About Microdochectomy

Microdochectomy is a surgical procedure that involves the removal of a single milk duct or a portion of the milk duct system within the breast. Milk ducts play a crucial role in carrying breast milk from the lobules (milk-producing glands) to the nipple, which is essential for breastfeeding. When a milk duct becomes blocked, infected, or develops other abnormalities, it can cause discomfort, pain, and difficulties with breastfeeding.

Procedure of Microdochectomy

1. Preoperative Assessment:
   Before the microdochectomy, a comprehensive evaluation of the breast is conducted. This typically includes a clinical examination, imaging tests such as mammography or ultrasound, and sometimes a biopsy to rule out any underlying malignancy.

2. Anesthesia:
   The procedure can be performed under general anesthesia, ensuring that the patient remains asleep and pain-free. Alternatively, local anesthesia with sedation may be used, numbing the breast area while allowing the patient to stay awake but relaxed.

3. Incision and Duct Removal:

   • A small incision is made in the breast to access the affected milk duct.

   • The surgeon carefully identifies and isolates the problematic duct using specialized instruments and techniques.

   • The blocked or abnormal milk duct is then excised, ensuring complete removal while preserving surrounding healthy tissue. If multiple ducts are affected, a segment of the duct system may also need to be removed.

4. Closure and Recovery:

   • After the targeted duct is removed, the incision is meticulously closed using sutures or adhesive strips.

   • A sterile dressing is applied to promote healing.

   • The patient is monitored in a recovery area for a short period before being discharged with postoperative care instructions. Follow-up appointments are scheduled to monitor healing and address any concerns.