Procedure in Detail/Findings:
Findings: 1 left breast mass with the biopsy site identified
2. Right breast subareolar mass with a visual papilloma
3. Right breast 3:00 position mass with a visible clip
4. Right breast axillary lipoma with an adjacent lymph node
A timeout was performed.
A curved incision was made over the left breast mass. Superior and inferior skin flaps were raised. The mass was elevated and removed using electrocautery. The biopsy site was identified. Once the mass was removed hemostasis is achieved. The mass was tagged with short suture superiorly and long suture laterally.
A right breast infra-areolar incision was made. The ducts were dissected out from underneath the nipple area or complex. Subareolar aspect of the tissue mass was clamped. The mass within elevated and the mass/subareolar ducts were excised using the cautery. The subareolar duct stumps were ligated with 2-0 Vicryl in a figure-of-eight fashion.
The medial left breast mass was then identified by going through the breast tissue from the subareolar incision. The mass was elevated and excised. The biopsy clip was identified.
The wounds were irrigated. Marcaine was infiltrated. Deep tissues were closed with 3-0 Vicryl. The skin was closed with 4-0 Monocryl.
The patient was then rolled to her left. A curved incision was made over the right lateral breast mass. The mass was identified as the sub-EKGs tissues were opened and found to be a lipoma. The lipoma was then excised.
The wound was irrigated. Hemostasis is achieved. Marcaine was infiltrated the deep layers were closed with 3-0 Vicryl and the skin with 4-0 Monocryl.
A lymph node adjacent to the lipoma, it was removed with it was separated from the lipoma and sent separately