Breast

Mastectomy (Simple/Total)

MASTECTOMY (SIMPLE/TOTAL)

Indication: Multifocal or multicentric breast carcinoma, large tumour relative to breast size, locally advanced disease, patient preference to avoid radiotherapy, diffuse DCIS, prophylactic mastectomy (BRCA1/2 carrier). Does not include axillary clearance (axillary staging performed separately if required).

Patient Position: Supine, ipsilateral arm extended on arm board or tucked at side. Shoulder slightly elevated.

Anaesthesia: General.

Prophylactic Antibiotics: Per local protocol.

Incision: Transverse (or oblique) elliptical incision encompassing the nipple-areola complex, with skin excision determined by tumour proximity to skin and cosmetic considerations.

Procedure: