Liposuction Gives Complete Reduction of Chronic Large Arm Lymphedema After Breast Cancer

Brorson, Håkan

doi:10.1080/028418600750013195

Cited by 90 publications

(69 citation statements)

References 38 publications

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“…His longterm results show significant decreases in arm volume, 104% at 1 year, 106% at 4 years, without recurrence [27]. Our reduction in arm volumes did not reach the 100% reductions, found in Brorson's studies.…”

Section: Discussioncontrasting

confidence: 69%

“…Brorson et al investigated the effect of liposuction on lymph transport to disprove the theory that liposuction may impair the already impaired lymph transport. Using indirect lymphoscintigraphy in 20 patients with arm lymphedema before and after liposuction, they found that the already decreased lymph transport was not further reduced after liposuction, it was essentially unchanged [27,28]. Based on these findings we consider liposuction a safe procedure for the treatment of lymphedema.…”

Section: Discussionmentioning

confidence: 98%

“…In a randomized study comparing manual lymphatic drainage to pneumatic compression devices, they found 15% reduction in arm volume in the manual lymphatic drainage group and a 7% reduction in the pneumatic compression group, with no significant difference between groups [31]. Brorson et al evaluated liposuction with compression therapy verses compression therapy alone in 28 patients [27,32]. They found in the compression therapy alone group a 47% reduction of volume at 1 year, and in the liposuction group a 113% volume reduction at 1 year [27].…”

Section: Discussionmentioning

confidence: 99%

“…Brorson et al evaluated liposuction with compression therapy verses compression therapy alone in 28 patients [27,32]. They found in the compression therapy alone group a 47% reduction of volume at 1 year, and in the liposuction group a 113% volume reduction at 1 year [27]. They additionally showed that removal of the compression garment at 1 year for 1 week, in patients treated with liposuction, increased the volume on average by 370 ml, reversed by re-compression [27,32].…”

Section: Discussionmentioning

confidence: 99%

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Feasibility of liposuction for treatment of arm lymphedema from breast cancer: A prospective study and review of the literature

2015

Integr Cancer Sci Therap

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Lymphedema is a dreaded complication of breast cancer treatment affecting 20% of women having axillary node dissection. We explored the feasibility of liposuction to reduce volume and thus arm lymphedema. A prospective trial of women with unilateral arm lymphedema from breast cancer treatment was conducted. Arm measurements, volumes (water displacement and geometric calculation), muscle strength differences and quality of life/functionality were measured pre-operatively and post-operatively at 6 weeks, 6 months and yearly up to 5 years.Six patients had liposuction. Average age was 52.8 yrs. Average percent volume reductions at 6 weeks, 6 months and 1 year were 70%, 47%, 71% mls geometrically and 63%, 18%, 54% by water displacement. 1 patient had cellulitis at 4 months and had no other adverse events. Quality of life and functionality were not statistically significant. Pain decreased. Mean grip strength improved.Liposuction can safely reduce volume of arm lymphedema and may improve functionality/quality of life. Larger studies with longer follow-up are required to validate the durability of these early results.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Feasibility of liposuction for treatment of arm lymphedema from breast cancer: A prospective study and review of the literature

2015

Integr Cancer Sci Therap

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“…1 Ocorre em cerca de 40% das mastectomizadas e quando não tratado, pode desenvolver tumores malignos. 2 Pode aparecer em qualquer momento após a cirurgia do câncer de mama e nenhum tratamento é realmente efetivo para solucioná-lo. Acarreta a diminuição da força muscular, tensão muscular, dor e aumento do peso do membro acometido e ocasiona um grave dano estético e funcional, prejudicando seriamente as atividades sociais de mulheres que o apresentam.…”

Section: Introductionunclassified

Construção do conhecimento necessário ao desenvolvimento de um manual didático-instrucional na prevenção do linfedema pós-mastectomia

Panobianco

Souza

Prado³

et al. 2009

Texto contexto - enferm.

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RESUMO:O objetivo deste estudo foi a construção do conhecimento científico e empírico, necessários para o desenvolvimento de um manual didático-instrucional, destinado às mulheres mastectomizadas, para capacitá-las à prevenção do linfedema de braço. Fundamentou-se na teoria pedagógica de Paulo Freire da educação problematizadora. Os sujeitos do estudo foram 33 mulheres mastectomizadas que frequentavam um núcleo de reabilitação e 16 membros da equipe multiprofissional deste serviço. Foram realizados círculos de discussão para coleta de dados, separadamente, para mulheres e profissionais. A análise de conteúdo proposta por Bardin foi utilizada para analisar os dados. Na visão dos profissionais o manual deve contemplar a caracterização do sistema linfático e linfedema; ações de detecção e controle; fatores de risco; terapias e suas repercussões; explicitar o porquê de cada orientação usando linguagem acessível. Para as mulheres mastectomizadas é importante constar a fisiopatologia do linfedema; dados sobre cirurgia e tratamentos; fatores predisponentes ao linfedema e importância do autocuidado. DESCRITORES:Linfedema. Neoplasias mamárias. Educação em saúde. Mastectomia. KNOWLEDGE CONSTRUCTION NECESSARY FOR THE DEVELOPMENT OF A DIDACTIC-INSTRUCTIVE MANUAL FOR POST MASTECTOMY LYMPHEDEMA PREVENTIONABSTRACT: This study aimed to construct the scientific and empirical knowledge necessary for the development of a didacticinstructive manual addressed to women with mastectomies in order to empower them towards arm lymphedema prevention. The study was based on Paulo Freire's pedagogical theory of problematizing education. The subjects of the study were 33 women with mastectomies who attend a rehabilitation center and 16 members of the center's multiprofesional team. Discussion circles were used for data collection, separately for women and the team members. Content analysis proposed by Bardin was used in data analysis. According to the team, educational material must cover the characterization of the lymphatic system and the lymphedema; detection and control actions; risk factors; and therapies and their repercussions. It should also explain the reasons for each orientation and use understandable language. For women it is important to regard the physiopathology of lymphedema; data about the surgery and treatment; predisposing factors for the development of lymphedema; and the importance of self care. DESCRIPTORS:Lymphedema. Breast neoplasms. Health education. Mastectomy.

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Interventions for the prevention of recurrent erysipelas and cellulitis

Dalal

Eskin‐Schwartz

Mimouni

et al. 2017

Cochrane Database of Systematic Reviews

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Cochrane Database of Systematic Reviews penicillin and one erythromycin), which was compared to either no treatment or placebo, and one trial used selenium compared to physiological salt solution. Treatments lasted from six to 18 months.The most common setting was the hospital, and two studies were multicentre. The studies were conducted in the UK, Sweden, Tunisia, Israel, and Austria. There was a small number of previous episodes of cellulitis in those recruited to the trials, ranging between one and four episodes in each study. The antibiotic trials assessed prevention with antibiotics in people with cellulitis of the legs, and the selenium trial assessed people with cellulitis of the arms. Key resultsOur main outcome was prevention of repeated episodes of cellulitis. Our other outcomes included the number of repeated attacks of cellulitis, time to next attack, hospitalisation, quality of life, development of antibiotic resistance, adverse reactions and death.Combining the results of all five trials that used antibiotics, we found moderate-certainty evidence that for those people under preventative treatment, antibiotic treatment in general, and penicillin in particular, is probably both e ective and safe for the prevention of repeated episodes of leg cellulitis when compared with no treatment or placebo. Interventions for the prevention of recurrent erysipelas and cellulitis (Review)

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Liposuction Gives Complete Reduction of Chronic Large Arm Lymphedema After Breast Cancer

Cited by 90 publications

References 38 publications

Feasibility of liposuction for treatment of arm lymphedema from breast cancer: A prospective study and review of the literature

Feasibility of liposuction for treatment of arm lymphedema from breast cancer: A prospective study and review of the literature

Construção do conhecimento necessário ao desenvolvimento de um manual didático-instrucional na prevenção do linfedema pós-mastectomia

Interventions for the prevention of recurrent erysipelas and cellulitis

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