In this article, we will discuss Brief Note on Mastectomy. So, let’s get started.
• Benign breast masses
• Noninvasive breast tumours
• Invasive breast tumours (malignant)
Types of Mastectomy
• Lumpectomy or wedge resection or tylectomy or tumourectomy
• Radical halsted’s operation (axillary lymph nodes + Pectoralis major)
• Simple mastectomy
• Extended simple mastectomy (Patey’s) no PM involvement
• Quadrantectomy (tumour segment +axillary nodes)
• Bleeding from the surgical site
• Seroma – collection of fluid (lymph or serum) at the operative site
• Wound infection
• Possible skin slough a wound edges
• Thrombophlebitis of the axillary vein
• Numbness of the back of the upper arm usually due to sacrifice of a nerve to the skin (intercostal brachial cutaneous nerve).
• Weakness of the latissimus dorsi or serratus anterior muscles due to compromise of the thoracodorsal or long thoracic nerves, rare.
• Armoedema (swelling) is common but usually mild
• Limited range of motion of the shoulder. This occurs early after surgery, is limited and totally recoverable.
• HRT (hormonal replacement therapy)
• Cyclophosphamide, methotrextate and 5-fluorouracil
• Breast reconstruction
• Silicone prosthesis
• Musculocutaneous Maps
• LD or TRAM lap
• Avoid early shoulder mobilization
• Adduction for 48 hours then 60 degree abduction
• Redivao drain used
• Oedoma management (elevation, compression, FUP & STM)
• If any brachial plexus injury, treat as LMN lesion
• Usual PT protocol