Understanding Wide Local Excision

Wide Local Excision (WLE), also known as breast-conserving surgery or segmental mastectomy, is a procedure performed to remove a breast lump along with a margin of surrounding healthy tissue. It is most commonly used in cases of early-stage breast cancer, atypical (suspicious) lesions, or benign tumors that require complete removal. The primary aim of this surgery is to remove all abnormal cells while preserving the natural appearance of the breast.

Unlike a mastectomy, where the entire breast is removed, WLE allows women to retain their breast shape and structure. When performed with precision, this procedure offers both excellent oncological safety and a satisfying cosmetic result.

When is Wide Local Excision Recommended?

Dr. Kanmani Govindrao Telkar may recommend WLE for a number of reasons. It is often the treatment of choice in cases where the tumor is small, well-localized, and has not spread to other areas. It is also suitable for benign but growing breast lumps or for patients who are found to have ductal carcinoma in situ (DCIS) or atypical hyperplasia on a biopsy.

Women who wish to avoid mastectomy and preserve their breast tissue often prefer this option. WLE is also ideal for patients who are medically unfit for more extensive surgery or for those who want a quicker recovery time.

What Happens During the Procedure?

Wide Local Excision is typically performed under general anesthesia and takes around 60 to 90 minutes. Dr. Kanmani Govindrao Telkar begins by making a small incision near or over the lump. Using advanced techniques, the abnormal tissue is carefully removed, along with a small buffer of healthy tissue around it. This margin helps reduce the risk of recurrence or missed abnormal cells.

In some cases—especially if the lump is cancerous—a sentinel lymph node biopsy is also performed. This helps determine if any cancer has spread to the lymphatic system. Once the lump is removed, Dr. Telkar reshapes the remaining breast tissue to preserve a natural appearance and closes the incision using cosmetic sutures.

The excised tissue is sent for histopathological examination to confirm that the abnormality has been completely removed and that the surrounding tissue margins are clear.

Recovery and Aftercare

Recovery after wide local excision is usually straightforward. Most patients can return home the same day. Mild swelling, bruising, or soreness may occur and can be managed with oral painkillers. Dr. Telkar provides comprehensive aftercare instructions, including guidance on wound care, signs of infection to watch for, and when to resume normal activities.

Most women can return to light activities within 3 to 5 days. Strenuous exercise or lifting should be avoided for about 2 weeks. Follow-up appointments are scheduled to monitor healing and discuss pathology results. If the surgery was performed for cancer, Dr. Kanmani will also guide you through the next steps, which may include radiation therapy, hormonal therapy, or further imaging.

Benefits of Wide Local Excision

The biggest advantage of WLE is that it allows women to treat their condition effectively while preserving the breast. This is not only important physically but also emotionally, helping many women feel more confident and comfortable after surgery.

Other benefits include:

• Shorter recovery time compared to a mastectomy
• Minimal scarring with proper surgical technique
• Less disruption to body image and self-esteem
• Effective cancer control, especially when followed by radiation therapy
• Option for oncoplastic reshaping to optimize cosmetic outcomes

When done by a skilled surgeon like Dr. Telkar, WLE offers a balance of safety, effectiveness, and aesthetics.

Why Choose Dr. Kanmani Govindrao Telkar?

Dr. Kanmani Govindrao Telkar is a compassionate and experienced general and breast surgeon with a special interest in breast-conserving techniques. With her MBBS and MS in General Surgery, she combines clinical skill with a deep understanding of her patients’ emotional and physical needs.

Patients appreciate her for:

• Precision in surgical technique
• Clear, empathetic communication
• Commitment to cosmetic outcomes
• End-to-end guidance, from diagnosis to follow-up care

Dr. Telkar ensures that every treatment decision is tailored to your specific condition, preferences, and future health goals. Her approach is built on trust, respect, and evidence-based care.

Regain Your Health While Preserving What Matters

Facing a breast lump or early-stage cancer doesn’t always mean losing your breast. With wide local excision, you can address the issue effectively while maintaining your appearance and confidence. Early intervention, guided by an experienced surgeon, makes all the difference.

If you’ve been advised to undergo a lumpectomy or are seeking a second opinion, Dr. Kanmani Govindrao Telkar is here to help. She provides compassionate, skilled care to ensure you receive the best possible outcome, both medically and emotionally.

Schedule your consultation today to learn more about wide local excision and how it can support your breast health journey.