Mastectomy is one of the oldest procedures that is performed to get rid of cancerous cells in the breast tissue. This is a surgery where the entire breast tissue is sometimes removed along with the muscle as well as the skin. It is considered as a local therapy to remove cancerous cells, rather than a systemic type of therapy like chemotherapy. Mastectomy is extensively performed in India by some of the top oncologists from the world.
The cost of the Mastectomy surgery, when performed in India, is quite less when compared to the other western countries like the United States or London. The standard of care is also comparable to these places in the west. If you do consider the total cost of the surgery including the medication, the post-operative care facilities, the rooms for staying as well as the food and accommodation for the people who are with the patient, this cost is still very less and affordable than other countries.
Mastectomy refers to the partial or complete surgical removal of one or both the breasts. This surgery is most often indicated for breast cancer.
A lump in the breast or armpits is one of the earliest signs of breast cancer. It can cause a change in the shape, size, or color of the breast or nipple. Nipple tenderness, inward folding of the nipple, discharge from the nipple, and orange peel appearance of the skin of the breast are the other signs of breast cancer. Patients who observe any of the above-mentioned signs must see their physician immediately.
Your physician may recommend you to undergo a partial or full mastectomy in the following conditions:
Additionally, if you have a family history of breast cancer or deleterious mutation of BRCA 1 and BRCA 2 genes, you are advised preventive mastectomy.
Three types of mastectomy surgeries can be performed in the patients, depending on the extent of the tumor as determined by the CT scan and mammography reports.
This type of mastectomy is carried out when the tumor is small and the surrounding lymph nodes are not infiltrated by the tumor cells. When mastectomy is conducted on both the breast, it is known as double mastectomy. This is also used in cases of invasive ductal carcinoma.
Step 1: Surgical incision at the site of tumor in the breast or breasts or invasive ductal carcinoma (in the case of double mastectomy)
Step 2: Retraction of the intervening tissue
Step 3: Resection of a tumor along with some normal tissue
Step 4: Establishment of drainage
Step 5: Surgical closure of the wound
This procedure is performed when the tumor is large and involves a few lymph nodes.
Step 1: Surgical incision across the nipple
Step 2: Retraction of the intervening tissue
Step 3: Resection of the tumor along with some normal tissue
Step 4: Resection of lymph nodes into which the tumor cells drain (sentinel biopsy)
Step 5: Establishment of drainage
Step 6: Surgical closure of the wound
This procedure is carried out when the tumor is extensive and involves all the lymph nodes and muscles of the breast.
Step 1: Surgical incision across the breast
Step 2: Retraction of the breast tissue
Step 3: Resection of a tumor, muscle and connective tissue of the breast
Step 4: Resection of all the lymph nodes of that side of the body
Step 5: Establishment of drainage
Step 6: Surgical closure of the wound
Apart from the above three procedures, there is lumpectomy (removal of just the lump along with some of the surrounding tissue) and subcutaneous mastectomy (nipple and skin tissue are not removed).
As the anesthetic effect starts to wear off, you may start experiencing pain. Analgesics are administered through an intravenous line for the first two days after the anesthetic effect wears-off. In the case of a simple breast cancer mastectomy, the drainage tubes are removed in the immediate post-operative period. They are retained for two days if you undergo a radical mastectomy. Any signs of inflammation or redness should be immediately reported, as it may indicate infection.
Initially, clear fluid diet is given during the recovery period and then this is slowly progressed to solid food. You should take sponge baths until the incision heals to prevent the occurrence of an infection. You may keep the arms elevated to prevent the accumulation of fluid in the breast cavity. The hospital stay for radical mastectomy is one to two days. The complete recovery may take up to six weeks.
There are certain people on whom the mastectomy surgery is recommended by the doctor to be performed like:
If the tumor in your breast is larger than about 5 cm. Some tumors that are lesser than this measure might also need the surgery performed to remove it.
If other procedures like a lumpectomy (this takes a certain amount of tissue from your breast) are not suitable for you because you have small breasts, then the procedure of mastectomy is advised.
If you have previously undergone lumpectomies and the tumor or cancerous cells have not been completely removed by other procedures.
If radiation treatment is not an option for you because of previous radiation attempts in the same breast, or because you are suffering from a form of connective tissue disease (like rheumatoid arthritis or lupus) or if you are pregnant.
If you do not want to undergo daily radiation treatments.
The average cost of Mastectomy surgery in India is about USD 3000 to USD 4000. This is again mainly dependent on the hospital and the surgeon that you or your doctor chooses to have the surgery performed. The post-operation medication will also be an additional cost to keep in mind. A higher end hospital will cost more.
India has become a place that is frequented by medical tourists from western countries. This is mainly because the cost of the surgery in India is low when compared to those countries and India is also a developing country with high medical and hygiene standards that are on par with the world’s best medical centers. The cost of food and medicines are also low in India, especially if you are a foreign traveler who has come to India only for having this procedure done. There are many facilities for boarding and lodging.
There are many types of mastectomy surgeries that are performed in India; some of them are as follows:
Simple Mastectomy: This is also called the whole mastectomy procedure. This is where the entire breast tissue is removed. The auxiliary contacts are not disturbed in this surgery. This surgery is also done on both the breasts simultaneously, if the patient opts for it as a preventative measure against cancer. Reconstruction is usually done after this to make the breast with artificial elements like silicon.
Lumpectomy: In this procedure, the tumour, as well as a small amount of the surrounding cells, are also removed. Lymph nodes may or may not be removed in this type of surgery. This is usually performed if the lump is easily identified by the doctor and can be easily removed. Multiple Lumpectomy procedures can be performed on the same breast tissue.
Partial Mastectomy: In this type of surgery a considerably large amount of breast tissue is removed. Some amount of skin is also removed along with the tumor. This will also include the removal of the chest muscle lining near the tumor along with some lymph nodes.
Modified radical Mastectomy: In this, the complete breast tissue is removed. The auxiliary contents like the lymph nodes and the fatty tissue are also removed. But the muscles in the pectoral region are not removed.
Radial Mastectomy: In this, the complete tissue of the breast is removed along with the auxiliary contents and also the pectoral region muscles are also removed. This is also called as the Halsted mastectomy. This surgery completely disfigures the breast and is recommended only if there are cancerous cells in the pectoral region.
Skin Sparing Mastectomy – This is one of the most common mastectomy procedures in recent years conducted by surgeons. In this the breast tissue is removed through a cut in the areola. This is usually meant only for people who have only breast cancer and not cancer of the skin as well. This is a procedure that has very less scarring after the surgery, and the breast can also be reconstructed once the surgery is done. This reconstruction is an option that is left to the patient.
Subcutaneous mastectomy – This particular procedure is also referred to as the nipple-sparing mastectomy procedure. In this particular variety of the procedure, the nipple, as well as the areola complex, is left unharmed but the breast tissue is still removed. The reconstruction of the breast after this surgery is easier as the nipples and areolas are left intact. The overlying skin is also left in this surgery. Unfortunately, because of the leaving of some cells near the areolas and the nipples, some amount of cancer cells may still remain in the breast.
Some of the leading hospitals in the field of Breast Cancer Treatment in India are:
Fortis hospital – Bangalore, Bannerghatta branch.
We Care Cancer center – New Delhi.
Breast care clinic – Ahmedabad.
Tata Memorial Hospital – Mumbai.
Max healthcare – New Delhi
Apollo CBCC Cancer care center – Ahmedabad.
Adyar Cancer Institute – Chennai.
(AIIMS) All India Institute of Medical Sciences – New Delhi.
The best cities in India for the Mastectomy procedure are the state capital cities as well as the metropolitan cities like New Delhi, Chennai, Mumbai, Ahmedabad, Bangalore, Kolkata and so on. It is easy to find affordable places to stay for a while in these cities as well. Since they are important cities, their local network and transport are also very well developed. They also have international airports for the people who are coming from different countries.
Dr. Sandeep Nayak – Oncologist with extensive experience with laparoscopy as well as a robotic cancer treatment.
Dr. Rajeev Agarwal – Director, department of breast services, Medanta hospital, Gurugram, with several successful cancer detections under his belt.
Dr. Kanchan Kaur – experienced oncologist with more than 12 years of experience in the field of oncology.
Dr. Nikhilesh Borkar – a very experienced surgical oncologist who has a fellowship from the breast and oncoplastic surgery department of Cambridge, UK.
Accreditation to healthcare providers is given by two bodies in India. The first one is National Accreditation Board for Hospitals & Healthcare Providers has been recognised as one of these standards. Accreditation Board for Hospitals & Healthcare Providers (NABH). A sought after accreditation standard is the National Accreditation Board for Hospitals & Healthcare Providers. The other healthcare accreditation is the Joint Commission International, it is a not-for-profit organization that has given certification to numerous healthcare institutions in India and abroad.
India has the best multispecialty hospitals that offer world-class medical treatment at an affordable cost. These hospitals can deal with more than one specialty and offer all kinds of surgeries. The hospitals are providing the general medical needs with the specialties. The topmost multispecialty hospitals in India are:
Affordable healthcare and superior infrastructure are the main reasons for the popularity of India in the medical tourism sector. India has some of the finest hospitals in the world that use high-end technologies at par with the western world and adhere to international health standards. The doctors from India are highly professional, are providing treatment with precision and accuracy and skilled. Some of the other important factors that contribute to making India one of the most favored destinations for medical tourism are ease of travel, ease of communication, availability of alternative treatment, and visa assistance.
Skill and application of that skill with precision ensures that Indian doctors are considered proficient in their work. Patients treated by doctors in India are a satisfied lot owing to the confidence the doctors have in dealing with newer healthcare challenges. Indian medical fraternity boasts of being an alumni of the best educational institutions in the world. You will feel right at home with the best of medical care that Indian doctors and surgeons can provide you with.
The decision to come to India is done in tandem with getting the documents ready. When traveling to India for your treatment, you need to carry travel documents, medical documents and get your finances ready. We are listing the documents here for your ease:
There are so many different popular procedures that are being performed on a regular basis in India such as the ones listed below:
The popular procedures that are being performed in India are being refined over time owing to an upgradation of various techniques and technologies. The good quality of doctors who are providing treatment and performing surgeries at economical prices has led to the growth in procedures like heart surgeries, orthopaedic procedures, organ transplants and in treatment of cancer in India. The steep rise in the number of popular procedures performed regularly in India is also because of a number of good hospitals and related healthcare facilities.
Vaccinations and up-to-date immunizations are important for any international travel. It is essential for medical travellers coming to India as well to get protection from different diseases. You need to keep yourself updated with a travel advisory issued by the Indian government or contact your hospital in India for complete information on vaccination guidelines. Your India visit would be safer if you have vaccinated yourself with hepatitis A, hepatitis B, Covid, typhoid fever, Japanese encephalitis, rabies, DPT, measles, yellow fever medicines.
Indian hospitals are well equipped to give International patients the safety and comfort that they need during their India stay. The hospitals in India have international patient care centers providing all kinds of assistance and care that the patients require. Your needs and requirements as a medical traveller in India are met by the hospitals by going the extra mile. There are many facilities available at Indian hospitals such as room reservation, visa and embassy assistance, hotel services and apartment bookings, language interpretation services, tele-consults and pre departure evaluation.
Some of the leading medical tourism destinations in India are Mumbai, Kolkata, Chennai, Delhi, Hyderabad, and Bengaluru. The world class medical services in India make it a medical tourism hub. Affordable medical care with world-class facilities, impeccable patient care, and easily available medical visas make the country a foremost choice for international patients. The medical tourism sector in India is on a growth spree reflected well in the various medical tourism destinations, being promoted well by the Government of India in tandem with various private players in the healthcare sector.
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