Suite 411, Netcare Unitas / Suite 206, Midstream Mediclinic
BREAST LUMPECTOMY
AN OPERATION TO REMOVE LUMPS/TUMOURS OF THE BREAST.

Indications:

The most common indication for this procedure is breast cancer (or the suspicion thereof).

Procedure:

Lumpectomy is the removal of a breast tumour (or “lump”) and some of the normal tissue that surrounds it. The operation may involve removal of the lymph nodes (glands) in the axilla (armpit). No muscles are removed. Alternative names: breast conserving surgery, partial mastectomy, wide local excision, quadrantectomy, or wedge resection. Most people receive about 6 weeks of radiation therapy shortly after lumpectomy in order to eliminate any cancer cells that may be present in the remaining breast tissue.

  • Complications are very seldom and rarely serious. Bruising, scabbing, blistering, or skin loss along the edges of the skin cut may occur. Infection of the surgical wound may occur, but this is rare.
  • Occasionally some old blood or fluid (seroma) collects under the wound. In some cases, this will resolve on its own, however if it doesn’t this can easily be drained.
  • You may feel pins and needles where the breast lump used to be and underneath the arm. There may also be a numb patch in the skin of the armpit and under the inside of the upper arm. This patch slowly lessens in size but may always remain.
  • Swelling of the arm (called lymphedema) may occur on the same side as where the glands were removed. This swelling is not common but can be an on-going problem.
  • Injury to the nerves that go to the muscles of the arm, back and chest wall may occur but is usually minor.
  • Your breasts may not match precisely in size and shape after surgery. This is because removing breast tissue during surgery usually makes the affected breast appear smaller. (After lumpectomy, all tissue removed from the breast is examined carefully to see if cancer cells are present in the margins – the normal tissue surrounding the tumour. If cancer cells are found in the margins extending out to the edge of the breast tissue removed, you will need additional surgery (called re-excision) to remove the remaining cancer.)

After your consultation:

  • Obtain authorization from your medical aid and book your bed for your hospital admission.
  • Carefully read through pre-operative information provided.

Day before surgery:

  • Do not eat/drink after 22h00, the night before your surgery, unless otherwise specified by your surgeon or anaesthetist  (you should be fasting for at least 6 hours before the procedure for solids but you are allowed to take clear liquids up to two hours before your procedure).

Day of surgery:

  • Arrive for admission at indicated time on ‘Code & Consent’ sheet.
  • Change into theatre attire, remove all valuable belongings.

Approximately 1-2 hours.

Duration of hospital stay:

  • Duration of hospital stay: 1-2 days (dependent on pain management and general state of patient).

Activities:

  • Refrain from strenuous activities (incl. exercise) for at least 4 weeks post-operatively.

Back to work:

  • Sick leave required post-operatively is approximately 7-14 days.

Some pain and discomfort post operatively may be expected following any operation, but the following measures are used to lessen the pain experienced:

  • Warming devises in theatre as well as warm intravenous fluids.
  • Intra-operative pain medication through the drip.
  • Post-operative medication through the drip, please inform the nurses if you are in pain so that medication will be administered to you.
  • As close to one week after discharge as possible. Please contact the rooms to schedule an appointment.
If you experience any worrisome problems, please contact the rooms during working hours or the emergency number (012) 333 6000 after hours.

More procedures performed by Dr Basson & Jeske

ABSCESS DRAINAGE
ABSCESS DRAINAGE

A SKIN INCISION IS MADE AND THE CONTENTS OF THE ABSCESS IS DRAINED.

ADRENALECTOMY (OPEN/LAPAROSCOPIC)
ADRENALECTOMY (OPEN/LAPAROSCOPIC)

AN OPERATION TO REMOVE ONE (OR BOTH) ADRENAL GLANDS.

ANAL FISTULECTOMY
ANAL FISTULECTOMY

THE FISTULA TRACT IS IDENTIFIED AND IS OPENED ALONG ITS LENGTH, AND THE EXPOSED INSIDE OF THE TRACT IS THEN CLEANED OUT.

APPENDISECTOMY (LAPAROSCOPIC/OPEN)
APPENDISECTOMY (LAPAROSCOPIC/OPEN)

AN OPERATION TO REMOVE AN APPENDIX THAT IS INFLAMED/SWOLLEN/HAS RUPTURED/HAS FORMED AN ABSCESS.

BILE DUCT EXPLORATION
BILE DUCT EXPLORATION

THE COMMON BILE DUCT (CBD – THE MAIN TUBE CARRYING BILE FROM THE LIVER TO THE INTESTINE) IS OPENED UP. ANY GALLSTONES WITHIN THE DUCT CAUSING A BLOCKAGE CAN BE REMOVED.

BREAST LUMPECTOMY
BREAST LUMPECTOMY

AN OPERATION TO REMOVE LUMPS/TUMOURS OF THE BREAST.

COLECTOMY
COLECTOMY

AN OPERATION TO REMOVE PART OF/THE ENTIRE COLON.

COLONOSCOPY
COLONOSCOPY

AN ENDOSCOPIC EXAMINATION OF THE LARGE INTESTINE (COLON & RECTUM).

DISTAL PANCREATECTOMY
DISTAL PANCREATECTOMY

THE PANCREAS IS EXPOSED AND FREED FROM THE ADJACENT ORGANS. THE TAIL (DISTAL) HALF OF THE PANCREAS IS REMOVED. THE BLOOD VESSELS THAT GO TO THE SPLEEN PASS THROUGH THE PANCREAS. AS A RESULT THE SPLEEN ALSO SOMETIMES NEEDS TO BE REMOVED.

DRAINAGE PERI-ANAL ABSCESS
DRAINAGE PERI-ANAL ABSCESS

AN INCISION IN THE SKIN NEXT TO THE ANUS TO DRAIN PUS.

ERCP
ERCP

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY, INVOLVES PASSING A FLEXIBLE ENDOSCOPE (DUODENOSCOPE) THROUGH THE MOUTH AND STOMACH TO THE FIRST PART OF THE BOWEL CALLED THE DUODENUM.

FEMORAL HERNIA REPAIR (OPEN)
FEMORAL HERNIA REPAIR (OPEN)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS IN THE MUSCLES WHICH FORM THE LOWER FRONT OF THE STOMACH (IN THE GROIN REGION).

GASTRECTOMY
GASTRECTOMY

AN OPERATION THAT REMOVES EITHER PART OF THE STOMACH (PARTIAL) OR THE ENTIRE STOMACH (TOTAL).

GASTROSCOPY
GASTROSCOPY

AN ENDOSCOPIC EXAMINATION OF THE STOMACH.

HAEMORRHOIDECTOMY
HAEMORRHOIDECTOMY

AN OPERATION TO REMOVE COMPLICATED HAEMORRHOIDS (PILES).

INCISIONAL HERNIA REPAIR (LAPAROSCOPIC/OPEN)
INCISIONAL HERNIA REPAIR (LAPAROSCOPIC/OPEN)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS IN AN AREA WHERE PREVIOUS MUSCLE CLOSURE HAS BEEN PERFORMED (AFTER AN ABDOMINAL OPERATION).

INGUINAL HERNIA REPAIR (OPEN/LAPAROSCOPIC)
INGUINAL HERNIA REPAIR (OPEN/LAPAROSCOPIC)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS IN THE MUSCLES WHICH FORM THE LOWER FRONT OF THE STOMACH (IN THE GROIN REGION).

LAPAROSCOPIC CHOLECYSTECTOMY (GALL STONES)
LAPAROSCOPIC CHOLECYSTECTOMY (GALL STONES)

REMOVAL OF GALLBLADDER BY MEANS OF MINIMALLY INVASIVE “KEY-HOLE SURGERY”.

LIVER BIOPSY
LIVER BIOPSY

THE DOCTOR WILL TAKE A VERY SMALL PIECE OF YOUR LIVER (ABOUT 1/50,000TH OF YOUR LIVER) TO SEND FOR FURTHER TESTS.

LIVER RESECTION
LIVER RESECTION

THE SURGICAL REMOVAL OF PART OF THE LIVER.

MASTECTOMY
MASTECTOMY

AN OPERATION TO REMOVE THE ENTIRE BREAST

NEUROSTIMULATOR IMPLANT
NEUROSTIMULATOR IMPLANT

WITH INTERSTIM THERAPY, A SACRAL NEUROMODULATION DEVICE IS IMPLANTED DURING A MINIMALLY INVASIVE PROCEDURE.

NISSEN FUNDOPLICATION (LAPAROSCOPIC)
NISSEN FUNDOPLICATION (LAPAROSCOPIC)

AN OPERATION PERFORMED TO RELIEVE GASTRO-OESOPHAGEAL REFLUX; MOST OFTEN ASSOCIATED WITH A HIATUS HERNIA.

OESOPHAGEAL MANOMETRY
OESOPHAGEAL MANOMETRY

OESOPHAGEAL MANOMETRY IS A TEST THAT MEASURES THE FUNCTION AND MOVEMENT OF THE OESOPHAGUS AND THE CHARACTERISTICS OF THE VALVE BETWEEN THE OESOPHAGUS AND THE STOMACH.

PARATHYROIDECTOMY
PARATHYROIDECTOMY

AN OPERATION TO REMOVE PARATHYROID GLAND/S OR PARATHYROID TUMOURS.

PERCUTANEOUS ENDOSCOPIC GASTROSTOMY
PERCUTANEOUS ENDOSCOPIC GASTROSTOMY

A PEG IS A WAY OF INTRODUCING FOOD, FLUIDS AND MEDICINES DIRECTLY INTO THE STOMACH BY PASSING A THIN TUBE THROUGH THE SKIN AND INTO THE STOMACH.

PILONIDAL ABSCESS/SINUS EXCISION
PILONIDAL ABSCESS/SINUS EXCISION

AN ELLIPTICAL INCISION IS MADE REMOVING THE AFFECTED SKIN AND INVOLVED TISSUE OVER THE BUTTOCK CLEFT.

RECTAL PROLAPSE (ABDOMINAL REPAIR)
RECTAL PROLAPSE (ABDOMINAL REPAIR)

AN OPERATION PERFORMED TO REPAIR A RECTUM THAT PROLAPSES THROUGH THE ANUS.

RECTOCELE REPAIR
RECTOCELE REPAIR

AN OPERATION PERFORMED TO STRENGTHEN THE WALL OF THE VAGINA WHICH STOPS THE RECTUM FROM PROTRUDING INTO THE VAGINA.

SMALL BOWEL RESECTION
SMALL BOWEL RESECTION

SURGERY TO REMOVE A PART OF YOUR SMALL BOWEL.

SPLENECTOMY (LAPAROSCOPIC/OPEN)
SPLENECTOMY (LAPAROSCOPIC/OPEN)

AN OPERATION TO REMOVE THE SPLEEN.

STOMA CREATION/CLOSURE
STOMA CREATION/CLOSURE

A STOMA IS AN OPENING ANYWHERE ALONG THE LENGTH OF THE BOWEL TO THE EXTERIOR SKIN SURFACE TO CREATE AN ARTIFICIAL ANUS.

THYROIDECTOMY
THYROIDECTOMY

AN OPERATION TO REMOVE PART OF/THE ENTIRE THYROID GLAND.

TOTAL PANCREATECTOMY
TOTAL PANCREATECTOMY

REMOVING YOUR WHOLE PANCREAS, YOUR DUODENUM, A SMALL PORTION OF YOUR STOMACH, THE GALLBLADDER AND PART OF YOUR BILE DUCT, YOUR SPLEEN AND MANY OF THE SURROUNDING LYMPH NODES.

UMBILICAL HERNIA REPAIR (OPEN)
UMBILICAL HERNIA REPAIR (OPEN)

AN OPERATION TO REPAIR AN AREA OF WEAKNESS/SWELLING OF THE NAVEL (BELLY BUTTON).

WHIPPLE’S (PANCREATICODUODENECTOMY)
WHIPPLE’S (PANCREATICODUODENECTOMY)

THIS IS A MAJOR OPERATION TO REMOVE THE HEAD OF THE PANCREAS.