title: A safe technique of major mammary duct excision.
abstract: The classical Hadfield's operation for duct ectasia/periductal mastitis results in nipple anaesthesia in most women and nipple/areola necrosis in some patients. To obviate these two complications we have modified the technique of major duct excision. The incision is given over only one-third of areolar circumference and no areolar flap is raised. In the 17 women treated by this technique the cosmetic results were good in all of them with no nipple/areola necrosis. The nipple sensation was preserved in all cases. There was only one case of recurrence of nipple discharge. The technique offers a safer alternative to the classical Hadfield's operation.
authors.affiliation: Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi.
authors.forename: A
authors.initials: A
authors.lastname: Srivastava
authors.forename: M S
authors.initials: MS
authors.lastname: Griwan
authors.forename: S S
authors.initials: SS
authors.lastname: Samaiyar
authors.forename: L K
authors.initials: LK
authors.lastname: Sharma
mesh_terms: D000768:Anesthesia, General; D000772:Anesthesia, Local; D001940:Breast / Q000473:pathology / Q000601:surgery*; D001941:Breast Diseases / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D009336:Necrosis; D009558:Nipples / Q000503:physiopathology; D012677:Sensation; D013514:Surgical Procedures, Operative / Q000379:methods