Breast Reconstruction After Mastectomy

A mastectomy is the surgical removal of one or both breasts, and is usually carried out in order to remove multiple tumours from the breast tissue. There are several different versions of the mastectomy, and the surgeon will decide how much tissue needs to be removed according to the extent of the tumours. It can also be carried out if you have a strong family history of the disease and are therefore having the operation for prophylactic reasons (i.e. to prevent you from developing the disease at all).
After you have undergone the operation, you will be required to stay in hospital for a minimum of several days. Once the anaesthetic and its effects have completely worn off, you will be encouraged to eat and drink, though you may also need an IV to keep you sufficiently hydrated at first. You may also find that a catheter has been inserted while you were under the effects of the anaesthetic to drain your bladder. Once you are able to get up and move around, this can be removed.
Before you go home, you will be given advice about what you are able to do, such as moving around, gentle exercise, and some suggestions for your diet. You will also be able to speak to your surgeon, who can answer any questions you have had so far. Depending on the type of stitches that were used, you may need to have these removed between one and two weeks after your surgery, though dissolvable stitches are now more common. A follow-up appointment will also be made.
When you are at home, it is important to be aware that you will become tired more easily than before the surgery, so make sure you get enough rest and that you eat properly. Activities such as driving should not be attempted until you feel that you can perform an emergency stop without it causing discomfort, which could be several weeks. Follow your surgeon's advice about this and returning to work.
If you continue to experience pain, you can take over-the-counter medications such as ibuprofen and paracetamol. Ask for advice from your GP or pharmacist if these do not provide sufficient pain relief, and they will be able to suggest or prescribe alternatives.
It is important to keep the wound clean in order to prevent infections developing. Infections will mean that it takes longer to heal and will leave a more noticeable scar. If your pain is increasing, your temperature rises or your wound starts to look red and inflamed, contact your GP, breast care nurse or your surgeon immediately.
There are a number of support groups for women who have undergone mastectomy operations, so if you want to talk to others who have experienced the same procedure as you, feel free to get in touch. Your breast care nurse should be able to give you the details of a support group in your area.