Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?
Identifieur interne : 005874 ( Main/Exploration ); précédent : 005873; suivant : 005875Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?
Auteurs : Dean Fulford [Royaume-Uni] ; Sam Dalal [Royaume-Uni] ; John Winstanley [Royaume-Uni] ; Mike J. Hayton [Royaume-Uni]Source :
- Annals of The Royal College of Surgeons of England [ 0035-8843 ] ; 2010.
Descripteurs français
- KwdFr :
- Aisselle, Attitude du personnel soignant, Cellulite sous-cutanée (étiologie), Femelle, Garrots (utilisation), Humains, Infection de plaie opératoire (étiologie), Interventions chirurgicales non urgentes (), Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Main (), Métastase lymphatique, Tumeurs du sein.
- MESH :
- effets indésirables : Lymphadénectomie.
- utilisation : Garrots.
- étiologie : Cellulite sous-cutanée, Infection de plaie opératoire, Lymphoedème.
- Aisselle, Attitude du personnel soignant, Femelle, Humains, Interventions chirurgicales non urgentes, Lymphadénectomie, Main, Métastase lymphatique, Tumeurs du sein.
English descriptors
- KwdEn :
- Attitude of Health Personnel, Axilla, Breast Neoplasms, Cellulitis (etiology), Elective Surgical Procedures (contraindications), Female, Hand (surgery), Humans, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphatic Metastasis, Lymphedema (etiology), Surgical Wound Infection (etiology), Tourniquets (utilization).
- MESH :
- adverse effects : Lymph Node Excision.
- contraindications : Elective Surgical Procedures.
- etiology : Cellulitis, Lymphedema, Surgical Wound Infection.
- methods : Lymph Node Excision.
- surgery : Hand.
- utilization : Tourniquets.
- Attitude of Health Personnel, Axilla, Breast Neoplasms, Female, Humans, Lymphatic Metastasis.
Abstract
Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsi lateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.
Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.
The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.
A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated.
Url:
DOI: 10.1308/003588410X12699663904475
PubMed: 20587171
PubMed Central: 3229347
Affiliations:
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Le document en format XML
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Hayton</name><affiliation wicri:level="1"><nlm:aff id="au4"><institution>Upper Limb Unit, Wrightington Hospital</institution><addr-line>Wigan, UK</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Wigan</wicri:regionArea></affiliation></author></analytic><series><title level="j">Annals of The Royal College of Surgeons of England</title><idno type="ISSN">0035-8843</idno><idno type="eISSN">1478-7083</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel</term><term>Axilla</term><term>Breast Neoplasms</term><term>Cellulitis (etiology)</term><term>Elective Surgical Procedures (contraindications)</term><term>Female</term><term>Hand (surgery)</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Metastasis</term><term>Lymphedema (etiology)</term><term>Surgical Wound Infection (etiology)</term><term>Tourniquets (utilization)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle</term><term>Attitude du personnel soignant</term><term>Cellulite sous-cutanée (étiologie)</term><term>Femelle</term><term>Garrots (utilisation)</term><term>Humains</term><term>Infection de plaie opératoire (étiologie)</term><term>Interventions chirurgicales non urgentes ()</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (étiologie)</term><term>Main ()</term><term>Métastase lymphatique</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="contraindications" xml:lang="en"><term>Elective Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term><term>Lymphedema</term><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hand</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Garrots</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Tourniquets</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term><term>Infection de plaie opératoire</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Axilla</term><term>Breast Neoplasms</term><term>Female</term><term>Humans</term><term>Lymphatic Metastasis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aisselle</term><term>Attitude du personnel soignant</term><term>Femelle</term><term>Humains</term><term>Interventions chirurgicales non urgentes</term><term>Lymphadénectomie</term><term>Main</term><term>Métastase lymphatique</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>INTRODUCTION</title><p>Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsi lateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.</p></sec><sec><title>SUBJECTS AND METHODS</title><p>Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.</p></sec><sec><title>RESULTS</title><p>The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.</p></sec><sec><title>CONCLUSIONS</title><p>A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated.</p></sec></div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Fulford, Dean" sort="Fulford, Dean" uniqKey="Fulford D" first="Dean" last="Fulford">Dean Fulford</name></noRegion><name sortKey="Dalal, Sam" sort="Dalal, Sam" uniqKey="Dalal S" first="Sam" last="Dalal">Sam Dalal</name><name sortKey="Hayton, Mike J" sort="Hayton, Mike J" uniqKey="Hayton M" first="Mike J" last="Hayton">Mike J. Hayton</name><name sortKey="Winstanley, John" sort="Winstanley, John" uniqKey="Winstanley J" first="John" last="Winstanley">John Winstanley</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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