Radical surgery for breast cancer, the high incidence of complications, on how to improve surgical quality and reduce complications, the following precautionary measures.
(1) Proper design of incision, it is necessary to fully consider the removal of the lesions sufficient to prevent local recurrence, but also take into account the wound suture tension should not be too large. Cutting edge should be neatly separated layers of subcutaneous fat should be shallow, flap thickness should be uniform separation, to the proper use of electric knife, do not burn the skin.
(2) must be very careful intraoperative bleeding, axillary artery, axillary vein and internal mammary artery is a branch or branches shall be ligation or suturing. Menstrual period should not be an operation.
(3) Postoperative drainage should remain smooth, and the axillary and parasternal drainage tube should be placed, when the drainage more should be appropriate to postpone extubation time, only when the drainage fluid is light yellow, and when the drainage is less than 10ml before extubation, parasternal drainage tube usually 5 ~ 7 days after removal, and the axillary drainage tube usually 7 to 9 days after removal.
(4) axillary lymph node dissection to do an important step, would prefer to move slowly, fine, do not pursue speed, and recognize the anatomical relationship of the organization, should not be indiscriminate cut chaos folder, to prevent the long thoracic, thoracodorsal nerve damage, for the need to cut off the blood vessels and lymphatic pipe must be carefully ligated.
(5) The competent physician as soon as possible in patients with the correct guidance of limb function exercises. Health care workers should always look at whether the drainage tube patency, chest tightness with a stationary situation, cited the number of traffic and drainage fluid color, the timely detection of problems dealt with promptly.
