scholarly journals Effect of Massage Therapy With and Without Elastic Bandaging on Pain, Edema, and Shoulder Dysfunction After Modified Radical Mastectomy: A Clinical Trial

2019 ◽  
Vol 8 (1) ◽  
pp. 73-78
Author(s):  
Mehdi Khanbabayi Gol ◽  
Davoud Aghamohamadi
Keyword(s):  
Clinical Trial ◽  
Massage Therapy ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Lymph Drainage ◽  
Manual Lymph Drainage ◽  
Shoulder Dysfunction ◽  
Shoulder Movement ◽  
Before And After ◽  
Movement Limitation

Objectives: Pain and shoulder dysfunction are among the adverse and prevalent conditions in post-mastectomy women. Therefore, the present study aimed to examine massage therapy with and without elastic bandaging on pain, edema, and shoulder dysfunction after modified radical mastectomy. Materials and Methods: This was a clinical trial conducted at Imam Reza hospital, Tabriz, Iran, from December 22, 2018, to May 5, 2019. Ninety women participated in this study and were randomly divided into three groups of 30 (i.e., Manual lymph drainage, Manual lymph drainage plus reduced-compression bandaging, and control) based on a random number table. Patients and their companions were instructed on the intervention to be performed at home on a daily basis 24 hours after surgery with the help of a trained research assistant. Data were entered in the relevant forms before and after the intervention, including demographic information, shoulder pain and dysfunction index (SPDI), and edema checklist. Data were analyzed through descriptive statistics, one-way ANOVA, and the Kruskal-Wallis test in SPSS 19. P<0.05 was considered statistically significant. Results: The comparison of the main variables between the three groups before and after the intervention showed no statistically significant difference (P>0.0560). The intervention could significantly change pain intensity and shoulder movement limitation (P=0.001). However, there was no difference in the edema variable before and after the intervention (P=0.25). Conclusions: In general, massage therapy with and without elastic bandaging had a positive effect on shoulder movement limitation and pain whereas it had no such effect on edema drainage.

scholarly journals Lymph Drainage in Pregnant Women

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Sylvia Cataldo Oportus ◽  
Lilian de Paiva Rodrigues ◽  
José Maria Pereira de Godoy ◽  
Maria de Fátima Guerreiro Godoy
Keyword(s):  
Statistical Analysis ◽  
Prospective Study ◽  
Pregnant Women ◽  
Outpatient Clinic ◽  
Water Displacement ◽  
Lymph Drainage ◽  
Manual Lymph Drainage ◽  
Before And After ◽  
Alpha Error ◽  
Drainage Technique

Aim. The aim of this study was to evaluate the efficacy of lymph drainage to reduce edema of pregnant women.Method.Pregnant women (30 limbs) from the Obstetrics Outpatient Clinic of the Medical School of Santa Casa in São Paulo in the period December 2009 to May 2010 were enrolled in this quantitative, prospective study. The patients, in the 5th to 8th months of gestation, were submitted to one hour of manual lymph drainage of the legs. The volume of the legs was measured by water displacement volumetry before and after one hour of drainage using the Godoy & Godoy manual lymph drainage technique. The pairedt-test was used for statistical analysis with an alpha error of 5% being considered significant.Results. Manual lymph drainage significantly reduced swelling of the legs of pregnant women during the day (P=0.04).Conclusion. Manual lymph drainage helps to reduce limb size during the day of pregnant women.

scholarly journals Modified radical mastectomy: A pilot clinical trial comparing the use of conventional electric scalpel and harmonic scalpel

2013 ◽  
Vol 11 (6) ◽  
pp. 496-500 ◽  
Author(s):  
Gustavo Henrique Fabri Pereira Ribeiro ◽  
Ligia Maria Kerr ◽  
Raphael Luiz Haikel ◽  
Stela Verzinhasse Peres ◽  
Angelo Gustavo Zucca Matthes ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Harmonic Scalpel ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Electric Scalpel

scholarly journals The modifications in surgical technique and its impact on short term morbidity in modified radical mastectomy: a tertiary care hospital experience

2019 ◽  
Vol 6 (12) ◽  
pp. 4354
Author(s):  
Arnab Bandyopadhyay ◽  
Rajnish Talwar ◽  
Amol Patel ◽  
Pradeep Jaiswal
Keyword(s):  
Pilot Study ◽  
Tertiary Care ◽  
Radical Mastectomy ◽  
P Value ◽  
Care Hospital ◽  
Flap Necrosis ◽  
Modified Radical Mastectomy ◽  
Tertiary Care Centre ◽  
Shoulder Dysfunction ◽  
Positive Effects

Background: Necrosis of flap margins, postoperative pain and shoulder dysfunction are amongst the main concerns of the breast surgeon performing modified radical mastectomy (MRM). This pilot study is aimed to evaluate the effects of these procedural modifications and whether should it be included as a standard practice.Methods: A total of 150 MRM patients are evaluated in this single arm cohort study in a tertiary care centre over a time period of 2 years (2014-2016). The following modifications are adopted in the usual procedure of the MRM: double skin incision and elective excision of the skin margins, injecting long acting local anesthetic agent (bupivacaine) preoperatively around the nerve pedicles in axilla and postoperative positioning of arm in hyper abduction and early resumption of Shoulder exercisesResults: Flap margin necrosis has reduced considerably (2.6%) in comparison to historical data (15%). Pain relief was significantly less on first post-operative day (mean VAS score 2.93) which encouraged early shoulder mobilisation. Flap necrosis was more in T4 tumours (75% vs 25%) which was significant with a p value of .004. Similarly flap necrosis at 48hrs was more with the patients who received neoadjuvant chemotherapy (NACT) with a p value of 0.047. Higher nodal burden was significantly correlated with flap necrosis with a p value of .002.Conclusions: This pilot study provides preliminary evidence of the positive effects of the proposed modifications on minimising morbidity following MRM further convincing evidence by way of multi-centric randomized control trials, will be required to validate the conclusions of this study.

scholarly journals Effectiveness of Cyanoacrylate in Reducing Seroma Formation in Breast Cancer Patients Post-Axillary Dissection: A Randomized Controlled Trial

2021 ◽  
Vol 10 ◽  
Author(s):  
Mahmoud Al-Masri ◽  
Fade Alawneh ◽  
Faiez Daoud ◽  
Ali Ebous ◽  
Basem Hamdan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trial ◽  
Axillary Dissection ◽  
Radical Mastectomy ◽  
Cost Effective ◽  
Seroma Formation ◽  
Modified Radical Mastectomy ◽  
Node Positive ◽  
Drain Removal ◽  
Positive Breast Cancer

Background/PurposeSeroma is a common complication after axillary dissection in women with node-positive breast cancer. We aim to determine the effect of Cyanoacrylate on reducing seroma formation in patients undergoing axillary dissection. This a randomized clinical trial.MethodsThis is a single-center, randomized, single-blinded, and two-arm parallel study. Women with node-positive breast cancer eligible for axillary dissection were enrolled. Patients with a Body Mass Index (BMI) greater than 35 kg/m2, those who underwent immediate breast reconstruction, and/or received neoadjuvant chemotherapy were excluded. Patients were randomized in a 1:1 ratio, and were stratified according to their age, BMI, tumor size, and operation type. The primary endpoint was the total seroma volume (the total drained volume and the total aspirated volume after drain removal). Data presented as mean and range when applicable.Results111 patients were randomized (Cyanoacrylate 57; control 54). 105 patients were analyzed. Sixty-nine patients underwent breast conserving surgery, and 36 underwent modified radical mastectomy. There was no difference in the total seroma volume between the Cyanoacrylate vs. control arms (1,304 (60–4,950) vs. 1,446 (100–5,223) ml, p=0.458). Wound infection, flap necrosis, number of manual aspirates, and hematoma formation were not statistically different between the two groups. Time to drain removal was shorter in the Cyanoacrylate arm (11.04(3–23) vs. 13.84(3–37) days, p=0.015). The use of Cyanoacrylate was not cost effective ($586.93 (550–748) vs. $29.63 (0–198), p&lt;0.001). Higher seroma volume was correlated with modified radical mastectomy, older age, and BMI more than 30 kg/m2.ConclusionCyanoacrylate did not reduce seroma formation and its use was not cost effective.Clinical Trial Registrationclinicaltrials.gov, identifier NCT02141373.

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