1. Why do I need a lactoscopy for nipple discharge?
The mammary gland is the lactating organ of women. Under normal circumstances, it secretes milk only during lactation and generally does not secrete fluid during non-lactation periods. Clinically, the incidence of nipple overflow during non-lactation is about 5-8%. There are many causes of nipple discharge, which can be physiologic or pathologic. Certain systemic diseases can cause nipple overflow, such as pituitary tumors, hyperthyroidism or oral hormonal drugs; non-neoplastic breast diseases such as ductal dilation of the breast; and neoplastic or tumor-like lesions of the breast such as intraductal papilloma and breast cancer can cause nipple overflow.
In the past, clinical diagnosis was aided by techniques such as overflow smear pathology, mammography and biochemical examination of overflow, and if the diagnosis could not be confirmed, surgical methods were used to remove the biopsy. In this process, patients have to bear a lot of psychological pressure and economic burden.
Our breast center has introduced foreign advanced fiberoptic duct endoscopy technology referred to as lactoscopy, which can diagnose and treat nipple overflow both quickly and accurately. It is a miniature endoscope with a diameter of only 0.42 mm, which is inserted into the milk duct through the small hole where the patient’s nipple overflows, and the doctor can observe the lesion in the milk duct at a glance with the help of the ductoscope. biopsy. The technique is simple, safe and less painful for the patient.
Ductoscopy is a cost-effective clinical technique that allows patients to avoid unnecessary surgery and save money.
2.What are the advantages of the Mammotome minimally invasive breast rotation system?
Traditional open biopsy surgery causes physical and psychological damage to the patient due to large incisions, slow recovery, and scars on the breast surface after surgery. As the standard of living and quality of life improve, the demand for more minimally invasive and precise medical technology has become a trend. The minimally invasive breast rotational therapy system is designed for the diagnosis and treatment of breast diseases based on more accurate diagnosis and minimally invasive purpose, and has become a symbol of the development of minimally invasive breast treatment technology today. Through the guidance of B-ultrasound and the principle of combining vacuum suction and rotary cutting, the breast minimally invasive rotary cutting system only requires a 0.3-0.4 cm incision to obtain a sufficient amount of specimen for the purpose of biopsy.
3.What are the indications for the minimally invasive rotary mastectomy treatment system McMurdo,?
1, clear diagnosis – to exclude or determine malignant lesions, preoperative treatment plan development instead of frozen section, SLN,T3 neoadjuvant treatment before, to avoid unnecessary surgery.
2, Minimally invasive surgery for benign lesions – Minimally invasive excision surgery for fibroadenomas under 2.5 cm, tiny calcifications, asymmetric density, multifocal lesions. It leaves no scar on the surface of the breast and has a better cosmetic effect on young women.
4.Characteristics of the minimally invasive McMurdo rotary excision system
1.Surgery can be performed on an outpatient basis, only local anesthesia is needed, the operation time is short, and you can go home after the operation
2.Little bleeding during the operation, only a very small incision, no scar after the operation, minimal trauma to the patient. One
3.Only one puncture is needed, no contamination of the traumatic tract, little pain during the operation and fast recovery time.
4.No scar on the breast surface after surgery, good cosmetic effect, especially suitable for yellow people who are easy to produce scars.
5.Puncture positioning requirements are not as strict as hollow needle puncture, and it is easier to position the clinically untouchable masses.
6.The sample taken by one puncture is 8 times that of the hollow needle, which reduces the false negative rate and can meet the pathological diagnosis needs.
7.Benign lesions below 2.5 centimeters can be removed, making the surgery easier.
The minimally invasive rotary mastectomy system is gradually replacing open biopsy surgery as the trend in the development of breast treatment technology because it adapts to the psychological pursuit of beauty and faster recovery to the high paced modern life of most breast patients nowadays, and is accepted by more and more patients and doctors.
5.What outpatient procedures can be done on an outpatient basis?
Common breast surgeries include mastectomy, segmental mastectomy, simple mastectomy, radical mastectomy, breast augmentation, nipple deformity correction, etc. Mastectomy and segmental mastectomy are the most common outpatient surgeries in breast surgery because they are less invasive and do not require special care after surgery.
6.Where is the incision of the surgery and is there a big scar?
There are incisions such as areolar incision, inframammary wall incision, radial incision and breast contour incision. The surgeon chooses according to the lesion site and aesthetic concept. The correct incision can make the post-operative scars inconspicuous or in a range that does not affect the aesthetics.
7.When can I recover after the surgery?
Breast outpatient surgery causes little damage to the patient, little physiological interference, and bleeding is generally less than 10 ml. If you are not engaged in an occupation with frequent upper arm activity, you can resume normal work and life after surgery. If the upper arm is more active, you need to rest for 3 days.
8.Do I have to avoid eating after surgery?
Breast outpatient surgery is physiologically disturbing to the patient and does not involve the gastrointestinal tract. There are no special requirements for the patient’s diet before and after surgery, but certain drugs may cause prolonged suspicion of blood or secondary bleeding after surgery, postoperative alcohol consumption, fried foods, chili peppers and other irritating foods may not be conducive to wound healing and need to be avoided.
9.Why should the specimen be tested for pathological examination after surgery?
Pathological examination is necessary after excision of pathological specimens, because clinical examination, ultrasound, mammography and other examinations have a certain misdiagnosis rate, while pathological examination is diagnostic at the cellular and molecular level, which can achieve the purpose of confirming the diagnosis.
10.What is the difference between general surgery and fine surgery?
With the progress of science and technology and the awakening of people’s aesthetic consciousness, plastic surgery technology, minimally invasive surgery technology and new materials are constantly applied to breast surgery, and breast surgery is gradually developing from ordinary to fine, in order to achieve better aesthetic results and less trauma; the following is a comparison between ordinary and fine outpatient breast surgery.
Comparison of outpatient general surgery and fine surgery
General surgery
Fine surgery
Anesthesia
Lidocaine, analgesic time about 1 hour
New anesthetics, analgesia for more than 24 hours
Incision
Radial incision, postoperative scars are obvious
Pigmented masking incision, concealed incision, contouring incision, inconspicuous postoperative scar
Hemostasis
Hemostasis by traditional methods such as local epinephrine, ligation, and pressure
Minimal foreign body retention and minimal tissue reaction can be achieved by using bipolar electrocoagulation for hemostasis
Sutures
Ordinary silk sutures with foreign body retention
Imported absorbable sutures, no foreign body retention after 2-3 months of suture absorption
Skin suture
Ordinary silk suture, need to fold, scar is obvious
Imported absorbable suture, no need to fold, scar is not obvious
Cost
300-500RMB/session
700-1000RMB/time
11.What is scarless surgery about?
The methods to reduce the aesthetic impact of breast scars on the breast are mainly achieved through pigmented masking incisions, concealed incisions and breast contour line incisions. The pigmented masking incision is made by removing the diseased tissue through an incision at the junction of the areola and the skin. In the future, when the scar is close to the color of the areola after the wound has grown, the pigment of the areola will mask the incision scar and achieve the effect that the surgery is almost invisible. Concealed incisions are made in the armpit, the inframammary fold wall, etc., so that the future scars are hidden by the sagging breast tissue and upper limbs. Breast contour line incision is made on the contour line and the scar overlaps with the contour line after surgery to achieve the purpose of faking it.
With the use of Mammotome and breast lumpectomy techniques, minimizing post-operative scars to the point of being aesthetically unobtrusive is changing from a dream to a reality.
The Chinese translation of Mammotome is called the Minimally Invasive Breast Rotation System. It delivers surgical instruments to the breast lesion through an incision the size of a chopstick head, and uses a combination of vacuum suction and rotary incision to remove the lesion and remove the specimen. The procedure is performed under local anesthesia and is short, safe and accurate. The post-operative scars are very small.
Breast lumpectomy is performed by making two 0.5 cm incisions in the armpit, inserting a viewing scope and surgical instruments, and removing the lesion from behind the breast. The surgery is performed under a scope that is magnified several times, allowing for a clear view of very fine structures, reducing side injuries and unnecessary excisions, with little intraoperative bleeding, and allowing for a return to normal life after surgery.