Lymphedema of the arm after surgery for breast cancer: new physiotherapy.
Identifieur interne : 004163 ( Main/Exploration ); précédent : 004162; suivant : 004164Lymphedema of the arm after surgery for breast cancer: new physiotherapy.
Auteurs : A L Marcos [Tunisie] ; A B Ammar El Gaaied ; F B Ayed ; S B Hassen ; S. Zervoudis ; I. Navrozoglou ; F. Pechlivani ; G. IatrakisSource :
- Clinical and experimental obstetrics & gynecology [ 0390-6663 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
- usage thérapeutique : Polyesters.
- Adulte, Bandages de compression, Complications postopératoires, Femelle, Humains, Implant résorbable, Lymphoedème, Techniques de physiothérapie, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Polyesters.
- complications : Breast Neoplasms.
- surgery : Breast Neoplasms.
- therapy : Lymphedema, Postoperative Complications.
- Absorbable Implants, Adult, Compression Bandages, Female, Humans, Physical Therapy Modalities.
Abstract
Secondary lymphedema of the upper limb is a complication which can be found in patients who have undergone surgical breast cancer treatment with an axillary dissection. Lymphedema following breast cancer treatment remains a long-term disabling complication which cannot be treated in a decisive and radical manner. The objective of the treatment is to limit complications, to try to preserve the remaining lymphatic system and to develop new anastomosis. It consists of a specific decongestive physiotherapy, which may include a specific lymphatic drainage and skin mobilization, reducing bandages including Mobiderm (Thuasne), and sub-bandage muscular exercises. However variations in the therapy have been recorded by different teams. Our experience in treating lymphedema in Tunisia takes into consideration the epidemiological, climatic, cultural and socio-economic conditions of the country. The difference in our treatment compared to what is being advocated elsewhere essentially consists of the no muscular exercise while wearing a bandage. This is compensated for by daily domestic activities, by prolonging the first two phases of treatment (the intensive phase and the stabilization phase), and by the use of the hydro gel dressing Hydrosob (Hartmann) to prevent blisters induced by the pressure imposed by Mobiderm studs of the bandage on the skin, and also by the superimposition of two types of Mobiderm bandages (small and large blocks).
PubMed: 23444749
Affiliations:
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Zervoudis</name></author><author><name sortKey="Navrozoglou, I" sort="Navrozoglou, I" uniqKey="Navrozoglou I" first="I" last="Navrozoglou">I. Navrozoglou</name></author><author><name sortKey="Pechlivani, F" sort="Pechlivani, F" uniqKey="Pechlivani F" first="F" last="Pechlivani">F. Pechlivani</name></author><author><name sortKey="Iatrakis, G" sort="Iatrakis, G" uniqKey="Iatrakis G" first="G" last="Iatrakis">G. Iatrakis</name></author></analytic><series><title level="j">Clinical and experimental obstetrics & gynecology</title><idno type="ISSN">0390-6663</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absorbable Implants</term><term>Adult</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (surgery)</term><term>Compression Bandages</term><term>Female</term><term>Humans</term><term>Lymphedema (therapy)</term><term>Physical Therapy Modalities</term><term>Polyesters (therapeutic use)</term><term>Postoperative Complications (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Bandages de compression</term><term>Complications postopératoires ()</term><term>Femelle</term><term>Humains</term><term>Implant résorbable</term><term>Lymphoedème ()</term><term>Polyesters (usage thérapeutique)</term><term>Techniques de physiothérapie</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Polyesters</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Polyesters</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Absorbable Implants</term><term>Adult</term><term>Compression Bandages</term><term>Female</term><term>Humans</term><term>Physical Therapy Modalities</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Bandages de compression</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Implant résorbable</term><term>Lymphoedème</term><term>Techniques de physiothérapie</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Secondary lymphedema of the upper limb is a complication which can be found in patients who have undergone surgical breast cancer treatment with an axillary dissection. Lymphedema following breast cancer treatment remains a long-term disabling complication which cannot be treated in a decisive and radical manner. The objective of the treatment is to limit complications, to try to preserve the remaining lymphatic system and to develop new anastomosis. It consists of a specific decongestive physiotherapy, which may include a specific lymphatic drainage and skin mobilization, reducing bandages including Mobiderm (Thuasne), and sub-bandage muscular exercises. However variations in the therapy have been recorded by different teams. Our experience in treating lymphedema in Tunisia takes into consideration the epidemiological, climatic, cultural and socio-economic conditions of the country. The difference in our treatment compared to what is being advocated elsewhere essentially consists of the no muscular exercise while wearing a bandage. This is compensated for by daily domestic activities, by prolonging the first two phases of treatment (the intensive phase and the stabilization phase), and by the use of the hydro gel dressing Hydrosob (Hartmann) to prevent blisters induced by the pressure imposed by Mobiderm studs of the bandage on the skin, and also by the superimposition of two types of Mobiderm bandages (small and large blocks).</div></front></TEI><affiliations><list><country><li>Tunisie</li></country><region><li>Gouvernorat de Tunis</li></region><settlement><li>Tunis</li></settlement></list><tree><noCountry><name sortKey="Ayed, F B" sort="Ayed, F B" uniqKey="Ayed F" first="F B" last="Ayed">F B Ayed</name><name sortKey="El Gaaied, A B Ammar" sort="El Gaaied, A B Ammar" uniqKey="El Gaaied A" first="A B Ammar" last="El Gaaied">A B Ammar El Gaaied</name><name sortKey="Hassen, S B" sort="Hassen, S B" uniqKey="Hassen S" first="S B" last="Hassen">S B Hassen</name><name sortKey="Iatrakis, G" sort="Iatrakis, G" uniqKey="Iatrakis G" first="G" last="Iatrakis">G. Iatrakis</name><name sortKey="Navrozoglou, I" sort="Navrozoglou, I" uniqKey="Navrozoglou I" first="I" last="Navrozoglou">I. Navrozoglou</name><name sortKey="Pechlivani, F" sort="Pechlivani, F" uniqKey="Pechlivani F" first="F" last="Pechlivani">F. Pechlivani</name><name sortKey="Zervoudis, S" sort="Zervoudis, S" uniqKey="Zervoudis S" first="S" last="Zervoudis">S. Zervoudis</name></noCountry><country name="Tunisie"><region name="Gouvernorat de Tunis"><name sortKey="Marcos, A L" sort="Marcos, A L" uniqKey="Marcos A" first="A L" last="Marcos">A L Marcos</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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