By Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM (auth.), Brendon J. Coventry (eds.)
Written by means of the world over acclaimed experts, Breast, Endocrine and Surgical Oncology provides pertinent and concise technique descriptions spanning benign and malignant difficulties and minimally invasive systems. problems are reviewed while applicable for the organ process and challenge, making a publication that's either finished and available. phases of operative ways with appropriate technical concerns are defined in an simply comprehensible demeanour. The textual content is illustrated all through by way of photos that depict anatomic or technical principles.
Forming a part of the sequence, Surgery: issues, hazards and Consequences, this quantity Breast, Endocrine and Surgical Oncology provides a beneficial source for all normal surgeons and citizens in education. different healthcare companies also will locate this an invaluable resource.
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Additional info for Breast, Endocrine and Surgical Oncology
2. Complications overall are not very common. Development of a large postoperative hematoma is a significant complication (Figs. 3). Infection and prolonged drainage can be significant and may result in cosmetic problems. Failure to diagnose the abnormality can also occur. Cosmetic defects are rarely troublesome. However, all may require further surgery and this can be significant, resulting in further hospitalization. Often, after surgery a mass may be palpable due to scarring and seroma formation and may persist for up to 6 months postoperatively while the scar is remodeling.
Some patients may temporarily experience heightened sensation of the nipple, if retained, but this usually resolves. Numbness or paresthesias of the nipple are also possible. If immediate reconstruction is done, these complications need discussion and consideration (see various forms of reconstruction). The axilla complications are not present as axillary surgery is not typically included. Infection is uncommon. Major Complications A large hematoma may require evacuation and control of the bleeding with further surgery.
Despite the extent of surgery, major complications are usually not severe or frequent, and are mostly related to the axillary surgery. Hemorrhage after mastectomy is usually caused from perforating vessels that retract into the pectoralis muscle and then rebleed when the patient coughs or moves. Seroma is fairly common and usually occurs within the first postoperative week, after the drains are removed. Small seromas may resolve, but larger seromas may need aspiration or the drain replaced. Lymphedema of the arm is a complication of axillary clearance that occurs in 3–80 % of patients who undergo axillary dissection.
Breast, Endocrine and Surgical Oncology by Brendon J. Coventry BMBS, PhD, FRACS, FACS, FRSM (auth.), Brendon J. Coventry (eds.)