Volume reduction of arm lymphoedema

Rose, Kenneth H.; Taylor, Henry Osborn; Twycross, Robert

doi:10.7748/ns.7.35.29.s46

Cited by 13 publications

(7 citation statements)

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“…Lymphoedema management in the UK has fallen to nurses, carried out predominantly in day facilities. Experience gained by nurses in lymphoedema clinics has resulted in a key role for nurses in the care of patients with lymphoedema (Rose et al, 1993). Expertise is devolved to other nursing groups, incorporated into the role of breast care nurses, district nurses, oncology nurses and lymphoedema nurses within a clinic.…”

Section: Management Of Ascitesmentioning

confidence: 99%

New strategies for the management of malignant ascites

Preston¹

1995

Eur J Cancer Care

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Intractable malignant ascites accounts for 6% of all hospice admissions. The onset of malignant ascites indicates a poor prognosis, hence minimal supportive therapy is indicated. This paper examines the method of control for malignant ascites presently available to patients, examines their limitations and proposes new strategies for managing intractable malignant ascites. Ascites is discussed in terms of its pathology--that is, as a form of lymphoedema. With this in mind treatment is proposed based upon principles incorporated into lymphoedema management. Nurses have taken a dominant role in the care of patients with lymphoedema and there appears no reason why ascites management cannot become the remit of nurses offering appropriate, but predominantly palliative therapy.

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Section: Management Of Ascitesmentioning

confidence: 99%

New strategies for the management of malignant ascites

Preston¹

1995

Eur J Cancer Care

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“…In MLD, specialized rhythmic pumping techniques are used to massage the affected area and enhance the lymph flow. Gentle skin massage is thought to cause superficial lymphatic contraction, thereby increasing lymph drainage [13]. Vodder originally suggested the use of range-of-motion exercises to relieve various types of chronic edema, such as sinus congestion and catarrh [14], and the use of MLD has become a common treatment for lymphedema worldwide, especially in European hospitals and clinics.…”

Section: Introductionmentioning

confidence: 99%

Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials

et al. 2013

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BackgroundLymphedema is a common complication of axillary dissection for breast cancer. We investigated whether manual lymphatic drainage (MLD) could prevent or manage limb edema in women after breast-cancer surgery.MethodsWe performed a systematic review and meta-analysis of published randomized controlled trials (RCTs) to evaluate the effectiveness of MLD in the prevention and treatment of breast-cancer-related lymphedema. The PubMed, EMBASE, CINAHL, Physiotherapy Evidence Database (PEDro), SCOPUS, and Cochrane Central Register of Controlled Trials electronic databases were searched for articles on MLD published before December 2012, with no language restrictions. The primary outcome for prevention was the incidence of postoperative lymphedema. The outcome for management of lymphedema was a reduction in edema volume.ResultsIn total, 10 RCTs with 566 patients were identified. Two studies evaluating the preventive outcome of MLD found no significant difference in the incidence of lymphedema between the MLD and standard treatment groups, with a risk ratio of 0.63 and a 95% confidence interval (CI) of 0.14 to 2.82. Seven studies assessed the reduction in arm volume, and found no significant difference between the MLD and standard treatment groups, with a weighted mean difference of 75.12 (95% CI, −9.34 to 159.58).ConclusionsThe current evidence from RCTs does not support the use of MLD in preventing or treating lymphedema. However, clinical and statistical inconsistencies between the various studies confounded our evaluation of the effect of MLD on breast-cancer-related lymphedema.

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“…Manual compression by a trained physiotherapist [28,29] is agreeably the preferred mode but may be unsuitable in our country due to the large number of cases and relative lack of trained staff to administer the therapy.…”

Section: Intermittent Pneumatic Compressionmentioning

confidence: 99%

Comparative results of non-operative multi-modal therapy for filarial lymphoedema

Gogia¹,

Appavoo

Mohan³

et al. 2009

Indian J Plast Surg

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A comparative analysis of different conservative modes of therapy for lymphoedema, largely of Filarial origin, was conducted in a trial therapy unit in Chengalpattu, a Filarial endemic district in Tamil Nadu. Results were compared using a single chambered intermittent pneumatic compression pump, heat therapy, and interferential therapy machines. The results showed improvement of limb size between 20% and 60% of possible reduction (where 100% would mean return of limb circumference to the same as that of the normal side). Pneumatic compression therapy, when used alone, showed the best results, which were significantly better than all others whether alone or in combination.

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Volume reduction of arm lymphoedema

Cited by 13 publications

References 0 publications

New strategies for the management of malignant ascites

New strategies for the management of malignant ascites

Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials

Comparative results of non-operative multi-modal therapy for filarial lymphoedema

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