Mastectomy Modified Radical Patient Education Medical Videos

Mastectomy Modified Radical Patient Education Medical Videos


Your doctor has recommended that you have
radical mastectomy. But what does that actually mean? Radical Mastectomy is the removal of
the breast and surrounding tissue. In most
cases, mastectomy is required in order to remove cancerous tissue from the body. The extent of tissue removed is determined
by the amount of cancer present in your body. A Radical Mastectomy is the most extensive
form of breast cancer surgery. It calls for the complete removal not only of the breast,
but also of the lymph nodes, as well as part or possibly all of the chest muscle that lies
underneath the breast. Lymph nodes are small junctions that join
the vessels that make up the lymphatic system. The lymphatic system circulates a bodily fluid
called lymph in the same way that the circulatory system carries blood. Your doctor has recommended that you undergo
a radical mastectomy because the cancer in your breast may have begun to move into the
lymph nodes under your arm as well as into your chest muscle. This procedure may result in the loss of some
muscle strength in the arm on the effected side of the body and will permanently change
the outward shape and appearance of your chest. So make sure that you ask your doctor to carefully
explain the reasons behind this recommendation. On the day of your operation, you will be
asked to put on a surgical gown. You may receive a sedative by mouth and an
intravenous line may be put in. You will then be transferred to the operating
table. In the operating room, a nurse will begin
preparation by clipping or shaving your underarm. The anesthesiologist will begin to administer
anesthesia – most probably general anesthesia by injection and inhalation mask. The surgeon will then apply an antiseptic
solution to the skin and place a sterile drape around the operative site. Two incisions will be made beginning at the
middle of the chest one along the top and one along the bottom of the breast – coming
together just under the arm. The skin is then lifted up and away, revealing
the tissue underneath. Beginning at the clavicle – or collar bone
– the surgeon then begins to carefully cut the breast tissue away from the muscles that
lie just beneath. When the breast has been completely freed,
it is lifted away, exposing the top layer of muscle, called the pectoralis major. Your
doctor will remove this muscle. Below the pectoralis major lies another chest
muscle called the pectoralis minor. This muscle will also be removed, fully exposing the fatty
tissues that lie surround it. Within this fat deposit lie lymph nodes lymph
vessels, blood vessels and nerves. Using great care not to damage the large thoracic
nerve, your doctor will remove the lymph nodes and surrounding fat. Blood vessels will be tied off and your doctor
will thoroughly examine the surrounding tissues for any other signs of disease. When the surgical team is satisfied that they
have done all that they can to remove the cancer, they will release the muscles and
other tissue. One or more drainage tubes will be temporarily
inserted at the site while the healing process begins. They will then close the incision. Finally, a sterile bandage is applied.

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