Mastectomy is an outpatient procedure???

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Luckydog42
Luckydog42 Member Posts: 51

I just found out that my surgery on Monday for a UMX with reconstruction (TE) will be am outpatient procedure. I am shocked that I won't be staying at least one night. Is this normal? Did you stay in the hospital for a mastectomy?

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Comments

  • softness1
    softness1 Member Posts: 217
    edited November 2014

    I know of one woman who had an outpatient mastectomy and went home the same day. Her surgery was very early in the morning and they released her that evening. Some insurances don't pay unless something goes wrong. I think it's inhumane personally, but the lady that I know was comfortable at home.

    I had a bilateral and stayed in 2 nights

  • hummingbirdlover
    hummingbirdlover Member Posts: 421
    edited November 2014

    I had a BMX and stayed only one night. I was glad I had that one night but I was ready to go home the next day. They sure boot you out of there quickly though, don't they? I hope everything goes well for you! Recovery after really hasn't been that bad, keep up on your meds and take care of yourself.

  • barremom64
    barremom64 Member Posts: 191
    edited November 2014

    two nights originally scheduled for me. Same day? Ive never heard if that. Glad that wasn't me, as I started heavily bleeding during the night in left breast (drains keep filling fast) they had to go back in the next morning to find the source of bleeding and fix that. I would not want to go home the same day- unimaginable actually.

    I'm sorry that is you course:( Is it too late to make a fuss?? One thing I've learned since DX in June is TRUST your gut, if it doesn't feel right, it probably isn't.

  • armamp95
    armamp95 Member Posts: 44
    edited November 2014

    I was horrified to hear that my BS did her MX's as outpatient surgeries ... but when she explained her rationale (less exposure to hospital-based pathogens, increased creature comforts and control at home), I was persuaded ... and everything went super smoothly.

  • mel147
    mel147 Member Posts: 479
    edited November 2014

    I had a BMX and stayed one night, one miserable night with machines malfunctioning and beeping constantly right next to my ear while I waited too long for someone to come turn them off. At night it was the machine the IV goes through...they changed it 3 times before changing the actual IV bag and tubing, which fixed the problem, then in the morning it was the things that went around my calves and squeezed them off and on to keep the blood clots away. Same thing...would stop working, beep incessantly, they'd come fix it, then it would happen all over again. I was super happy to go home! Best wishes for an uneventful and successful surgery with a speedy recovery!! Take care!

  • lstewart51
    lstewart51 Member Posts: 43
    edited November 2014

    I had a double mastecomy at 9:00 am went home at 4:00 pm was trying at times but my husband was great

  • Marple
    Marple Member Posts: 19,143
    edited November 2014

    I had single mast. no recon.  In and out same day.  My sister (bless her heart) stayed overnight with me and DH.  She was great moral and physical support.

  • grammakathy
    grammakathy Member Posts: 407
    edited November 2014

    My single mastectomy and sinus lymph node removal was outpatient and I was glad to return home to my own bed - and not be in a hospital where I could pick up extra germs. Four months later my PS removed my other breast and placed TEs, as an outpatient. The exchange surgery 7 months later again was outpatient. I had no complications from any of the surgeries but was warned that I would be admitted to the hospital if anything unexpected happened during the surgery

  • glennie19
    glennie19 Member Posts: 6,398
    edited November 2014


    Mine was also outpatient. 

  • wrenn
    wrenn Member Posts: 2,707
    edited November 2014

    My BMX was supposed to be outpatient but I was required to stay overnight because of sleep apnea

  • flatnfab54
    flatnfab54 Member Posts: 44
    edited November 2014
    I had bilateral and stayed 2 nights.
  • Morwenna
    Morwenna Member Posts: 1,063
    edited November 2014

    I stayed overnight in a "day surgery unit". I wasn't on a proper bed, just a kind of stretcher. I was uncomfortable and miserable all night, and very pleased to go home next morning!

  • aunt_paula
    aunt_paula Member Posts: 271
    edited November 2014

    I had bilateral with no reconstruction and stayed two nights, and it was considered outpatient because I was not considered fully admitted to the hospital--I think the explanation was that my insurance would cover up to 48 hours of "observation" after surgery (if I remember correctly).

  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited November 2014

    Outpatient here, too, for the umx.  There wasn't a lot of drama.  I was very happy to be home in my own bed, kept company by my husby and my own familiar and innocent germs.  Pain was well managed with meds and ice.

  • GG27
    GG27 Member Posts: 2,128
    edited November 2014

    I did stay overnight just barely, but that was because my surgery wasn't until 3pm & they wouldn't send me home until the ferry was running the next day. But I wasn't admitted to the hospital & DH came to get me at 7am. I was happy to be home in my own bed with my own germs & the peace & quiet. Good luck! GG

  • Jujube43
    Jujube43 Member Posts: 178
    edited November 2014

    My UMX without reconstruction was at 9 AM. I was home by 1 PM the same day. I had Home Health Care come in daily to change dressings, etc until the drains were removed 10 days later. I am 71 years old and made a rapid recovery.

  • Sacnaillady
    Sacnaillady Member Posts: 59
    edited November 2014

    my 75 year old mother had umx as an out patient. I was shocked. I stay with her for 2 days. She did pretty good.

  • LauraW68
    LauraW68 Member Posts: 100
    edited November 2014

    I had BMX on 10/24/14. Surgery was at 1 and took 5 hours. I was then in recovery for almost 2 hours, one of which was waiting for a room to be ready for me. I stayed overnight in the hospital and got discharged around 4 or 4:30 the next day.

  • Mischief46
    Mischief46 Member Posts: 217
    edited November 2014

    My BMX, SNB and reconstruction was considered outpatient. My surgery was late in the day, 2:00pm so I did get to stay the night...but they did usher me out as soon as I ate breakfast. I was home by 8:00a.m. I was actually more comfy at home.

  • kcat2013
    kcat2013 Member Posts: 391
    edited November 2014

    Mine was outpatient and was not a good experience. I was released even though I did not have my pain under control at all. I went home 2 hours after coming out of the OR. I couldn't stand up without blacking out. Took me 30 minutes to get from the car to the house because of this. Frankly it was awful. If I could do it again I would have pushed for an over night stay or at least gotten clear understanding of what circumstances the hospital would keep me versus release me so we could have been better prepared on how to approach it. My family expressed their concerns repeatedly to the nurses about my being released (when my family realized I was going to be released in the state I was in) but the nurses basically said they were following policy and couldn't keep me any longer. I don't mean to tell you this to scare you but just as a precaution that you may want to discuss this further with your surgeon so you are a clear on everything.

    Kendra

  • noonrider
    noonrider Member Posts: 464
    edited November 2014

    I stayed two nights. Two nights of my back protesting the horrible hospital mattress and me wanting to sit upright in a chair because the bed hurt my back so bad. 5 years ago I had a tummy tuck (28 inch incision from hip to hip, drains, etc.) as an outpatient procedure. It was not easy, but I felt prepared to be at home after my BMX

    HOWEVER…my pain was NOT well managed until day two when I came home.

    Six weeks later I had to go back in to have my TE's replaced (ruptured one, scar tissue removal on the second which meant automatic replacement on that side too) and was home four hours after my surgery started. I BEGGED to go to the hospital because we couldn't get my pain under control until very late that night.

    Remember this, claim you are at a "10" for pain level so they will keep you!

  • Meow13
    Meow13 Member Posts: 4,859
    edited November 2014

    I stayed overnight and the nurses were wonderful to me. Such a different experience than when I gave birth to my kids.

    I was fine no pain and the physical healing was easy. Emotionally it did a job on me. Aftermy DIEP I felt whole again

    I healed very nicely

  • badger
    badger Member Posts: 34,614
    edited November 2014

    hi Luckydog42, I had a BMX no recon and ended up staying two nights.  The hospital clerk was great.  She knew how to work the system and prepared forms for same-day surgery, my insurance company's standard, and for being admitted if medically necessary (the magic words).  I hope it goes well for you Mon!  ♥  

  • justgrateful
    justgrateful Member Posts: 3
    edited November 2014

    i had my left mastectomy on oct 28 with Tissue Expander placed in at 11 am and i was home at 530 pm that same day. i was also surprised at first but i was glad i was home. The only way i could sleep was sitting down as laying down was impossible. I was terrified of the procedure but it's not that bad. It's amazing how your body adjust. After 3 weeks i feel ready to go back to work.

  • RebzAmy
    RebzAmy Member Posts: 322
    edited November 2014

    This really surprises me to hear that you are discharged so quickly. I had my mastectomy after my chemotherapy and I stayed in hospital for a week. I probably didn't need to stay that long but I had drains in and they had to stay in place for a week anyway. It was easier for it to be managed with me staying there and as I had only just finished chemo and had a bit of a low white blood count, they wanted to keep an eye on me. This was all on the NHS in the UK by the way. I had my own room. The quality of care was fantastic and I was never in any pain as it was so well managed.

    My reconstructive surgery was a bit different as it was a nearly 10 hour operation. I was in high dependency to begin with and also stayed in for a week. When I was discharged both times, I was well and ready to go home. I would not have been well enough on either occasion to have attempted to go home but especially after the reconstruction.

  • sunny8
    sunny8 Member Posts: 52
    edited November 2014

    That is shocking to hear that people are being sent home the same day! There is no way I could have done that. I had one side done at a time. Each time I spent one day. During that day, they put massage pads on my legs for ciculation. Controlled my pain, monitored my bowels, temp, etc. Drained my drains and I had I private room. I paid a bit extra for the VIP wing and got a room that was like a hotel room. Got room service whenever I wanted for myself and my visitors. I begged to stay longer but I left the next day after dinner:)


  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited November 2014

    In the US, the trend is toward shorter hospital stays. I doubt anyone with a recent bmx in the US has ever stayed for a week, unless there were complications. My hospital has only private rooms and the staff was fantastic. The food, while not gourmet, was fresh, tasty and there was a wide selection. However...it was still a hospital. There were signs all over asking that visitors preserve a quiet healing environment, but staff are always moving about helping patients, delivering meds, services etc. Even with my door closed, I was always aware that a hospital never sleeps. I was supposed to stay two nights but stayed three due to pain control issues. If not for that, I would have happily gone home to my own bed as soon as possible.

  • JJ62
    JJ62 Member Posts: 65
    edited November 2014

    Right mastectomy was a mid afternoon surgery so I spent one noisy night in hospital. Left mast. and full hyst. were day surgery. It was a long day. We are 3 hours from the hospital so spent that night in a quite hotel near the hospital. Thankfully my husband is a good caregiver. There is no place like home! No recon with either.

  • JAN69
    JAN69 Member Posts: 947
    edited November 2014

    I stayed overnight after my first mx. I'm sure I needed that time. My second mx a year later I also stayed overnight, but could have gone home. My RN spent a lot of the night in my room just chatting with me. There were 2 screamers down the hall and absolutely no sleep was to happen.

    HOWEVER, Medicare didn't want to pay for either stay. MC and hospital are in major arguments at the moment. It's become a bit ugly. I'm in the middle of a major class action lawsuit. I've been told I won't be responsible for the overnight charges, but the hospital is still sending me nasty letters.

    My take on all this is that it has become a Medicare policy that MX is day surgery.


  • glennie19
    glennie19 Member Posts: 6,398
    edited November 2014


    MX is same day surgery at the hospital I work for.  You only stay over night if there are complications, or if you are having DIEP recon at the same time.   

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