What is the ambulatory breast biopsy surgery?
Ambulatory breast biopsy surgery is performed under local anesthesia. Surgical methods are used to obtain partial breast tissue for conducting a clinical diagnosis. Please check in at the reception counter on your scheduled day. After the surgery, you can go home on the same day.

The perioperative nursing care:
  1. Preoperative nursing care
    1. You are required to present the Health Insurance ID Card for the identification. You are also going to be inquired for your medical record and past allergic history.
    2. Nurse staff may confirm with you regarding the acceptance of the surgery and anesthesia. If you have any questions, please do not hesitate to ask nurse staff.
    3. Before entering the operation room, please remove all your accessories, watch, denture, and wipe off lipstick or nails polish. Please hand over your belongings to families or leave them in the locker at nursing station.
    4. Wear loose-fitting clothing for changing into the patient gown at ease.
  2. Intraoperative care
    1. During the surgery, there will be a pressure cuff on your arm, an electrocardiogram patch on the chest, and a blood oxygen monitoring on your finger tip to monitor your vital signs.
    2. Nurse staff may help you maintain supine position and use the equipment to prevent fall so that you do not get hurt from positioning injury. We would provide you warm blanket or the heat lamp to keep you warm.
    3. During the surgery, we will play music to divert your attention. This will also help in relieving pain or discomfort. You can inform the staff if you need any help anytime.
    4. For your privacy, the body exposure is minimized throughout the procedure.
  3. Postoperative care
    1. The Nurse will clean your surgical site, and assists in changing clothes, the wound will be covered with sterile dressing.
    2. The Nurse will provide you the instructions of nursing care at home such as wound care.
 
Home care notifications:
  1. The sutured wound should be kept away from water for 3 days after the surgery, to avoid wound infection or delay in healing. After 3 days, you can start taking shower. Gently dry the wound with a dry towel. Do not take a bath until the wound has healed completely.
  2. Surgical wounds can be covered with small gauze. The wound helps to determine what type of suture will be used. Absorbable sutures are self-absorbed by the body after around 10 days, so the wound remains without stitches. The non-absorbable suture stay for 7 to 10 days.
  3. Before the wound is completely healed, strenuous exercise should be temporarily avoided.
  4. After the operation, you may go to work as usual. After the wound is completely healed, normal sexual life could be restored.
  5. If the wound has active bleeding, odor, purulent discharge, or fever over 37.5°C. Please return to the hospital for the treatment.
 
Reference
  1. Tsuji, W., Takeuchi, E., Satoshi, O., Yamashita, T., Yotsumoto, F., Wakako, T… Fumiaki, Y. (2016). Localized primary amyloidosis of the breast: a case report and review of the literature. BMC Surgery. 16, 1-5. doi:10.1186/s12893-016-0178-6.
  2. Daroles, J., Borget, I., Suciu, V., Mazouni, C., Delaloge, S., & Balleyguier, C. (2017). Value of a short-termimaging follow-up after a benign result in a one-stop breast unit: Is it still useful? European Journal of Cancer, 85, 23-30. doi:10.1016/j.ejca.2017.08.002.
  3. Vasan, A., Baker, J. A., Shelby, R. A., Soo, & M. S. C. (2017). Impact of Sodium Bicarbonate-Buffered Lidocaine on Patient Pain During Image-Guided Breast Biopsy. Journal of the American College of Radiology, 14(9), 1194-120. doi:10.1016/j.jacr.2017.03.026
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