Women often go to the doctor with suspicions of breast induration. There are many neoplasms in which sectoral resection of the mammary gland is indicated. Such an operation allows you to save the organ by removing only a small area of glandular tissue. When is a sectoral resection performed, and what may be the consequences, it is worth considering in more detail.
Removal or sectoral resection?
The patient's life may depend on the timely treatment of tumors in the mammary gland. The woman is prescribed radiation therapy, chemotherapy, sectoral resection or mastectomy. Patients often ask if 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.
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, thenyou will be scheduled for a sectoral breast resection, not a complete removal.
Indications for conduction
Removal of the breast sector can be prescribed for 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's cancer (tumor of the nipple and areola);
- sarcoma and other types.
Effective sectoral resection for oncological diseases can be performed under the following conditions:
- process is at an early stage;
- the tumor is localized in the upper outer quadrant;
- confirmed absence of metastases;
- the size of the breast is sufficient for the operation;
- it is possible to continue treatment with radiotherapy.
In addition, breast resection is a sectoral operation, and can be performed for chronic mastitis and other purulent processes.
What could be the complications
The reaction of each organism to the operation is individual. Someone forgets about the intervention after a few days, for someone the rehabilitation process is delayed and complicated.
MostA common complication is inflammation at the incision site. After a 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 preparation, or touching with dirty hands. To prevent inflammation and suppuration in the incision area, patients are prescribed antibiotics. If the purulent process has nevertheless begun, then the wound is opened, treated and drained.
The next possible complication is the appearance of a seal in the mammary gland. Most often, the seal turns out to be an accumulation of blood. To make sure it is a blood clot, the doctor prescribes an ultrasound, and warns the patient against using heating pads or compresses. To eliminate the seal (hematoma), the wound is opened, treated and drained.
After a sectoral resection of the mammary gland, the consequences can be felt for quite a long time. So, for example, the patient can feel pain from the growth of scar tissue for 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 sparing resection of the mammary gland is performed, sectoral surgery can lead to a change in the shape of the breast. In addition, unattractive noticeable scars appear, which give women a lot of experiences. As a result of the removal of a sector of glandular tissue near the nipple,create a depression or crease.
Many patients are very hard to bear the loss of external attractiveness. Before the operation, they consider what a sectoral resection of the mammary gland looks like (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 care of her he alth anymore. But, after talking with an experienced doctor, every woman is able to understand that her life is more valuable than beautiful breasts.
How is the postoperative period
After the patient has undergone a sectoral resection of the mammary gland, the postoperative period is observed in the hospital under the supervision of specialists. With good he alth and no complications, the woman can be discharged after 2-3 days. Prior to this, the doctor examines, treats and bandages 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 rehab
The condition of the mammary glands directly depends on the overall he alth of the woman's reproductive system. Most neoplasms occur against the background of inflammation of the organs in the small pelvis. Most often, a woman has endometrial hyperplasia, fibromyoma or uterine myoma, an irregular monthly cycle, a 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 contraceptive methods;
- correction diet;
- taking vitamins;
- consultation 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 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 turn to a plastic surgeon.
The clinic can do:
- implant placement procedure;
- tissue flap breast reconstruction;
- restoration of the breast with a musculoskeletal site taken from the abdomen;
- reconstruction with a segment of the latissimus dorsi muscle;
- gluteal tissue flap reconstruction.
Patient feedback on sectoral breast resection
Removal of benign neoplasms in the breast, with the help of surgical intervention, is called sectoral resection of the mammary gland. Reviews of 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.
While some women recover from breast resection quickly, for others this process can result in a number of complications.
If there are prescriptions for such an operation, first of all you need to positively tune in, since excitement and stress in this situation are useless. To avoid possible complications, you need to carefully prepare for resection: pass all the necessary tests, take sedatives the day before the operation and follow the doctor's recommendations after surgery.
As evidenced by patient reviews, in most cases, sectoral resection of the mammary gland is successful, without complications. Such an operation allows you to save the woman's he alth.
