What is Mastectomy?
Mastectomy is a surgery performed to remove the entire
breast tissues in order to treat breast cancer or as a preventive measure
against it. A patient usually has to choose between lymphectomy and mastectomy.
Lymphectomy is where only the cancerous part of the breast is removed,
conserving the rest of the breast.
Due to the advancements in surgical techniques, the breast
skin in Mastectomy can now be conserved so that reconstructive breast surgery
may be performed to regain natural looking breast appearance. Breast
reconstruction may be done at the same time as Mastectomy or after a certain
period of time through a breast reconstruction surgery.
Mastectomy takes about 2-3 hours to be performed. Serious
recovery period is required after Mastectomy so return trip should be planned
accordingly. Also, patients need at least one visit to the doctor after the
surgery for the removal of surgical drains.
Number
of Days in Hospital
|
1-3
Days
|
Average
Length of Stay Abroad
|
1-2
Weeks
|
How Inexpensive Is
Mastectomy Overseas?
The cost for Mastectomy is not specified as it is usually
covered by Health Insurance. If there is no health insurance, then a number of
factors affect the cost for Mastectomy. Firstly, the cost depends upon whether
the Mastectomy is Bilateral or Unilateral. It also depends upon the experience
of the surgeon and the cost increases if breast reconstruction is to be done.
The cost includes hospital fee, anesthesia fee, surgeon’s fee, medication fee
etc.
Procedure For
Mastectomy
Firstly, general anesthesia is given to the patient and
then incisions are made around the breast to remove all the breast tissues and
other parts of breast which need to be removed. If possible, skin-sparing
surgery is performed, where the skin of the breast is conserved for
reconstruction. Skin-Sparing surgery cannot be performed in cases where the
tumor is very close to the skin. If it is demanded by the patient and if it
possible, then the breast reconstruction surgery is performed along with
Mastectomy.
Important Things To
Know About Mastectomy
- Some of the potential risks of Mastectomy are infection, pain, swelling, damage to nerves and hematoma.
- Mastectomy is recommended for patients with early-stage breast cancer, DCIS, locally advanced breast cancer, inflammatory breast cancer and Paget’s disease. Also, it is chosen by patients as a preventive measure if they are at high risk for cancer.
- Several weeks before surgery, patients are asked to stop taking medicines like aspirin which causes blood thinning and makes it hard for blood to clot.
- After the surgery, the patient experiences pain around the site of incisions for which pain killers are prescribed by the doctor. Also, drainage tubes are attached until all the surgical drain is eliminated.
- Mastectomy is the right choice if the tumor is larger than 5 cm or multiple lumpectomy has not resulted in the removal of cancer.
FAQs
When is Mastectomy
performed as a preventive measure against cancer?
A person may decide to have Mastectomy as a preventive
measure against cancer if they have a family history of breast or ovarian
cancer, if they have BRCA1 or BRCA2 gene mutation or if they have had LCIS.
How effective is
Mastectomy in preventing cancer?
Mastectomy cannot completely prevent breast cancer. This is
because of the fact that breast cancer tissues are not only present in the
breasts but also in the arm pits, above collarbone and as far as abdomen.
What are the
conditions under which I cannot have breast reconstruction with Mastectomy?
Some of the cases where the surgeon recommends the patient
to have breast reconstruction later are, if the patient needs a radiation
therapy after Mastectomy which may negatively affect the reconstructed breast
and also, when it is important for the patient to have the chemotherapy
immediately as the reconstruction takes time to heal.
How long will it take
for the surgical drains to be removed?
It usually takes about a week for surgical drains to be
removed. It also depends upon the healing process.
How long is the
recovery period?
On an average it takes about 1-2 months to recover
completely.
Source: medhalt
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