General Surgery · Breast
Mastectomy (Simple)
Mastectomy (Simple)
OPERATION: Simple (Total) Mastectomy ± Sentinel Lymph Node Biopsy ANAESTHETIC: General anaesthesia VTE PROPHYLAXIS: TED stockings, intermittent pneumatic compression. POSITION: Supine, arm on operative side extended on arm board at 90°. Arm wrapped separately to allow axillary access. INDICATION: [Multifocal carcinoma / extensive DCIS >4 cm / patient choice / recurrence post-breast conservation / risk-reducing mastectomy in BRCA mutation carrier / male breast cancer]. Histological confirmation obtained pre-operatively. Axillary staging planned: [SLNB / ALND]. Reconstruction discussed — [offered / declined / immediate / delayed]. Side and site confirmed and marked by surgeon pre-operatively. PROCEDURE: WHO Checklist performed. Correct side confirmed. Breast and axilla prepared and draped. [SENTINEL LYMPH NODE BIOPSY (if planned — performed before mastectomy):