Compications Of MRM

Question 1

Complications

Answer 1

1.Bleeding
2.Injury to nerve(intercostobrachial nerves)
3.Nerve injury leads to winging of scapula(LTN)
4.FLAP necrosis
5.Seroma formation
6.Lymphedema(2-5%) incidence
7.Local or scar recurrence
8.Phantom breast syndrome (intercostobrachial nerve neuralgia)

Question 2

Most common complication of MRM

Answer 2

Seroma

Question 3

If seroma forms

Answer 3

Aspiration under aseptic condition and pressure dressing

Question 4

How to prevent seroma

Answer 4

Drains

Output <40cc for 2 days drain removed

Question 5

Risk of lymphedema is reduced by

Answer 5

Sentinal lymph node biopsy

Question 6

Factors influencing development of lymphedema

Answer 6

Axillary clearnace+radiotherapy to axilla
Arm Infections

Question 7

Management of lymphedema

Answer 7

Compresdive arm stocking
Regular exercise

Question 8

Long standing lymphedema can cause

Answer 8

Stewarts treves SX
(Angiosarcpma)

Question 9

Management of stewart trevers

Answer 9

Forequater amputation

Question 10

Best flap for breast reconstruction

Answer 10

Deep inferior epigastric artery perfprator flap(DIEP)

Question 11

TRAM stands for

Answer 11

Transverse rectus abdominus myocutaneous flap