Learn about Major Duct Excision Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Major Duct Excision and request assistance for cost estimates or appointments.

About Major Duct Excision

Major Duct Excision, also known as microdochectomy or total duct excision, is a surgical procedure performed by a General Surgeon to remove one or more of the major milk ducts (lactiferous ducts) located beneath the nipple and areola. It is primarily indicated for diagnosing and treating persistent, spontaneous, single-duct nipple discharge, often when the discharge is bloody or suspicious for underlying pathology. The procedure involves a small incision around the areola to access and excise the affected duct system, which is then sent for pathological analysis to rule out conditions like ductal papilloma or carcinoma. It is a definitive diagnostic and therapeutic intervention that can alleviate symptoms and provide peace of mind.

Key Highlights

    Definitive diagnostic procedure for identifying the cause of suspicious nipple discharge.Therapeutic removal of problematic ducts, often resolving discharge symptoms completely.Minimally invasive with a discreet incision typically placed around the areola.Provides tissue for biopsy, offering a clear pathological diagnosis.Can be performed under local or general anesthesia, depending on patient and surgeon preference.

Who is this surgery for?

  • Persistent, spontaneous, single-duct nipple discharge (clear, serous, or bloody).
  • Suspicious or pathological nipple discharge, especially in patients over age 40.
  • Identification of an intraductal papilloma or other benign lesion on imaging (e.g., ductogram).
  • Recurrent episodes of duct ectasia or periductal mastitis causing significant symptoms.
  • To rule out ductal carcinoma in situ (DCIS) or other malignancies when non-invasive tests are inconclusive.

How to prepare

  • Complete preoperative evaluation including medical history, physical exam, and imaging (mammogram, ultrasound, or ductogram).
  • Discussion of anesthesia options (local vs. general) and associated risks with the anesthesiologist.
  • Fasting for 6-8 hours before the procedure if general anesthesia is planned.
  • Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the surgeon.
  • Arranging for transportation home post-procedure and support during initial recovery.

Risks & possible complications

  • Common: Post-operative pain, bruising, swelling, and temporary numbness around the nipple.
  • Infection at the surgical site.
  • Hematoma (collection of blood) or seroma (collection of fluid) formation.
  • Altered nipple sensation (increased or decreased), which may be permanent.
  • Rare: Damage to surrounding breast tissue, cosmetic changes to breast contour, or inability to breastfeed from the affected breast in the future.
  • Scarring, though the incision is usually well-concealed.

Recovery & hospital stay

  • Most patients can go home the same day or after a short observation period.
  • Pain is managed with prescribed or over-the-counter analgesics.
  • A supportive bra should be worn continuously for several days to minimize swelling and provide comfort.
  • Stitches are usually dissolvable; the wound should be kept clean and dry as per surgeon's instructions.
  • Avoid strenuous activity, heavy lifting, and vigorous arm movements for 1-2 weeks.
  • Follow-up appointment is scheduled to review pathology results and check healing progress.
  • checked Typical hospital stay: 0-1 days (typically outpatient or short stay)
  • checked Expected recovery time: 1-2 weeks for normal activities, 4-6 weeks for complete healing and resumption of all strenuous activities

Frequently Asked Questions

If you are considering major duct excision in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for major duct excision compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India USD 381 – USD 925 0-1 days (typically outpatient or short stay) ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing and resumption of all strenuous activities Know More
Turkey USD 2,818 – USD 6,845 0-1 days (typically outpatient or short stay) ~ 1-2 weeks for normal activities, 4-6 weeks for complete healing and resumption of all strenuous activities Know More

Top hospitals for Major Duct Excision in India

These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing major duct excision.

Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
  • Icon44 Doctors

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
  • Icon55 Doctors

Manipal Hospital Dhakuria

  • IconKolkata, India
  • Icon200 Doctors

Manipal Hospital Mukundapur

  • IconKolkata, India
  • Icon145 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors
PATIENT REVIEW

I was a total wreck before...

I was a total wreck before my appointment. First time seeing a doctor on my own and I was convinced it was something serious. Dr. Ram just listened, didn't rush me, and explained everything in a way that actually calmed me down. The hospital is huge and a bit overwhelming, but he made it feel okay. Left feeling like I could breathe again.

General surgeons for Major Duct Excision

Explore experienced general surgeons who regularly perform major duct excision and provide pre- and post-operative care in India.

Dr. S Srivatsan Gurumurthy
  • 18 Years Experience
  • Laparoscopic surgeon
Speaks: Tamil, English
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Perungudi

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Dr. Praveen C R
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Varthur Road

OPD-desk synced • Updated
Dr. Tanmoy Mukherjee
  • 12 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

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Dr. Hitender Singh Chauhan
  • 12 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Rakesh Khan
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

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Dr. Asis Kumar Sinha
  • 18 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake

OPD-desk synced • Updated
Dr. Nayan Sri
  • 2 Years Experience
  • General surgeon
Speaks: English, Tamil
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Gem Hospital Aminjikarai

OPD-desk synced • Updated
Dr. Selva Udhayam
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi, Tamil

MediFyr Plus SIMS Hospital Vadapalani

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Dr. Manjul Bawa
  • 13 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

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Dr. Shubhayu Banerjee
  • 22 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake

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Dr. Abhishek Bhaumik
  • 9 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

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Dr. Anshuman Poddar
  • 15 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake

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Dr. Sanjay Maitra
  • 14 Years Experience
  • General surgeon
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway

OPD-desk synced • Updated