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Surgery General 56aec486

Distressing Complication after modified radical mastectomy?

A
Lymphedema
B
Axillary vein thrombosis
C
Seroma
D
Death
High-Yield Explanation
Complications of Mastectomy • Seroma −− MC complication, beneath skin flaps and axilla, occurs in 30% cases −− Catheter is retained until drainage is <30 ml/day • Wound infection −− Majority are due to skin flap necrosis • Lymphedema −− Occurs less frequently with the standard axillary dissections. −− Extensive LN dissection, radiation therapy, presence of positive LNs, obesity are predisposing factors. • Injury to Long Thoracic (Motor) Nerve −− Seen in 10% of all cases. −− Result in a palsy of the Serratus anterior muscle (classical winged scapula) • Injury to Thoracodorsal Nerve: −− Leads to palsy of the latissimus dorsi muscle. • Redundant Axillary Fat Pad

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