Answer
Answer
General anesthesia is preferred for a simple mastectomy. The patient is placed supine with the ipsilateral arm stretched out level with the shoulder. The head end of the operating table is raised to 30º. The side being operated on is raised by 30º. The patient is draped with the arm free to allow for movements during the procedure. It is important not to hyperextend the arm when positioning the patient; hyperextension may cause significant postoperative neurapraxia.
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Media Gallery
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Elliptical skin incision enclosing nipple-areola complex.
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Superior flap being raised.
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Raised superior flap, with breast being dissected off underlying pectoralis major.
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Pectoralis major and serratus anterior visible at completion of mastectomy.
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Postmastectomy scar.
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Mastectomy scar 10 days after operation.
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