Mastectomy Cost in India

Who Needs Mastectomy?

Here are certain criteria where mastectomy indications have proven useful:

• If the tumour is bigger than 5 cm (2 inches) or comparatively larger than the breast size.
• Pregnant women in need of radiation therapy.
• Serious connective tissue diseases such as lupus or scleroderma.
• Inflammatory breast cancer.
• Previously treated breast with radiation therapy.
• Women who are unable to have radiation therapy.
• Cancer in different parts of the breast that are not close together alters breast appearance.
• Prefers mastectomy rather than radiation therapy.
• Failed lumpectomy.

Types of Mastectomy Surgery Performed

1. Total (or) Simple Mastectomy
   This procedure marks the removal of the complete breast and surrounding tissues, including the nipple, areola (darkened skin surrounding the nipple), and the surrounding skin. A simple mastectomy is performed without breast reconstruction and provides the patient with same-day discharge.
2. Modified Radical Mastectomy (MRM)
   This procedure is an advanced form of radical mastectomy that involves the removal of breast tissues, fat, lymph nodes of the breast, or sometimes the arm, and the uppermost layer of the main chest muscles.A modified radical mastectomy procedure is performed on patients with advanced or aggressive breast cancer to check the spread of the disease beyond the breasts, as sometimes the cancer may lodge in the lymph nodes of the underarm. It is the only surgery that can be performed on females and males.Two types of modern radical mastectomy dictate the involvement of chest muscles:
   1. Patey’s Operation (Conservative Radical Mastectomy)
   2. Auchincloss Operation (Auchincloss Modified Radical Mastectomy)
3. Conservative Mastectomies
   When a mastectomy is performed along with breast reconstruction, oncologists and cosmetologists prefer using:
   1. Skin-sparing (Goldilocks) Mastectomy: This procedure takes away all the breast tissue but leaves a huge part of the surrounding skin to use an envelope and form a reconstructed breast.
   2. Nipple-sparing Mastectomy: Also known as subcutaneous mastectomy. It’s the same as skin-sparing mastectomy, additionally sparing the nipple and areola.
4. Bilateral (Double) Mastectomy
   This procedure involves the removal of both breasts, reducing the risk of recurring breast cancer.
5. Contralateral Prophylactic Mastectomy 
   A surgical procedure that involves the removal of a healthy breast in addition to a cancerous one.

Factors Affecting the Mastectomy

• The stage of the cancer.
• The type of mastectomy performed.
• The hospital and its location, reputation, infrastructure, and facilities.
• Oncologists’ fees are based on their expertise and experience.
• Type of anaesthesia used.
• Pre-operative care.
• Post-surgery follow-ups.
• Consultation, diagnostic, admission, and medication charges.
• The patient’s age and health status.
• Insurance or policy coverage.

How Are Mastectomy Surgeries Performed?

The surgeons will administer general anaesthesia to make a few incisions and remove most of the lymph nodes from the breast and a few from the underarm, examining and confirming the rapid cancer spread in the form of a tumour. The surgery usually takes 2-3 hours to perform. As a temporary post-surgical measure, a tube is inserted through one of the incisions for proper fluid drainage and is removed after a day or two. The remaining breast skin flap is then enveloped with sutures or conserved to form a reconstructed breast using various methods, as per the condition.

Benefits of the Modified Radical Mastectomy

• Shorter hospital duration.
• 24X7 care coordinator.
• Reduces the risk of breast cancer.
• Eliminates the risk of mammograms or radiotherapy after the surgery.
• It highly decreases the rates of cancer recurrence.
• Offers higher cosmetic outcomes compared to other breast surgeries.
• Provide options for reduced breast reconstruction.

Post-Operative Care and Recovery

Post-operative care after mastectomy and its recovery entails:

• Application of steri-strips (absorbable strips) and the treatment area covered with a Plaster of Paris or gauze dressing for 10-14 days.
• Pain management performed after the surgery varies from person to person and is based on the severity of the procedure.
• Follow wound care instructions properly and take prescribed pain-relieving medications only.
• Take adequate rest to avoid fatigue.
• Perform post-mastectomy exercises regularly, such as arm exercises and walking.
• Avoid wearing a bra until the treated area fully heals.

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Make an Informed Decision About MRM Surgery Cost in India

Mastectomy types may vary depending on several factors, such as the hospital, the type of surgery performed, the patient’s medical condition, and the surgeon. For the most accurate and up-to-date cost information, it’s advisable to visit hospitals in your vicinity.

Our experts from the oncology department and interventional radiology are here to discuss your options and help you make informed decisions. Furthermore, discussing with your healthcare provider the possibility of insurance coverage for a section of the surgical expenses is crucial. It’s better to discover government subsidies or policies that may aid in managing the operations associated with various mastectomy types and affordable mastectomy costs at Yashoda Hospital.

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