How long does breast fibroid surgery take?

People think that breast fibroids only appear in old age, but in fact they mainly occur in young women aged 20 to 25, and they may appear alone or in multiples at a time and continue to grow. In order to avoid worsening of the disease, many people choose surgical treatment. However, before the operation, they should also understand some preoperative preparations and precautions, which will help promote the success of the operation and recovery of the disease.

1. Overview

Mastofibroma is most common in young women aged 20 to 25 years old, and single tumors are more common. Multiple fibroadenomas may also grow in one breast. The occurrence of fibroadenoma is closely related to the stimulation of estrogen and rarely occurs before menstruation or after menopause.

1. Clinical manifestations: Fibroadenoma often occurs in the upper outer quadrant of the breast. They are oval in shape; some are as big as cherries, some are the size of eggs, and can also develop into giant fibroadenomas. The surface of the tumor is smooth but hard, the tumor has clear boundaries, and there is no adhesion to the skin and surrounding tissues. The tumor can be easily pushed inside the breast and feels sliding when touched. There was no axillary lymph node enlargement. The tumor grows slowly. There may also be no change for several years; during pregnancy or lactation, the effect of progesterone can increase rapidly, and the pain may be minimal or non-existent.

2. Pathologically, the fibroadenoma has a capsule outside, and the cross-section is grayish white, shiny, and not very smooth. Many irregularly arranged cracks and dilated mammary ducts can be seen with the naked eye. Although the possibility of fibroadenoma becoming cancerous is very small, it still has the possibility of becoming a sarcoma, so surgical treatment should be performed.

3. The operation is performed under local anesthesia (usually 1% to 2% lidocaine, without the need for adrenaline), and radial incisions are made. The choice is based on the quadrant of the breast where the tumor is located. For larger tumors, especially those located in the lower part of the breast, an arcuate incision is made at the lower edge of the breast.

2. Preoperative Preparation

Fibroid resection is relatively easy, excluding surgical contraindications and requiring no special treatment.

3. Surgery

The operation was performed under strict aseptic technique, and the skin and subcutaneous tissue were incised along the anesthesia until the fibroid capsule. After cutting the skin and subcutaneous tissue, separate the mammary ducts, cut between the ducts to reach the tumor capsule, gently clamp it with skin forceps, open it, and expand the incision, so that the fibroadenoma can be easily removed. Try not to damage normal milk ducts during surgery. As long as the operation is done carefully and patiently, the normal glandular ducts can be destroyed layer by layer, and there is no blood loss during the operation.

After the fibroadenoma is removed, it is closed and sutured without leaving dead space to prevent postoperative exudation and accumulation of fluid, the formation of cysts, or secondary infection to form a purulent cavity. At the same time, direct suture is performed according to the anatomy, and the skin sutures are removed in 7 to 10 days. The wound was covered with sterile gauze for 1 week.

IV. Postoperative Treatment

When fibroadenoma is removed, as long as strict aseptic techniques are followed during the operation, no intravenous or intramuscular medication is required after the operation. For patients with coagulation infection, antibiotics are used for 1 week after surgery. For those who are not infected, preventive oral administration is sufficient. While using antibiotics, increase the dosage of vitamin C, 3 to 4 g each time, or 0.4 to 0.6 g orally, which can improve the body's immunity.

Pay attention to changing the wound dressing after the operation. If the operation is performed strictly, there will generally be no infection. If there is aggravated throbbing pain, you should be highly vigilant about the possibility of wound infection and suppuration.