is closed (C). (Illustration by GGS Inc.) In a simple mastectomy, the skin over the tumor is cut open (A). The tumor and tissue surrounding it are removed (B), and the wound is closed (C). (Illustration by GGS Inc.)




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Other Information

Simple mastectomy (or "total mastectomy"): In this procedure, the entire breast tissue is removed, but axillary contents are undisturbed. Sometimes the "sentinel lymph node"--that is, the first axillary lymph node that the would be expected to drain into--is removed. This surgery is sometimes done bilaterally (on both breasts) on patients who wish to undergo mastectomy as a cancer-preventative measure. Patients who undergo simple mastectomy can usually leave the hospital after a brief stay. Frequently, a drainage tube is inserted during surgery in their chest and attached to a small suction device to remove subcutaneous fluid. These are usually removed several days after surgery as drainage decrease to less than 20-30 ml per day.


From yhttp://en.wikipedia.org/wiki/Mastectomy#Types_of_mastectomy

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