As we mentioned earlier, some benign breast nodules also require surgery, but many patients are concerned that “I have multiple nodules, will my breasts be covered with scars if I have surgery?” In fact, there are many minimally invasive breast surgery methods available, including minimally invasive rotational mastectomy, which is ideal for the management of benign nodules.
Who is suitable for Minimally Invasive Rotational Excision?
Patients who also meet the following three criteria are suitable for minimally invasive rotational mastectomy treatment.
1. When two or more of the imaging tests, such as ultrasound, mammography and MRI, suggest benign breast nodules;
2, where multiple, scattered, tiny in size, deeper in position to touch, and nodules are generated in both glands. Traditional surgery to remove the above-mentioned types of breast nodules is difficult and extremely damaging to the breast. Minimally invasive surgery can be performed under ultrasound guidance, so it is more suitable for the treatment of multiple, scattered and deep nodules;
3. Nodules <2.5 cm. Coupled with the negative pressure suction of the rotary cutter can completely suck nodules within 2.5 cm in diameter into the groove to ensure clean and complete excision.
If the nodule is located behind the nipple or too close to the nipple, it is not suitable for rotary cutter surgery. If the nodule is located behind the nipple or too close to the nipple, it may be less suitable for rotary incision.
How to do the minimally invasive circumferential surgery?
Before treatment, the surgeon will use ultrasound to fully examine the patient’s breast, mark the location of all nodules, record the number of nodules, and understand the vascularity of the nodules.
2. Based on the pre-operative imaging, the procedure is designed to treat the most nodules with the fewest number of puncture points.
3.The surgery is performed under local anesthesia.
4.The tunnel needle is operated under real-time guidance and monitoring of ultrasound during surgery to ensure accurate positioning, avoid excessive removal of normal breast tissue, and prevent deformation of the breast after treatment.
5.The tunnel needle draws the nodule into the rotary cutter slot for removal by vacuum attraction. Smaller nodules (<1 cm) can usually be removed all at once by suction, while larger nodules need to be removed in multiple passes. The excised worm-like mass is then transported outside the patient's body through the running tube of the rotary cutter needle and sent to the pathologist for further diagnosis.
6. After treatment, ultrasound is used to observe whether there is a more obvious hematoma formation, and if so, the bleeding can be stopped in time.
Precautions before surgery
1.The operation should be avoided during menstruation;
2. Routine blood tests, coagulation time, electrocardiogram, etc. should be done before surgery;
3.Eat lightly before surgery;
4.Bring all previous examination reports, including: ultrasound, mammogram, MRI, etc.
Postoperative precautions
1.Take oral antibiotics for 3 days;
2.The doctor will help the patient to put on a band-aid and wrap the elastic chest band after the operation. The elastic chest band should be used for 2~3 days to prevent hematoma from occurring in the wound area. Patients should not open the band during this period, otherwise hematoma will easily occur;
3, after surgery to keep the wound clean and dry, generally within 2 days after surgery to the hospital to change the medicine once. 5 ~ 7 days can be bathing;
4, generally about 7 working days after surgery, out of the pathology results;
5.Two ways to get outpatient medical records.
①After 10 working days, you can go to the first basement of the hospital to copy the medical records directly;
After 10 working days, you can register at the outpatient clinic and tell the registration staff that you want to pick up the outpatient medical records, then someone will send the medical records to the office of the doctor you registered with.
6. Benign lesions also have the possibility of recurrence. Self-examine once after each menstruation. Follow up at the hospital outpatient clinic 3-6 months after surgery, and if there is no problem, insist on routine ultrasound examination once a year.
After knowing so much, many patients still have a lot of worries about many post-operative problems, such as can rotary cutter minimally invasive surgery remove the swelling cleanly? If it is malignant, will it cause spread? Will it have any effect on future breastfeeding?