OPERATIONAL PROCEDURES OF MASTECTOMY.
What is happened to the patients breast in mastectomy surgery ?
The skin incisions shown in Figure 12 will suffice for all intents and purposes; it can be extended and amplified to meet the special needs of a given case. Ample exposure and through anatomic dissections are essentials. The axilla [armpit] should be dissected first. This procedure is about radical mastectomy, another types of mastectomy are less advance than the radical mastectomy, they are the modification of the radical mastectomy according to the stage of the breast cancer.
What is happened to the patients breast in mastectomy surgery ?
The skin incisions shown in Figure 12 will suffice for all intents and purposes; it can be extended and amplified to meet the special needs of a given case. Ample exposure and through anatomic dissections are essentials. The axilla [armpit] should be dissected first. This procedure is about radical mastectomy, another types of mastectomy are less advance than the radical mastectomy, they are the modification of the radical mastectomy according to the stage of the breast cancer.
• Step 1: The skin along the entire margin of the incision is freely dissected up from the under lying tissue to an extent shown in Fig 12
• Step 2: Expose the pectoral fascia in the line of the upper incision. Lift the skin and fat off the muscle until the furrow is reached; this furrow marks the dividing line of pectoral major muscle.
Fig.: 12 The skin incision for step 1 of radical mastectomy following by step 2 to expose the pectoral fascia in the line of the upper incision.
A.Shows skin incision.
B Humeral [upper arm] head of pectoral mayor is divided.
[Note cephalic vein in delto-pectoral groove].
1. Deltoid muscle; 2, cephalic vein; 3,pectoral major
muscle; 4, tumor or cancer. [cont.]
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