Women often go to doctors with suspected tightness in the chest. There are many neoplasms in which sectoral breast resection is indicated. Such an operation allows you to save the organ by removing only a small area of glandular tissue. When a sectoral resection is carried out, and what may be the consequences should be considered in more detail.
Removal or sectoral resection?
The life of the patient may depend on the timely treatment of tumors in the mammary gland. A woman is prescribed radiation therapy, chemotherapy, sectoral resection or mastectomy. Patients often ask whether it is possible not to remove the breast, but to cut out only the area with the neoplasm. But, unfortunately, this is not always possible.
A mastectomy (removal of the mammary gland) is inevitable if the tumor occupies more than one quadrant of the breast, if it has not responded to radiation or chemotherapy, if cancerous tissue remains after sectoral resection. But you can be sure that if the doctor sees an opportunity to save the breast, then you will be assigned a sectoral breast resection, rather than a complete removal.
Indications for
Removal of the breast sector can be prescribed in the diagnosis of benign and malignant tumors. Benign tumors include:
- fibroadenoma;
- cyst;
- external and intraductal papilloma;
- mastopathy
- lipoma and others.
Malignant tumors include:
- adenocarcinoma;
- carcinoma;
- Paget cancer (swelling of the nipple and areola);
- sarcoma and other species.
An effective sectoral resection for cancer can be performed under the following conditions:
- the process is at an early stage;
- the tumor is located in the upper outer quadrant;
- confirmed the absence of metastases;
- the size of the mammary gland is sufficient for the operation;
- it is possible to continue treatment with radiation therapy.
In addition, breast resection, sectoral surgery, and can be performed in chronic mastitis and other purulent processes.
What can be the complications
The reaction of each organism to operations is individual. After a few days, someone forgets about the intervention, while the rehabilitation process is delayed and complicated for someone.
The most common complication is inflammation at the incision site. After sectoral resection of the mammary gland, an infection could have been introduced into the wound due to the use of non-sterile dressings, poor skin handling or touching with dirty hands. To prevent inflammation and suppuration in the incision area, antibiotics are prescribed to patients. If the purulent process has nevertheless begun, then the wound is opened, treated and drainage is established.
The next possible complication is the appearance of compaction in the mammary gland. Most often, compaction is an accumulation of blood. To make sure that this is a blood clot, the doctor prescribes an ultrasound scan and warns the patient against the use of heating pads or compresses. To eliminate the seal (hematoma), the wound is opened, treated and drainage is established.
After a sectoral resection of the mammary gland, the consequences can be felt for quite some time. For example, the patient can feel pain from the growth of scar tissue up to two months. Doctors do not consider these pains as postoperative complications, but with frequent complaints they are required to prescribe a mammogram or ultrasound to clarify the cause.
What else could be the consequences
Even if the most gentle breast resection is performed, sectoral surgery can lead to a change in the shape of the breast. In addition, unattractive noticeable scars appear that give women a lot of experiences. As a result of removal of the glandular tissue sector, a nipple or crease may form in the nipple.
Many patients are very difficult to tolerate the loss of external attractiveness. Before the operation, they examine how a sectoral resection of the mammary gland looks (photo), as a result, they get upset, lose their appetite and sleep. After surgery, some patients become depressed. This condition is dangerous, because a woman loses interest in life and does not want to take up her health anymore. But, after talking with an experienced doctor, every woman is able to understand that her life is more valuable than a beautiful breast.
How is the postoperative period
After the patient has received a sectoral resection of the mammary gland, the postoperative period is observed in a hospital under the supervision of specialists. With good health and the absence of complications, a woman can be discharged after 2-3 days. Prior to this, the doctor conducts examination, treatment and dressing of the wound.
If necessary, the patient is prescribed painkillers. During the prescribed period, antibiotics are taken. Sutures are removed 7-10 days after resection.
How to carry out rehabilitation
The condition of the mammary glands directly depends on the general health of the woman's reproductive system. Most neoplasms occur against the background of organ inflammation in the pelvis. Most often, a woman has endometrial hyperplasia, uterine fibroids or fibroids, an irregular monthly cycle, cyst, or infertility. In addition, neoplasms can occur due to pathologies of the thyroid gland or liver.
Postoperative rehabilitation is built for each patient according to an individual scheme, taking into account concomitant diseases. Most often, the list of events includes:
- treatment of gynecological diseases;
- normalization of hormonal balance;
- selection of contraception methods;
- diet correction;
- intake of vitamins;
- holding consultations of specialized specialists.
If the patient is acutely experiencing a change in the shape of the breast, then it is advisable to undergo a course of psychotherapy.
Is breast plastic surgery possible after resection?
Often, after complete healing of the surgical scar, a woman realizes that she does not need plastic surgery. But, if the patient wants to recreate the appearance of the breast, then after a while she can go to a plastic surgeon.
The clinic can carry out:
- implant placement procedure;
- breast reconstruction with a tissue flap;
- breast restoration with a musculocutaneous site taken from the abdomen;
- reconstruction of a segment of the latissimus dorsi;
- restoration with a gluteal flap.
Patient reviews for sectoral breast resection
Removal of benign neoplasms in the chest, through surgery, is called sectoral resection of the mammary gland. The responses of the operated patients vary, since in each individual case, the outcome of the operation depends on numerous factors, including the individual characteristics of the patient's body.
If in some women, recovery after breast resection is quick, then for others this process can turn into a number of complications.
If there are instructions for such an operation, first of all you need to be in a positive mood, as the excitement and stress in this situation is useless. To avoid possible complications, you need to carefully prepare for the resection: take all the necessary tests, take sedatives a day before the operation and follow the doctor’s recommendations after surgery.
According to patient reviews, in most cases, sectoral breast resection is successful, without complications. This operation allows you to maintain the health of women.