Complications after Mastectomy through Axillary Dissection in Females Presenting with Carcinoma of Breast
Author(s)
Dr.Abdur Rehman Alvi , Dr. Farhan Tahir , Dr.Mobeen Adnan ,
Download Full PDF Pages: 16-23 | Views: 694 | Downloads: 159 | DOI: 10.5281/zenodo.3456941
Abstract
Axillary lymph node dissection is commonly performed as part of the primary management of breast carcinoma. Its value inpatient management, however, has recently been questioned. Few studies exist that document long term complications. In spite of complications it causes, its use in prognostication and planning adjuvant treatment in carcinoma breast is unquestioned.
This descriptive design study has been performed at the Department of Surgery, DHQ Hospital, Gujranwala and its’ basic objective is to assess the complications after mastectomy through the axillary dissection in females presenting with carcinoma of the breast.
Total 80 females fulfilling the inclusion criteria were enrolled in the study from the Ward of Department of Surgery, DHQ Hospital, Gujranwala. Informed consent was obtained and the demographic profile was noted. Then all females undergo mastectomy by using axillary dissection under general anesthesia. All surgeries were performed by a single surgical team under the supervision of a supervisor to control bias. After surgery, females were shifted toward and discharged from there. Then females were followed-up in OPD for one month. After one month, females were asked for complications i.e. numbness, pain, swelling, infection, and limited movement. If females reported about these symptoms, then complications were noted.
Mean age of women in this study was 49.99±12.15 years. In 38(47.5%) women stage-I was diagnosed and 42(52.5%) women were diagnosed with stage-II. There were 38(47.5%) women who had reported numbness, 40(50%) women had pain, 42(52.5%) had swelling, 31(38.8%) women had limited movement of the shoulder and 52(65%) women suffered from infection.
Results of this study showed that there are certain complications after mastectomy through the axillary dissection in females. So concern regarding serious sequelae from axillary lymph node dissection should not be a major factor in treatment decisions.
Keywords
Complications, Mastectomy, Axillary dissection, Carcinoma, Breast
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