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Microdochectomy is a surgical procedure to remove a mammary or a lactiferous duct. The lactiferous duct is each of the milk-carrying ducts of the mammary gland that opens on the nipple, it is responsible for delivering milk to the surface of the skin. This procedure is performed for diagnostic or therapeutic purposes and recommended for patients who experience nipple discharge.
Microdochectomy can be carried out either under local or general anesthesia. During the procedure, your doctor makes an incision following the circular line of the areola (circumareolar cut) and removes the affected duct. Then, the incision is closed with dissolvable stitches/sutures and the removed duct is sent for histologic examination.
The procedure is normally performed as an outpatient, meaning you can leave the hospital on the same day. In some cases, you may need to stay overnight in the hospital. However, you need to plan to stay in Seville for around 5 to 7 days for follow-up checkups.
You should be able to return to light activities one week after the procedure, but avoid any strenuous activities such as exercises for a few more weeks.
During your recovery period, you will need to wear a well-fitting bra to support the breast and the wound. You can shower after 24 hours, but do not take a bath for at least seven days. Your doctor will give you instructions that include care for the wound, diet, and exercises.
Microdochectomy is a very safe procedure, but it carries some side effects and risks. The risks include loss of nipple sensation, infection, bleeding, and recurrence of the symptoms. These risks are rare and happen approximately to 2 in every 100 women who have had the procedure.
This is the safest and most effective procedure for nipple discharge. It is advisable to discuss your options with your doctor if you do not want to undergo microdochectomy.
Nipple discharge can cause discomfort and unpleasant symptoms, it can also be a symptom of some forms of breast cancer, such as intraductal carcinoma and Paget’s disease. After the procedure, you will no longer experience these symptoms and your risk of breast cancer may be significantly reduced.
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