Mastectomy for Madden

This type of surgery, such as a mastectomy according to Madden, refers to radical therapy. In this operation, the mammary gland itself is removed together with the axillary tissue. At the same time, neither the large nor the small pectoral muscles affect the operative procedure. By itself, the preservation of the pectoral muscles greatly reduces the likelihood of such complications as impairment of the mobility of the shoulder joint, which is not uncommon in the use of other techniques of surgery.

Course of operation of mastectomy for Madden

The second surgical name for such an operative intervention is a functionally-sparing radical mastectomy. From this definition it is clear that the main purpose of the operation is rapid postoperative rehabilitation with a minimum of consequences and complications.

The surgery itself is performed solely under general anesthesia. After processing the surgical field, doctors produce a cut of the skin that fringes the gland itself, in the transverse direction. In this skin-subcutaneous grafts are cut off in different directions. After this, in fact, the removal of the mammary gland together with the fascia located beneath it is performed. Almost simultaneously, subclavian-subcutaneous lymphadenectomy is performed (removal of lymphatic structures located in this area).

This type of mastectomy is preferred in the so-called nodal forms of the oncological process. However, the preservation of the small pectoral muscle creates a certain kind of technical difficulties in the operation, which requires the participation of qualified and experienced surgeons.

What are the features of the postoperative period in mastectomy for Muden?

First of all, it is necessary to say that a woman can get up after the operation, after a day. In this case, lifting from the bed should be carried out without any sudden movements.

As for the general well-being of a woman, during the 4 days after the operation, pain in the chest can be noted, which, with great severity, is stopped by the administration of analgesic drugs.

Women who have undergone this type of surgery, doctors strictly forbid raising their hands high. It is also necessary to completely eliminate the lifting of weights and the carrying of bags.

In spite of the fact that the full rehabilitation period lasts about 3-4 weeks, as a rule, already on the 3rd-4th day of the patient is discharged from hospital. In this case, the drainage system installed after the operation remains, and the woman receives recommendations for caring for her at home.

If to speak about complications after a mastectomy on Madden, among such it is necessary to allocate:

• congestion of serous fluid, - lymphorrhea (violation of outflow of lymphoid fluid);
• lymphostasis of the hand from the side that was used to remove the breast;
• bleeding in the early postoperative period;
• suppuration of a postoperative wound.