Free Breast Cancer OPD – Early detection is the best protection!!

 

 

Early detection is your Best Protection!!

 

breast cancer

 

 

Initiative by:

Dr. Rohan Khandelwal

Department of Breast Diseases & Cancer Care

W Pratiksha Hospital, Gurgaon

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Seroma formation – a common complication of axillary surgery

A seroma is accumulation of clear fluid in the body after surgery. It is a common complication which can occur in the underarm area (axilla) after breast or axillary surgery. In fact, axillary seromas have been seen even after axillary lymph node biopsy or sentinel lymph node biopsy for breast cancer

To prevent seroma formation, surgeons insert drains after breast and axillary surgery ( both cancerous and non cancerous). Drains are usually removed once the output falls below 40 cc for two consecutive days. Early removal of drains is a common cause which can predispose to seroma formation after breast cancer surgery. 

Patients usually develop fluid collections within 5-7 days after surgery and they present with pain and swelling in the axillary region. Diagnosis of a seroma can be made by your breast cancer surgeon and in case of any doubt, an axillary ultrasound can confirm the diagnosis (image)

Axillary Seroma

Axillary Seroma

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Management of an axillary seroma is relatively simple. They can be aspirated under local anaesthesia. Patients might require 2-3 aspirations before the seroma subsides.

Sometimes fluid collections can become infected and can give rise to pus formation in the axillary region. These situations can be avoided if seromas are detected and aspirated in time.

 

 

Information provided by:

Dr. Rohan Khandelwal

Consultant, Breast Surgeon

W Pratiksha Hospital, Gurgaon

Fat Grafting – a novel technique for breast augmentation

Autologous fat grafting (fat transfer) is a technique in which fat is harvested from the patient using liposuction and after centrifuging, this fat is introduced in the sub-dermal and retro-glandular portions of the breast to augment the breast.

This technique has also been used to fill up post lumpectomy defects following breast conservation surgery for breast cancer.

Advantages of the procedure:

  1. No foreign material or implant is used
  2. Double benefit of liposuction from the donor site
  3. Relatively cheap as compared to an implant based reconstruction
  4. Day care procedure
  5. Natural feel & contour of the breast

 

Potential Drawbacks:

  1. Only 70-80% of fat cells transferred by this technique survive, therefore, there is some amount of volume reduction after the procedure. In some cases, multiple sittings might be required to achieve the desired results.
  2. As these fat cells die, they can sometimes give rise to calcifications, which can be confused for malignant/benign lesions on a mammogram
  3. Haematomas & bruising in the immediate post-op period

 

The following video demonstrates a case of primary breast augmentation using fat grafting: