scholarly journals Mapeamento dinâmico da dor aos três, seis e nove meses após a cirurgia do câncer de mama / Dynamic pain mapping at three, six and nine months after breast cancer surgery

2021 ◽  
Vol 7 (11) ◽  
pp. 102199-102216
Author(s):  
Maria Luiza Pereira ◽  
Luara Alves Vieira Farias ◽  
Bruna Baungarten Hugen Back ◽  
Natália de Souza Cunha ◽  
Kamilla Zomkowski ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Pain Intensity ◽  
Upper Limb ◽  
Cancer Surgery ◽  
The Body ◽  
Breast Cancer Surgery ◽  
Cáncer De Mama ◽  
Physical Domain ◽  
Body Area ◽  
Pain Frequency

Purpose: To map pain frequency and pain intensity according to activities in the physical domain of the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), at three, six and nine months after breast cancer surgery. In addition, to verify the correlation between upper limb function and pain intensity. Methods: This is a prospective cohort study, with follow-up at three time points. 22 Brazilian women diagnosed with breast cancer were included at three months after breast surgery. They performed the DASH questionnaire, the Body Pain Diagram and the Visual Analogue Scale. Frequency measures were used to analyze the frequency and intensity of pain in the items of the physical domain of the DASH. Pearson's correlation coefficient between pain intensity and the DASH total score at the three different times was calculated, a 95% confidence interval was set. Results: For twenty-two women at three, six and nine months after surgery, the body area with the highest pain frequency was the upper limb (UL) homolateral to the surgery, although, the contralateral UL was also cited as one of the areas with the highest pain frequency at sixth and ninth month. Pain intensity at three and six months remained mild and moderate in ninth month. The DASH activities with the highest pain frequency were: “putting something on a shelf above your head”, “doing heavy household chores” and “carrying a heavy object”. The correlation between pain intensity and function of the UL contralateral to surgery at nine months was strong (r=0,718; p0.01). Conclusion: The body area with the highest pain frequency at all three times points of analysis was the UL homolateral to the surgery, although the contralateral UL was also present in sixth and ninth month. There was an increase in pain intensity over time. The most painful activities were those that required large amplitudes in different planes of motion. At the ninth month, pain in the contralateral UL showed a strong correlation with limb dysfunction.

scholarly journals Treatment of upper limb lymphedema with low-level laser: a systematic review

2014 ◽  
Vol 27 (4) ◽  
pp. 663-674 ◽  
Author(s):  
Silvia Elizate Monteiro ◽  
Lilian Valim Resende ◽  
Mônica Faria Felicíssimo ◽  
Angélica Rodrigues de Araújo ◽  
Camila Teixeira Vaz
Keyword(s):  
Breast Cancer ◽  
Upper Limb ◽  
Mechanism Of Action ◽  
Randomized Clinical Trials ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Cáncer De Mama ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser

Introduction Low-level lasers have been suggested as a complement to lymphedema treatment. However, this therapy’s mechanism of action and its effects are poorly understood up to the present. Objective To conduct a systematic literature review to analyze the effects of low-level laser in the treatment of upper-limb lymphedema in women submitted to breast cancer surgery. Material and methods Randomized clinical trials were included, in Portuguese, English and Spanish, from January 1990 to July 2013. The article search was carried out in the Pubmed, Lilacs and PEDro electronic databases, with the following descriptors:Terapia a Laser de Baixa Intensidade, Linfedema, Câncer de Mama, Low-level laser therapy, Lymphedema, Breast Neoplasms and also through a manual search. Results and discussion Low-level lasers have been used for treating several acute and chronic conditions. However, its application for managing post breast cancer surgery is still recent, often based on empirical evidence. Treating upper-limb lymphedema with low-level laser presented positive results, with reduction in the circumference or volume of the affected limb. Conclusion More studies of high methodological quality are needed in order to better understand the mechanism of action of low-level laser on the lymphatic system and its effects on lymphedema treatement.

scholarly journals The efficacy of gabapentin in reducing pain intensity and morphine consumption after breast cancer surgery

Medicine ◽  
2018 ◽  
Vol 97 (38) ◽  
pp. e11581 ◽  
Author(s):  
Yunfeng Jiang ◽  
Junhong Li ◽  
Huasheng Lin ◽  
Qiaotong Huang ◽  
Tongbiao Wang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Pain Intensity ◽  
Cancer Surgery ◽  
Morphine Consumption ◽  
Breast Cancer Surgery

scholarly journals Surgical site infection after breast cancer surgery at 30 days and associated factors

Infectio ◽  
2017 ◽  
Vol 21 (2) ◽  
Author(s):  
Joana-Cristina Gil-Londoño ◽  
Jorge-Alberto Nagles-Pelaez ◽  
Wilmar-Arley Maya-Salazar ◽  
Jorge Madrid ◽  
Maria-Angelica Maya-Restrepo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Surgical Site Infection ◽  
Associated Factors ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Cáncer De Mama ◽  
Site Infection ◽  
Kaplan Meier ◽  
Factores De Riesgo ◽  
Las Mujeres

Antecedentes: La incidencia de infección del sitio operatorio (ISO) en cirugía de mama ha sido mayor de lo esperado, considerando este como un procedimiento quirúrgico limpio. Pocos estudios han reportado una incidencia menor del 5,0% y la mayoría de publicaciones la ubican entre 10,2 y 30,0%. Objetivo: Estimar la incidencia, los factores asociados y el intervalo libre de infección a 30 días, en las mujeres que se sometieron a cirugía oncológica y reconstructiva de mama. Métodos: Estudio de cohorte prospectivo en mujeres con cáncer de mama, que se sometieron a cirugía de mama conservadora o radical en un centro médico de referencia de Medellín, Colombia. Los resultados fueron infección del sitio operatorio y tiempo al evento. El análisis de supervivencia libre de infección se realizó con el método de Kaplan Meier y el modelo multivariado de riesgos proporcionales de Cox. Resultados: Seguimiento a 308 procedimientos quirúrgicos oncológicos de mama consecutivos; 161 (52,3%) fueron cuadrantectomías y 147 (47,7%) mastectomías, con una incidencia de ISO de 16,2% (50 casos). Los factores de riesgo asociados fueron: seroma-hematoma 79 (25,6%), HR 2,7 (IC 95%: 1,5; 4,9) y la presencia de dispositivos de drenaje, HR 5,6 (IC 95% 2,2; 14,3). El tiempo medio para el desarrollo de SSI fue de 16 días. Conclusión: Nuestro estudio mostró que la presencia de seroma hematoma posoperatorios y el uso extendido de dispositivos de drenaje fueron factores independientes para la presentación de infección del sitio operatorio en cirugía oncológica de mama.

scholarly journals Application of MET Technique after Upper Limb Dysfunction after Breast Cancer Surgery

2021 ◽  
Vol 4 (2) ◽  
pp. 8
Author(s):  
Yanan Jin ◽  
Jingxin Wang ◽  
Huayun Liu ◽  
Jiamei Zhen
Keyword(s):  
Breast Cancer ◽  
Upper Limb ◽  
Functional Recovery ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Control Group ◽  
Muscle Energy ◽  
Upper Limb Dysfunction ◽  
Experimental Group ◽  
Early Functional Recovery

Object: Explore the application and actual effect of MET (Muscle Energy) technology after breast cancer surgery with upper limb dysfunction. Methods: Taking 40 female breast cancer patients who underwent surgical treatment in our hospital from September 2017 to June 2019 as the research objects, all of them successfully completed modified radical mastectomy for breast cancer. According to different nursing methods, the patients were randomly divided into two groups. The experiment There were 20 cases in each group and the control group. The control group was given routine functional recovery exercise intervention after the operation, and the experimental group added MET technology to the base of the control group. One month after the operation, the functional recovery of the affected limbs of the two groups of patients was effectively assessed. The upper limb dysfunction of the two groups was compared by statistical methods, and the shoulder joint range of motion (ROM) was used for performance. Results: Through early functional recovery training and MET technology, 19 cases of ROM in the experimental group showed compliance (95%), compared with only 14 cases (70%) in the control group. The difference in upper limb dysfunction between the two groups is very obvious with statistical significance (P<0.05). Conclusions: Early functional recovery training combined with muscle energy technology can promote the recovery of upper limb dysfunction after breast cancer surgery faster and better, which is conducive to the recovery of patients as soon as possible and improve the quality of life.

Postoperative oxycodone in breast cancer surgery: What factors associate with analgesic plasma concentrations?

2016 ◽  
Vol 12 (1) ◽  
pp. 118-119
Author(s):  
Kristiina Cajanus ◽  
Mikko Neuvonen ◽  
Mari Kaunisto ◽  
Outi Koskela ◽  
Pertti J. Neuvonen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Postoperative Pain ◽  
Pain Intensity ◽  
Demographic Data ◽  
Geometric Mean ◽  
Plasma Concentrations ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Satisfactory Analgesia ◽  
Type Of Surgery

AbstractAimsParenteral oxycodone is increasingly used worldwide to manage perioperative pain. Oxycodone doses required for adequate analgesia vary significantly between individuals. Our study investigated whether an analgesic plasma concentration could be determined for oxycodone and which factors affect it.Methods1000 women undergoing breast cancer surgery were recruited to the study. Demographic data were collected and their cold and heat pain sensitivity and anxiety scores were measured preoperatively. After surgery, rest and motion pain intensities were measured. Intravenous oxycodone was administered until the patients reported satisfactory pain relief (NRS <4/10). At this point, plasma concentrations of oxycodone and its metabolites were determined. A second plasma sample for oxycodone deter-mination was taken when the patient requested a new dose of oxycodone. Genomic DNA was extracted from whole blood samples and the patients were genotyped for CYP2D6, CYP3A4 and CYP3A5 variants.ResultsThe two oxycodone concentrations showed a strong correlation (r =0.84). The pain intensity measured during motion before oxycodone dosing correlated significantly with the plasma oxycodone concentration (geometric mean 35.3 ng/ml and CV % 66.4) required to achieve satisfactory analgesia (r = 0.38, p = 1.5 x 10-33). The most important factors associating with postoperative pain intensity were type of surgery (breast conserving or mastectomy with or without axillary clearance) and the age of the patient. Older patients reported lower pain scores and required smaller oxycodone concentrations for satisfactory analgesia. CYP2D6, CYP3A5 or CYP3A4 genotypes did not significantly affect the oxycodone concentrations, but CYP2D6 genotype significantly affected the formation of the metabolites oxymorphone and noroxymorphone. CYP3A4 and CYP3A5 genotypes did not affect the metabolite formation.ConclusionsOur results indicate that the more pain the patient experiences postoperatively the greater her minimum plasma oxycodone concentration must be to achieve satisfactory analgesia. Type of surgery and age significantly affect postoperative pain intensity.

A Case Report of Application of Short-stretch Bandage Treatment in Upper Limb Lymphedema after Breast Cancer Surgery

2017 ◽  
Vol 27 (6) ◽  
pp. 35
Author(s):  
Liuya JIANG ◽  
Na XIE ◽  
Xuelin YUAN ◽  
Hewei WANG ◽  
Jie JIA
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Upper Limb ◽  
Cancer Surgery ◽  
Breast Cancer Surgery
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