What is Microdochectomy?
Microdochectomy is the surgical removal of the dilated lobule of the lactiferous duct called Duct Ectasia.
Microdochectomy is the surgical removal of the dilated lobule of the lactiferous duct called Duct Ectasia.
The incision for Microdochectomy is a nipple splitting incision. First cannulate the dilated duct from which the blood stained discharge comes out. Note the blood stained discharge from the opening of a single lactiferous opening over the nipple.
The incision is made around the cannulated duct and then extended radially towards the lump.
The name of the incision is called Tennis Racket Incision.
An important thing to remember!
When we plan an incision on breast for the excision of a benign lump always keep the possibility of a histological surprise. The present incision must be included in a possible MRM incision later if the pathological report comes as Malignant.
Where else we use Tennis Racket Incision?
Tennis Racket Incision is also used for the Ray amputation of a Digit or a Toe.
What is the difference between Microdochectomy and Hadfield’s operation?
Duct ectasia is the dilatation of a single duct of the breast. When it involves many ducts it is called Periductal Mastitis. The surgical treatment of peri ductal mastitis is complete excision of all the major ducts of the breast and is known by the name Hadfield’s operation.
Microdochectomy is indicated in bleeding from a single duct, common reasons in our place is duct papilloma. As per western literature, duct ectasia is commonest reason for ductal bleeding. however duct ectasia seldom requires surgery. (http://www.mayoclinic.com/health/mammary-duct-ectasia/DS00751/DSECTION=treatments-and-drugs) Duct papilloma is usually operated by microdochectomy. http://www.surgicalnotes.co.uk/?q=node/236
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