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Mastectomy is a surgical procedure to remove all breast tissue from a breast. The goal of this surgery is to treat breast cancer. It is often performed when a woman cannot be treated with breast-conserving surgery (lumpectomy), which is a surgery where only the tumor is removed while the breast is preserved. Mastectomy is also the main treatment for breast cancer in men. Because men only have little breast tissue, and most tumors in men appear under the nipple, surgeons usually need to remove the whole breasts. Depending on your situation, mastectomy can be done to remove only one breast (known as unilateral mastectomy) or both breasts (known as bilateral mastectomy).
Mastectomy may be recommended to treat numerous types of breast cancer, including early-stage breast cancer (Stages I and II), locally advanced breast cancer (stages III), ductal carcinoma in situ (DCIS), inflammatory breast cancer, locally recurrent breast cancer, and Paget’s disease of the breast. Your doctor may recommend mastectomy if the cancer is in a large area of the breast or cancer has spread all around the breast. A mastectomy may also be recommended if you have a very high risk of developing breast cancer. Mastectomy performed to prevent breast cancer is known as prophylactic mastectomy. Doctors also recommend mastectomy for people with gynecomastia.
In most cases, breast reconstruction can be done at the same time as your mastectomy, but you can also choose to have it at a later date.
Breast cancer can be dangerous and life-threatening. It can change every aspect of your life in different ways. Breast cancer can also spread to other parts of the body, causing more complications. After a mastectomy, your quality of life should improve. Cancer may not spread to other parts of the body, and you may have higher survival rates.
Evaluating the expense related to a medical process such as Mastectomy remains a significant concern for many individuals. It's crucial to observe that the expense associated with this process in Dominican Republic fluctuates among different medical establishments and is affected by numerous elements. For instance, the specific nature of the Mastectomy conducted - be it a complete Mastectomy, a lumpectomy, or a modified radical Mastectomy - will directly affect the overall expense. The complexity of each case also influences the duration of the procedure, which can in turn, alter the pricing.
A key part of the cost structure includes facility fees. Premium clinics or hospitals clinic may demand higher charges owing to their cutting-edge infrastructure, highly skilled surgeons, and top-notch care quality. The post-procedure stay duration at the hospital, the chosen room type, and any extra necessary treatments can also contribute to increasing the cost.
Extra expenses may consist of pre-operation consultations, diagnostic tests, medication, and possibly, physiotherapy after the surgery. Many of these elements are variable, emphasizing the importance of acquiring a detailed price breakdown from the selected medical establishment in Dominican Republic before going ahead.
During a mastectomy, a horizontal or diagonal incision is made across your breast so the tissue can be removed. The amount of tissue removed will depend on the type of mastectomy you are undergoing as other parts of the breast may also be removed. Some of the main types of mastectomy are as follows:
All types of mastectomy are performed under general anesthetic, so you will be ‘asleep’ and unaware of anything while the surgery is carried out.
A mastectomy takes about 1 to 3 hours to complete. Most patients are allowed to leave the hospital on the same day. If the procedure is followed by breast reconstruction, you may need to stay for 2 to 3 days. In total, you should plan to stay in Dominican Republic for 14 days because you will need to attend follow-up checkups and your doctor may want you to get more treatment based on your pathology report.
The recovery period depends on the type of mastectomy you undergo. The total recovery time may take about 4 to 6 weeks. However, you will be able to get back to work within 2 to 3 weeks (if your job does not involve a lot of physical activities).
In the current phase, crucial steps involve efficiently dealing with any discomfort, ensuring that the operated section remains hygienic and moisture-free, executing prescribed workouts for enhancing the mobility of the arm and shoulder, participating in subsequent check-ins, and slowly resuming typical tasks.
Paying attention to what your physical system is signaling and carving out substantial rest periods for rejuvenation are fundamental elements in accelerating the healing process. Implementing a balanced, nutritious diet and keeping a positive mindset can also drastically aid in faster recovery. Make sure you stay well-hydrated and avoid any activities that might strain the surgical area. Reach out to your healthcare provider whenever you have any concerns or questions, and don't rush through the process - remember that healing takes time.
Your surgeon will give you detailed aftercare instructions, which may include a diet plan, signs of infection to recognize, use of medicines, any restrictions, and caring for the surgical wounds. Your doctor may also recommend that you do some arm exercises to encourage a full range of movement back to the area around the arm.
You should also schedule regular checkups to ensure cancer has not come back. You can choose to have the checkups with your local doctor of the doctor in Dominican Republic. Furthermore, if your pathology result shows that you will need more treatment, your surgeon may refer you to a radiation oncologist, a medical oncologist, or a counselor.
The survival rate for breast cancer patients may increase significantly after a mastectomy. A study revealed that 81.2% of women who had double mastectomy survived more than 10 years. In some cases, recurrence can occur, resulting in malignancy. This decreases the success rate of the procedure. Mastectomy done to treat gynecomastia is recorded to have a 90% success rate.
The positive outcome of a Mastectomy is highly dependent on thorough evaluations before surgery, skilled surgical execution, after-surgery care, and the patient's obedience to instructions following surgery. Subsequently, selecting a reputable medical facility with a demonstrated record of effective Mastectomy, offering a complete aftercare service, can significantly improve the total efficacy of the operation.
The alternative to mastectomy are as follows:
In preparation for a Mastectomy in Dominican Republic, you should prepare for several preliminary activities. These can involve medical imaging studies, blood work, and a detailed conversation with your operating surgeon. This interaction with your surgeon serves as a chance to gain deeper knowledge about the operation, its likely risks and advantages, as well as exchanging your hopes and concerns. Furthermore, you will be given specific directives to adhere to before the procedure, such as guidelines on fasting and alterations to your present medication regime.
After the operation, you will be relocated to a recuperation area where medical staff will maintain a close watch on your vital signs. The duration of your hospital admission can fluctuate, but anticipate remaining in the facility for several days following the operation. Common physical discomforts such as pain, inflammation, and discoloration are manageable with prescribed drugs. Additionally, you will be given guidance on caring for your surgical wound, restrictions on physical activities, and signs to be vigilant for.
The process of healing from Mastectomy can be slow and requires a conscientious approach to personal care and routine check-ups. It's important to maintain realistic expectations since adapting to the physical and emotional shifts after the procedure could demand time. Open discussions with your health professional regarding any issues or hardships you're confronting are fundamental. Given the emotional toll of Mastectomy, sourcing psychological assistance during this recuperation period could be advantageous.
Like other surgical procedures, mastectomy carries a risk of complications. The risks you need to be aware of are:
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.
In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.
Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.
The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.
Top attractions of the Dominican Republic:
Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.
The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.
The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.
Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.
The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.
There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.
The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.
Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.
Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:
Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.