Safdar Hussain Shah, Shahzad Awais, Imtiaz Rasool.
Modified radical mastectomy.
Professional Med J Jan ;11(4):442-5.

Modified radical mastectomy is the operation of choice in an operable breast cancer in this part of the world. This operation has fewer complications than radical mastectomy. Objectives: To identify the early complications of Patey’s modified radical mastectomy. Design: Descriptive study. Setting: Department of Surgery, Allama Iqbal Medical College/Jinnah Hospital, Lahore. Period: From Nov 1998 to Aug 2003. Material & Methods: 114 consecutive patients undergoing modified radical mastectomy were studied and followed up to 30 post operative day. All patients were female, with age th range of 35-67 years. The hospital stay was 8-21 days. Results: Wound infection was the commonest complication occurring in 19 patients (16.6%). Seroma formation occurred in 17 patients (14%). While haematoma occurred in 4 patients (3.5%). Marginal necrosis of flap was seen in 6 patients (5.2%), where as the extensive flap necrosis occurred in 2 patients only (1.75%). One patient developed early lymph edema of the arm and partial limitation of the shoulder joint movements. At the end of 30th day, all complications resolved except for lymph edema of arm. Conclusions: The procedure of modified radical mastectomy gave good results as far as early morbidity due to surgical procedure itself is concerned. Morbidity can be further deceased by detailed assessment of the patients preoperatively.

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