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Indications

Persistent blood-stained discharge from single duct opening on nipple

Procedure

1. GA/LA
2. Identify duct
   • Squeeze breast until drop of discharge seen
3. Cannulate duct
   • Use lacrimal probe and secure in place
4. Incise skin along line of probe, encircling duct orifice
5. Dissect skin of areola away from breast tissue (for 1cm)
6. Excise breast segment
7. Secure haemostasis with diathermy + approximate breast tissue with interrupted absorbable sutures.