HOW I DO IT / HOW I DID IT SURGICAL PROCEDURES

TOTAL MASTECTOMY

Operative Technique:

§      Patient supine under GA

§      Asepsis- Antisepsis technique done

§      Sterile drapes placed

§      A Transverse elliptical incision done on the skin carried down to the subcutaneous tissue

§      Sharp and Blunt dissection done to liberate the whole breast tissue up to the subclavicular-superiorly; subcostal-inferiorly;  sternum-medially and from the lateral border of the latissimus dorsi-laterally.

§      Dissection of fascis ovelying the major pectoral muscle from the sternum to the lateral border by sharp and blunt dissection

§      Perforating branches of the intramammary artery and vein identified and ligatedLigation of bleeders done

§      Intra op findings noted

§      Closure done by simple interrupted sutures using Chromic 2-0

§      Skin closed by subcuticular sutures using Vicryl 5-0

§      Dry Sterile Dressing  applied

§      Patient tolerated the procedure well

§      Post-op condition- stable