Modified Radical Mastectomy – Dr. Christine Dauphine | modified radical mastectomy การพยาบาล

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Modified Radical Mastectomy – Dr. Christine Dauphine


นอกจากการดูบทความนี้แล้ว คุณยังสามารถดูข้อมูลที่เป็นประโยชน์อื่นๆ อีกมากมายที่เราให้ไว้ที่นี่: ดูความรู้เพิ่มเติมที่นี่

This case is a Modified Radical Mastectomy which is a procedure in which the entire breast is removed, including the skin, areaola, nipple, and most axillary lymph nodes. The patient is a young 29year old female with infiltrating ductal carcinoma that was HER2 positive and locally advanced at presentation. She had one primary lesion in the far upper outer quadrant of her left breast. This was also associated with enlarged involved lymph nodes. She underwent 6 cycles of neoadjuvant chemotherapy with Herceptin, pertuzumab, and standard cytotoxic chemo agents and had a partial response. This patient will be considered for reconstruction at a later stage due to her need for post mastectomy radiotherapy.
Full Length in 360: https://goo.gl/huY1FA
Full Length in 2D: https://goo.gl/Qzvjbm
Dr. Christine Dauphine
Associate Professor of Surgery UCLA School of Medicine
Associate Vice Chair of Surgical Education

Modified Radical Mastectomy - Dr. Christine Dauphine

Modified Radical Mastectomy – step by step


Modified Radical Mastectomy - step by step

MODIFIED RADICAL MASTECTOMY- step by step Operative Surgery


MODIFIED RADICAL MASTECTOMY Operative Surgery
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Dear viewers,
Greetings from “Surgical Educator”
Because of the popular demand by viewers of the YouTube channel “Surgical Educator”, I have decided to create and upload videos on common surgeries. I have already uploaded three videos on open and Laparoscopic Appendicectomy and Thyroidectomy. In this video today, I have discussed Modified Radical Mastectomy. However, these videos are not real surgeries but the theoretical aspect of operative surgery like going through an atlas of operative surgery. Along with these videos, I recommend you to watch real operative surgery videos as well and I will give a link for each surgery in the end of the video as endcards, which I think will be very useful. This will give a very good opportunity for the surgical trainees to mentally rehearse various surgical steps in a sequential manner prior to actual surgery. You can watch the video in the following links:
surgicaleducator.blogspot.com
youtube.com/c/surgicaleducator
Thank you for watching the video.
Indications for Mastectomy/ Types of Mastectomy/Position for Mastectomy/Incision for Mastectomy/ Steps of Mastectomy/Complications of Mastectomy
All my videos are problem based, because patients are coming to us with problems and not with diagnosis. I have made a playlist for each surgical problem which consist of many videos. I request you all to watch all the videos in the playlist together so that you will become confident in dealing with these problems.
Links to the Playlists based on Surgical Problems:
1. Scrotal Swellings: https://www.youtube.com/playlist?list=PLxyHif1Z9uXwt0JH0YG8m4JmzgAli9jj
2. Groin Swellings: https://www.youtube.com/playlist?list=PLxyHif1Z9uVaDboG_ddw2S6xInNnB80D
3. Abdominal Pain: https://www.youtube.com/playlist?list=PLxyHif1Z9uUcXb96A3tFpTrWOVa2F7j1
4. Obstructive Jaundice: https://www.youtube.com/playlist?list=PLxyHif1Z9uX6MsQnsCTGl8YDFN1TYiQm
5. Upper GI Hemorrhage: https://www.youtube.com/playlist?list=PLxyHif1Z9uUtV67AdUQYEUKdhX9vL576
6. Lower GI Hemorrhage: https://www.youtube.com/playlist?list=PLxyHif1Z9uUgtkTdmBZcrODMWScm0fW
7. Thyroid Pathologies: https://www.youtube.com/playlist?list=PLxyHif1Z9uWg55odQfB_7JT0NYIP8ELp
8. Breast Pathologies: https://www.youtube.com/playlist?list=PLxyHif1Z9uVTLcGtam1kFBzjY4NAf7MZ
9. Peripheral Arterial Diseases: https://www.youtube.com/playlist?list=PLxyHif1Z9uXcQEu_6VIbQR4g8MdOi0z
10 . Venous Diseases: https://www.youtube.com/playlist?list=PLxyHif1Z9uVf1aYodgILbxVpCfkdqNo
11. Dysphagia: https://www.youtube.com/playlist?list=PLxyHif1Z9uX1a7MVULzB4DlU1LpKPy9

12. Trauma: https://www.youtube.com/playlist?list=PLxyHif1Z9uWqLdpyHBCYvS68yxFbuwmV
13. Operative Surgery: https://www.youtube.com/playlist?list=PLxyHif1Z9uWPkZH9Vk5y4OjoIOYD4xe
14. Pediatric Surgery: https://www.youtube.com/playlist?list=PLxyHif1Z9uVghSB1YB4nz7TytYhDovAH
15. Urology: https://www.youtube.com/playlist?list=PLxyHif1Z9uXzZkDec1nDRwzPpW6VG06

You can follow me in the following links:
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6. Facebook: https://www.facebook.com/selvaraj.balasubramani.7
7. Slideshare: https://www.slideshare.net/babysurgeon
Thank you very much for following and supporting this surgery teaching YouTube channel.
Disclaimer:
 All my videos in this channel are not replacement for standard text books or a formal undergraduate or postgraduate course in a medical school. These are only supplements to your formal course.
 Nobody should start doing surgery after watching these videos. You should undergo training under a master surgeon before embarking on real surgery in a live patient.

MODIFIED RADICAL MASTECTOMY- step by step  Operative Surgery

Mastectomy Modified Radical Patient Education Medical Videos


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Patient Education Company
Your doctor has recommended that you have a modified radical mastectomy. But what does that actually mean?
Traditionally, a Radical Mastectomy called for the removal of the breast, surrounding tissue and even the chest muscle below.
A Modified Radical Mastectomy is a procedure in which the breast and surrounding tissue are removed, while leaving the chest muscle intact. In most cases, mastectomy is required in order to remove cancerous tissue from the body. The extent of tissue removed is determined by the amount of cancer present in your body.
A Modified Radical Mastectomy is one the most extensive forms of breast cancer surgery in that it calls for the complete removal not only of the breast, but of the lymph nodes as well.
Lymph nodes are small junctions that join the vessels that make up the lymphatic system. The lymphatic system circulates a bodily fluid called lymph in the same way that the circulatory system carries blood.
Your doctor has recommended that you undergo a modified radical mastectomy because the cancer in your breast may have begun to move into the lymph nodes under your arm as well as into your chest muscle.
This procedure will permanently change the outward shape and appearance of your chest.
So make sure that you ask your doctor to carefully explain the reasons behind this recommendation.
Your Procedure:
On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and an intravenous line may be put in.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving your underarm.
The anesthesiologist will begin to administer anesthesia most probably general anesthesia by injection and inhalation mask.
The surgeon will then apply an antiseptic solution to the skin and place a sterile drape around the operative site.

Two incisions will be made beginning at the middle of the chest, one along the top and one along the bottom of the breast coming together just under the arm.
The skin is then lifted up and away, revealing the tissue underneath.
Beginning at the clavicle or collar bone the surgeon then begins to carefully cut the breast tissue away from the muscles that lie just beneath.
When the breast has been completely freed, it is lifted away, exposing the top layer of muscle, called the pectoralis major.
The surgeon will pull this muscle temporarily aside exposing the next layer of muscle the pectoralis minor.
The surgeon will move this muscle aside, creating a clear view of the surrounding fatty tissue.
Within this fat deposit lie lymph nodes lymph vessels, blood vessels and nerves.
Using great care not to damage the large thoracic nerve, your doctor will remove the lymph nodes and surrounding fat.
Blood vessels will be tied off and your doctor will thoroughly examine the surrounding tissues for any other signs of disease.
When the surgical team is satisfied that they have done all that they can to remove the cancer, they will release the muscles and other tissue.
One or more drainage tubes will be temporarily inserted at the site while the healing process begins.
They will then close the incision. Finally, a sterile bandage is applied.
Patient Education Company

Mastectomy Modified Radical Patient Education Medical Videos

MRM Modified Radical Mastectomy and Level I , II, III ALND for Ca Breast Part 04


Prof. Dr Somashekhar SP
M.S., Mch (Oncosurgery), FRCS (Edinburgh)
Chariman, Oncology Manipal Health Enterprize,
HOD, Department of Surgical Oncology and Robotics
Adjunct Professor of Surgical Oncology (KMC)
Consultant Surgical Oncologist \u0026 Robotic Surgeon
Manipal Comprehensive Cancer Centre
Manipal Hospital
98, HAL Airport Road
Bangalore 560017

MRM    Modified Radical Mastectomy and Level I , II, III ALND for Ca Breast    Part 04

นอกจากการดูหัวข้อนี้แล้ว คุณยังสามารถเข้าถึงบทวิจารณ์ดีๆ อื่นๆ อีกมากมายได้ที่นี่: ดูวิธีอื่นๆGENERAL NEWS

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