is a surgical procedure that removes cancer

or other abnormal tissue from the breast

and some normal tissue around it, but not
the breast itself. Some lymph nodes under
the arm may be removed for biopsy. Part
of the chest wall lining may also be
removed if the cancer is near it. Also called
breast-conserving surgery, breast-sparing
surgery, lumpectomy, quadrantectomy, and
segmental mastectomy
 Risks
• bleeding
• infection
• pain, swelling, or tenderness near the incision site
• formation of hard scar tissue at the surgical site
• shoulder pain and stiffness
• numbness, under the arm due to lymph node removal
• buildup of blood in the surgical site
Complications
Infection
lympedema
seroma
Stop taking aspirin or other
blood
Don't eat or drink 8 to 12 hours
before surgery
Prepare for a hospital stay
It usually takes one to three hours.
The patient will probably meet the anesthesiologist before the
surgery to talk about the medical history, any allergies she may
have, and the plan for administering anesthesia during the
surgery.
The surgeon or their assistant may draw markings on the breast
that show where the incision will be made.
The patient will be sitting up while this happens so that the
natural crease of your breast can be marked.
 During the surgery, the surgeon separates the breast tissue
from the skin and muscle. All the breast tissue that the surgeon
can see — which lies between the collarbone and ribs, from
the side of the body to the breastbone in the center — is
removed. The breast tissue and lymph nodes that are removed
will be sent to a laboratory for analysis.
As the surgery is completed, the incision is closed with stitches
(sutures), which either dissolve or are removed later. The
patient might also have one or two small plastic tubes placed
where the breast was removed. The tubes will drain any fluids
that accumulate after surgery. The tubes are sewn into place,
and the ends are attached to a small drainage bag.
The patient may expect to:
Be remain in the hospital for 1 or 2 days typically
Be taken to a recovery room where your blood pressure,
pulse and breathing are monitored
Have a dressing (bandage) over the surgery site
Feel some pain, numbness, and a pinching sensation in your
underarm area
The patient may expect to:
Receive instructions on how to care for yourself at home,
including taking care of their incision and drains, recognizing
signs of infection, and understanding activity restrictions
Talk with their health care team about when to resume
wearing a bra or wearing a breast prosthesis
Be given prescriptions for pain medication and possibly an
antibiotic.
Pre- operative Nursing
Responsibilities
Implement an ambiance of concern, openness, and
availability, as well as privacy for patient.
Encourage questions and provide time for expression
of
fears.
Consider reports of pain and stiffness, noting location,
duration, and intensity (0-10 scale). Note reports of
numbness and swelling.
Facilitate patient to find position of comfort.
Provide basic comfort measures (repositioning on
back or
unaffected side, back rub) and diversional activities.
Encourage early ambulation and use of relaxation
techniques.
Post- operative Nursing
Responsibilities
Stress proper handwashing technique.
Encourage to eat vitamin C rich foods
Instruct the patient to avoid strenuous activity, heavy
lifting, and vigorous
exercise.
Emphasized necessity of taking antibiotics as directed.
Closely observe and instruct to report signs and
symptoms of infection
Inspect the wound for swelling, unusual drainage, odor,
redness, or separation of the suture lines.
Facilitate passive ROM (flexion and extension of elbow,
pronation, and supination of wrist, clenching and
extending fingers) as soon as possible.
Help with self-care activities as necessary.
Assist with ambulation and encourage correct posture.
Jill Rae L. Consolacion
Group 2- Panacea