Using a small fine probe single lactiferous duct is excised. What is the name of the procedure?
Microdochectomy
Macrodochectomy
Hadfield operation
Webster operation
Ans. (a) Microdochectomy(Ref. Bailey and Love 27th edition Page 865)Microdochectomy:* A lacrimal probe or a Stiff Nylon is used.* It is inserted into a single duct through which discharge is coming.* A tennis racket incision is made and the duct is excised.* Usually done for duct papilloma causing bloody discharge.* Can be done for Duct ectasia where a single duct is identified.Hadfield Operation:* Cone excision of the major ducts.* Periareolar incision and cone of tissue is excised with nipple at apex and base towards Pectoralis fascia.* Entire major duct system is excised.* Done for cases where the abnormal duct is difficult to identify.* Example in Periductal mastitis/Duct ectasia.
Breast