Breast lumpectomy
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Revision as of 22:27, 4 April 2022 by Chris Rishel (talk | contribs)
Breast lumpectomy
| Anesthesia type |
MAC or General |
|---|---|
| Airway |
LMA/ETT if GA |
| Lines and access |
PIV |
| Monitors |
Standard |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
| Postoperative |
PONV |
| Article quality | |
| Editor rating | |
| User likes | 0 |
A breast lumpectomy is the removal of a discrete portion or “lump” of breast tissue. This procedure is sometimes referred to as a partial mastectomy.
Sometimes the procedure is performed with wire localization, where a radiologist inserts the tip of a wire into the target tissue under fluoroscopic guidance preoperatively. This enables the surgeon to more precisely localize the lesion, and is more commonly performed for deeper lesions.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
- PIV x 1
- Place BP cuff off the surgical field
- Make sure EKG leads are not near the sterile field
Induction and airway management
Positioning
- Supine
- Arms out
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Superficial | Deep | |
|---|---|---|
| Unique considerations | More likely MAC | More likely GA |
| Position | ||
| Surgical time | 15-45 mins | 30-60 mins |
| EBL | 5-10cc | 5-10cc |
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |
References
Top contributors: Barrett Larson, Chris Rishel, Tony Wang and Ashwini Bhat