Friday, January 16, 2015

Breast Surgery breast biopsy


Breast Procedures
Breast Biopsy
Objective
Removal of tissue to determine the nature of a breast lesion:
•   When the lesion is not palpable prior to the biopsy procedure the patient is taken to the radiology department where hooked needles are inserted into the breast under imaging techniques to localize the lesion.
•   In some facilities a stereotactic guided needle biopsy may obviate the need for open surgical biopsy.
     A frozen section
 can be performed on the specimen immediately if indicated.
Procedure
1.  The incision is generally made over the lesion. For central lesions, a circumareolar incision may be employed.
2.  The lesion is grasped and dissected free. The specimen may be sent for a frozen section.
3.  After hemostasis is obtained, a drain may be inserted.
4.  Subcuticular tissue is approximated.
5.  Skin is closed with fine subcuticular suture or fine interrupted skin stitches.
Position
Patient is supine with arm on the affected side extended on an armboard; the other arm may be tucked in at the patient’s side. Apply electrosurgical dispersive pad.
Anesthesia
Local or general anesthesia.
Instruments
•   Electrosurgical unit
•   Basic/Minor procedure tray
•   General set if lesion is large.
Any questions be sent to drmmkapur@gmail.com
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