Mastectomy - removal of breast cancer. The most frequent indication for mastectomy - breast cancer.
Mastectomy can be simple and radical. In a simple mastectomy removes only the mammary gland, keeping the big and small chest muscles. This operation is shown in breast cancer at a very elderly, debilitated patients. In some cases in a simple mastectomy removes the fatty tissue and subcutaneous axillary lymph nodes depression.
In radical mastectomy removes the breast, big and small chest muscles with covering their fascia, as well as fatty tissue and lymph nodes subclavian, axillary and subscapularis areas. The operation is accompanied by significant bleeding (damaged many of the vessels), therefore it is necessary to prepare a large number of hemostatic clips.
When mastectomy strict observance of the rules of ablation (see). Gauze napkins, tampons are subject to frequent change, hemostatic clips after one use in this patient should be sterilized.
To remove accumulated under the skin as a result of extensive operating injury lymph and blood before suturing wounds on the outer skin flap make a hole (contepartiro), through which in the axillary region injected rubber tube (drainage). Remove the drainage few days after the operation. When caring for patients after mastectomy need to monitor the condition of drainage and dressings. With abundant soaking bandages should call a doctor.
After radical mastectomy in the postoperative period, some patients develop lymphostasis in the upper limb-side operations, sometimes long-lasting. This phenomenon may be accompanied by moderate pain and restricted mobility in the joints of the leg. Specific treatment is not required. To prevent the development of contractures in the joints of limbs from the 2nd day after the operation is prescribed physical therapy.