MASTECTOMY (SIMPLE/TOTAL)
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
Indication: Multifocal or multicentric breast carcinoma, large tumour relative to breast size, locally advanced disease, patient preference to avoid radiotherapy, diffuse DCIS, prophylactic mastectomy (BRCA1/2 carrier). Does not include axillary clearance (axillary staging performed separately if required).
Patient Position: Supine, ipsilateral arm extended on arm board or tucked at side. Shoulder slightly elevated.
Anaesthesia: General.