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Advanced General &
Minimal Access Surgeries

Surgical Oncology

NMC Surgical Oncology unit has state-of-the-art equipment and highly specialized professionals to diagnose and treat patients.

Multidisciplinary patient-care teams include internationally-renowned medical, hematological, radiation and surgical oncologists as well as nurse practitioners, nurse coordinators, research specialists, psychiatrists, social workers, patient advocates, nutritionists, pharmacists and genetic counselors.

Scope of services (sub specialties) of Cancer Clinic:

(A) Head and Neck Cancer Surgeries

  • Laryngectomy
  • Hypopharngeal resection
  • Salivary gland surgery
  • Surgery for soft tissue tumor in extremities, trunk, head and neck region

(B) Gastrointestinal Cancer surgeries – Open and Laparoscopic

  • Colon, stomach, pancreas and others

(C) Breast Cancer surgeries –

  • Axillary dissections
  • Sentinel Node Biopsy
  • Sentinel biopsy mastectomy (plus implant)

(D) Endocrine surgeries –

  • Laparoscopic adrenalectomy
  • Thoracoscopy & Thyroidectomy
  • Total thyroidectomy and neck dissection
  • Parathyroidectomy

(E) Gynecological cancer surgeries –

(F) Skin and Soft tissue surgeries –

  • Malignancies including management of melanoma and sentinel lymph node biopsy.

Surgical Procedures:

Breast Cancers

Mastectomy: Mastectomy is a surgery to remove the breast, usually performed to treat or prevent breast cancer. There are 4 main types of mastectomy depending on the stage of cancer, size of the breast tumor and lymph node involvement:

  1. Total mastectomy: In this procedure, all of the breast tissue, including nipple are removed.
  2. Modified radical mastectomy: It involves surgical removal of entire breast, lymph nodes under the arm, and the liningover the chestmuscles.
  3. Radical mastectomy: It is a surgical removal of the entire breast tissue, all the lymph nodes in the arm pit and chest muscles that lie under the affected breast. It is a rare procedure and is now only performed on patients who have advanced breast cancer.
  4. Nipple and Skin Sparing Mastectomy: This technique can be used in combination with the above surgeries to retain your natural skin and nipple. This can only be done when the tumor is at least 2 cms away from the tissue that is to be retained.

Indication

Mastectomy is recommended when your breast is affected with cancer or you have a high risk of developing breast cancer. Total mastectomy is usually indicated for patients with noninvasive breast cancer, Paget’s disease of the breast, or recurrent breast cancer.

Modified radical mastectomy is usually indicated for patients with early-stage breast cancer, locally advanced breast cancer (to shrink the tumor after chemotherapy), inflammatory breast cancer (mostly after chemotherapy), or Paget’s disease of the breast.

Procedure

Prior to your surgery, your nurse or surgeon will mark the area where the cut will be made. The procedure is performed under general anesthesia. The surgeon will make an oval shaped incision around the nipple, across the breadth of the breast. Depending on the type of mastectomy, the breast tissue underlying the skin will be removed, along with lymph nodes and the inner layer of muscle tissue. The surgeon will then insert surgical drains, (tubes to collect excess fluid) and close the incision.

Reconstruction

If you choose to rebuild your breasts after mastectomy, your plastic surgeon will perform a surgery called breast reconstruction. During reconstruction, your surgeon creates a breast mound using an implant or tissue flap taken from your stomach, thighs, back, or buttocks. The reconstructive surgery can be done during or after mastectomy.

Post-op care

This surgery will require you to stay in the hospital for about 3 days or a little longer if you have opted for immediate reconstruction. After discharge, you will be given instructions on how to care for the surgical drain, bandage and stitches. In order to avoid stiffness and scar formation, you will have to follow some simple hand exercise regimes. Your surgeon will also recommend the appropriate time for you to start wearing a bra or prosthesis.

If you do not develop any complications from the surgery, you can resume physical activities within 6 to 8 weeks.

You may experience sensation or pain in the breast that has been removed (phantom pain) over a period of months after surgery. Pain medications can be used to treat this type of pain.

Risks and complications

Mastectomy procedures are usually safe, but may involve the risk of infection, bleeding, pain, swelling in your arm, hard scar tissue formation at the site of surgery, shoulder pain and stiffness, numbness (especially under your arm), and accumulation of blood in the surgical site.