Our Summary
This study looked at two different methods of stitching up patients after a certain type of breast cancer surgery, known as a modified radical mastectomy with axillary lymph node dissection. One method involved a specific type of stitching called quilting and the use of a drain in the armpit area, while the other method used regular stitches and two drains (one in the armpit and one in the chest area).
The researchers found that the quilting method was more effective in reducing the formation of seroma, which is a pocket of clear bodily fluids that can form after surgery. It also resulted in a shorter time for the seroma to heal and a shorter hospital stay. There was no significant difference in other complications between the two groups.
Therefore, the study suggests that the quilting method should be used as a standard procedure after this type of breast cancer surgery.
FAQs
- What is a modified radical mastectomy with axillary lymph node dissection?
- What advantages does the quilting method of stitching have over the regular method after breast cancer surgery?
- Was there any significant difference in complications between the quilting method and regular stitching method?
Doctor’s Tip
It is important for patients who have undergone a radical mastectomy to follow their doctor’s instructions carefully, including proper wound care and physical therapy exercises to help regain strength and range of motion in the affected arm. Additionally, patients should continue to attend regular follow-up appointments to monitor for any signs of recurrence or complications. It is also important for patients to maintain a healthy lifestyle, including regular exercise and a balanced diet, to help promote overall healing and recovery.
Suitable For
Patients who are recommended radical mastectomy typically have a more advanced stage of breast cancer, where the tumor is larger or has spread to the lymph nodes. In these cases, a more aggressive surgical approach may be necessary to remove the cancerous tissue and prevent further spread of the disease. Radical mastectomy involves the removal of the entire breast, underlying chest muscles, and lymph nodes in the armpit area.
Patients recommended for radical mastectomy may include those with:
- Large tumors that cannot be effectively treated with less invasive surgeries
- Cancer that has spread to the chest muscles or lymph nodes
- Recurrent or persistent breast cancer after previous treatments
- Inflammatory breast cancer, a rare and aggressive type of breast cancer
It is important for patients to discuss their treatment options with their healthcare team, including the potential risks and benefits of radical mastectomy, to make an informed decision about their care.
Timeline
Before the radical mastectomy: The patient undergoes pre-operative consultations and tests to determine the extent of the cancer and the best course of treatment. This may include imaging tests, biopsy, and discussions with the surgical team.
Day of surgery: The patient is admitted to the hospital and undergoes the radical mastectomy procedure, which involves the removal of the breast tissue, lymph nodes, and possibly other surrounding tissues.
After surgery: The patient is monitored closely for any complications and may experience pain, swelling, and limited range of motion in the affected area. A drainage tube may be inserted to prevent the build-up of fluid in the surgical site.
Post-operative recovery: The patient is given pain medication, physical therapy, and instructions for wound care. Follow-up appointments are scheduled to monitor healing and address any concerns.
Long-term recovery: The patient may experience emotional and physical changes following the surgery, such as changes in body image, loss of sensation in the affected area, and potential complications like lymphedema. Support groups, counseling, and rehabilitation services may be recommended to help the patient cope with these changes.
Overall, the patient undergoes a significant physical and emotional journey before and after a radical mastectomy, and it is important for healthcare providers to provide comprehensive care and support throughout the process.
What to Ask Your Doctor
- What is a modified radical mastectomy with axillary lymph node dissection and why is it recommended for my condition?
- What is the purpose of using quilting stitches in the surgery and how does it differ from regular stitches?
- What are the potential benefits of using quilting stitches and a drain in the armpit area compared to regular stitches and two drains?
- Are there any risks or complications associated with using the quilting method?
- How will the quilting method affect my recovery time and hospital stay?
- Are there any alternative techniques or methods that could be considered for my surgery?
- Will I need any additional follow-up care or monitoring if the quilting method is used?
- How experienced is the surgical team in performing the quilting method for this type of surgery?
- Are there any lifestyle changes or precautions I should take after the surgery if the quilting method is used?
- Are there any additional resources or support services available to help me understand and cope with the surgical procedure using the quilting method?
Reference
Authors: Bhagchandani M, Shukla V, Maurya RK, Chaudhary A, Kumar K. Journal: Indian J Surg. 2023 Apr 6:1-6. doi: 10.1007/s12262-023-03756-6. Online ahead of print. PMID: 37361396