Hookwire Localised Breast Surgery
Hookwire Localised Breast Surgery is a specialised technique used in oncoplastic breast surgery. It's typically recommended when a small area of breast tissue needs to be removed, often identified through imaging tests like mammograms or ultrasounds. The "hookwire" is a thin, flexible wire inserted into the breast to precisely mark the location of the tumor for the surgeon.
Recent advances in technology have enabled the use of SAVI SCOUT®a reflector that is about the size of a grain of rice. It can be placed in your tumor up to 30 days before surgery. The reflector is not externally visible, and placement does not restrict your movements. The reflector is passive until activated, when safe, nonradioactive radar waves are used to detect it within your breast.
The nonradioactive surgical guidance technology then guides your surgeon to the precise site of your tumor.
Why is it recommended?
This surgery is recommended when traditional lumpectomy (breast-conserving surgery) is notable to be seen or felt by the surgeon’s hands due to the size or location of the tumour. It allows for the precise removal of cancerous tissue while minimising damage to surrounding healthy breast tissue. By using this oncoplastic approach, the breast is able to maintain as natural shape as possible.
Before the operation
Before your surgery, your medical team will provide you with detailed instructions on how to prepare. This may include fasting before the procedure and arranging for someone to drive you home afterward. You'll also have the opportunity to discuss any concerns or questions you have with your surgeon.
During the operation
On the day of the surgery, you'll be given anesthesia to keep you comfortable throughout the procedure. Using imaging guidance, such as mammography or ultrasound, the breast radiologist will insert the hookwire into the breast to mark the precise location of the tumour. Then, under General Anaesthesia the surgeon will carefully remove the cancerous tissue, taking care to preserve as much healthy tissue as possible.
How long will the operation take?
On average, the procedure typically takes around 1 to 2 hours to complete although this can vary depending on factors such as the complexity of the case, the location and size of the tumour, and whether additional procedures are performed simultaneously, such as lymph node removal or breast reconstruction.
After the operation
After the surgery, you'll be monitored closely as you recover from the anesthesia. You may experience some discomfort or mild pain, but your medical team will provide pain relief medication to keep you comfortable. You'll receive specific instructions on wound care and activity restrictions to follow during your recovery.
Risks and complications
Hookwire Localised Breast Surgery is generally considered safe, however, like any surgery the procedure is not without a small chance of risk or complication. These include infection, bleeding, discomfort, bruising, and rare complications such as wire migration or injury to nearby structures. However, these risks are typically low, and patients should discuss any concerns with their healthcare provider and adhere to pre and postoperative instructions for optimal safety and recovery.
Expected recovery time
The recovery time can vary from person to person, but most patients can expect to return to their normal activities within a week or two. You may need to take some time off work to rest and recover, depending on the nature of your job. As for showering, your surgeon will advise you on when it's safe to resume normal bathing routines, typically within a few days after surgery.
