Mastectomy in Tunisia

Treatment and Cost

10

Total Days
In Country

2 No. Travelers

5 Day in Hospital

5 Days Outside Hospital

Treatment cost starts from

USD 9500

Hospitals

About the Mastectomy

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.

Who are advised to undergo breast cancer mastectomy?

Your physician may recommend you to undergo a partial or full mastectomy in the following conditions:

  • If you have a massive malignant tumor in the breast or invasive ductal carcinoma
  • If you have had a recurrent breast cancer after initial lumpectomy
  • If you are pregnant and have been diagnosed with breast cancer and radiation therapy is contraindicated
  • If you have a medical history of scleroderma and have been diagnosed with breast cancer
  • If you are diagnosed with breast cancer and have a lump in the armpits

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.

How is Mastectomy performed?

Pre-surgical steps

  • Securing an intravenous line
  • Oral administration of sedative drugs to facilitate placement of a breathing tube
  • Placement of breathing tube
  • Administration of general anesthesia
  • Disinfecting the surgical site

Surgical Procedure

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.

Simple mastectomy

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

Modified radical mastectomy:

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

Radical mastectomy:

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).

Recovery from Mastectomy

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.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Tunisia / Why should opt for Tunisia as a destination for your medical treatment?
Hospitals in Tunisia are developing and trying to meet the international standards of healthcare. Although there is a basic set up in most of the hospitals for treatment in Tunisia, one can still expect scope for improvement. The Ministry of Health, along with the Government of Tunisia is making effective changes for the healthcare sector. The private hospitals in Tunisia are also undergoing a robust change to provide effective healthcare and treatment in Tunisia.

Like most other countries, hospitals in Tunisia have a private and public healthcare system. Hospitals in Tunisia include three levels of care: primary, with a network of 81 clinics and 2091 basic health centers; secondary, with 109 district hospitals; and tertiary, with 33 regional hospitals and 24 modern CHUs, according to MoS figures.
What are the conditions of the hospitals in Tunisia? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
In Tunisia, there are no JCI accredited hospitals but 4 private hospitals are certified ISO and OHSAS (Occupational Health and Safety Assessment Series).
Are the doctors/surgeons in Tunisia of the best quality?
The hospitals in Tunisia have seen a constant change in terms of development and technology. Most doctors that are trained in the country understand the needs and requirements of people and are able to diagnose and treat them well. There are various surgeons that fly in from other countries as well to treat patients. This was brought about due to the economic reforms and various expats residing there. The varying levels of health organizations provide reasonable means of treatment for any patient. There are also trained paramedical and emergency service staff in this country.
What is the process for obtaining a medical visa in Tunisia?
Patients who wish to visit Tunisia for medical purposes must contact the Embassy of Tunisia in their home country. One is required to have a valid passport. Those applicants must submit their visa application forms in person together with the following documents:
  1. A duly completed application form with one picture (within a white background).
  2. Original biometric passport and one copy. Passports should have a validity of at least one year from the date of your visa application submission.
  3. Medical certificate stating the type of illness and the treatment to be carried out. This document has to be in English or Spanish language.
  4. Letter from the hospital in Tunisia stating the appointment date and whether the treatment expenses have been already paid in full.
  5. Proof of financial means which enable the applicant to meet life needs while in Tunisia (salary certificate if working, bank statement for the last six months, property deeds, commercial license, other sorts of income).
  6. Travel insurance.
  7. Proof of accommodation (hotel reservation, etc)
  8. Applicants are advised that ALL PASSPORTS HAVE TO REMAIN at the Embassy premises while the visa application is under process (between 10 and 15 days), and therefore cannot be retrieved unless very special and urgent circumstances might arise.
  9. The Embassy has the right to require from the applicant any document that it may deem relevant in order to resolve the visa file.
What support services does MediGence provide in Tunisia?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Tunisia for medical treatment?
Tunis is the largest country and capital of Tunisia. This country is located in the northern region of Africa and is the best city for treatment in Tunisia.

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