What types of radical mastectomy are accepted?
Depending on what particular muscle groups are affected in the operation, it is customary to distinguish the following types of surgical intervention of this kind:
- Radical mastectomy according to Madden is the most functionally sparing. When it is carried out, muscle fiber resection is not performed, i.e. Removed only the gland and the surrounding fatty tissue.
- Radical mastectomy according to Patey suggests resection of muscle fibers related to the small pectoral muscle, glandular tissue and the surrounding subcutaneous fat.
- Radical mastectomy according to Halstead is prescribed in cases where the oncology is detected at a late stage and the surrounding tissue is involved in the process. In this case, the ectomy of both large and small pectoral muscles is produced.
Fundamentals of rehabilitation after radical mastectomy
As a rule, women who undergo such an operation face the phenomenon of lymphostasis - a violation of the outflow of lymph fluid from the side of the removed breast. The first sign of such complication is puffiness of the hand.
To avoid this process and reduce the scale of its manifestation, a woman after the operation is appointed:
- physical exercises;
- hand massage;
- physiotherapy: hydrotherapy, apparatus lymph drainage, pneumatic compression, etc.
Doctors are strictly forbidden to expose the hand from which the mastectomy was conducted, to strong physical stress, to weight.
It is worth noting that the complex of rehabilitation measures is selected individually, based on the degree of disruption and type of mastectomy performed.