Mastectomy

A mastectomy is the surgical removal of a breast. The doctors most commonly treat breast cancer with surgery. Possible effects of a mastectomy include: wound infection, hematoma (blood trapped in the wound), seroma (clear fluid trapped in the wound), lymphedema, temporary to permanent limitations of arm/shoulder movement. If lymph nodes are removed during the operation, numbness in the upper-arm skin and phantom breast pain may occur.

Following a mastectomy, immediate or delayed breast reconstruction is possible in many instances. Often modified radical mastectomy patients may undergo breast reconstructive surgery during the same operation to remove the breast. This is advantageous because patients do not wake up to the "shock" of losing a breast and they may avoid additional reconstructive surgery. This also has disadvantages such as patients may find it emotionally difficult to weigh all of their reconstructive options while also dealing with their recent breast cancer diagnosis and treatment alternatives. Also, occasionally there may be complications with reconstructive healing that interfere with chemotherapy or radiation treatment, if needed.

Procedures
  A. General Surgery
    1. Laparoscopic Surgery
      a. Exploratory
      b. Appendix
      c. Hernia
      d. Gallbladder
      e. Colon
      f. Hiatal Hernia
    2. Conventional Surgeries
      a. Hernia Repair
      b. Colon
      c. Stomach
      d. Appendix
      e. Thyroid
      f. Soft Tissue Masses and Skin Lesions

  B. Vascular Surgery
    1. Repair of abdominal aortic aneurysm (AAA)
    2. Bypass surgery of extremities
    3. Carotid endarterectomy (CEA)
    4. Creation of arterio-venous fistulas
    5. Placement of central lines

  C. Varicose Vein Treatment
    1. TIPPS (Trans-Illuminated Powered Phlebectomy)
    2. SEPS (Subfascial Endoscopic Perforator Surgery)
    3. Deep venous thrombosis

  D. Breast Disease Management
    1. Evaluation of breast lumps (solid or cystic)
    2. Cyst aspirations
    3. Fine-needle aspiration of solid breast lump
    4. Stereotactic breast biopsy
    5. Sentinel lymph node biopsy
    6. Conventional biopsy
    7. Lumpectomy
    8. Mastectomy

  E. Gastric Bypass (Bariatric Surgery)

  F. Wound Management and Treatment

  G. Thoracic surgery
    1. Chest tube placement
    2. Removal and biopsy of nodules in lung and mediastinum
    3. Lobectomy

  H. Vascular Laboratory


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