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Conservative approaches to lymphedema treatment

Identifieur interne : 001081 ( PascalFrancis/Curation ); précédent : 001080; suivant : 001082

Conservative approaches to lymphedema treatment

Auteurs : M. E. Rinehart-Ayres [États-Unis]

Source :

RBID : Pascal:99-0143838

Descripteurs français

English descriptors

Abstract

BACKGROUND. Upper extremity lymphedema can develop after surgery for breast carcinoma. Once developed, it becomes a chronic problem that women must cope with for the rest of their lives. Steps to prevent lymphedema should begin immediately after surgery. However, there is little information available about what actually causes lymphedema; therefore, it is difficult to prevent, and there is some controversy over how women should be treated once lymphedema has developed. METHODS. The literature was reviewed to understand the education about arm care provided to women during and after the short hospital stay for breast carcinoma surgery. Evaluation and treatment options for lymphedema and complications resulting from lymphedema were explored. RESULTS. Women are provided with basic arm care information after surgery; however, many women require reinforcement from health professionals, such as physical or occupational therapists, to reach optimum functional outcomes. If lymphedema does develop, then there are two treatment regimes that have been used. The compression pump, along with skin care, exercise, and compression garments, is one option. However, there is little consistency with the length of time the pump should be used or the optimum number of days required to receive the best results. The second treatment option is known as complex decongestive physiotherapy or complex physical therapy. Arm care, therapeutic exercises, manual lymph drainage, and compression bandages and/or garments comprise this treatment regime. Decreases in lymphedema are noted if women are compliant with the prescribed treatment program. CONCLUSIONS. Women must be educated about possible complications after breast surgery. This should be a team effort, with physicians, nurses, physical and occupational therapists, and Reach to Recovery volunteers from the American Cancer Society all participating in the process. If women do develop lymphedema, then an individual treatment program must be established, and adherence to the program must be stressed. More research is needed to determine the optimum treatment regime for women who develop lymphedema.
pA  
A01 01  1    @0 0008-543X
A02 01      @0 CANCAR
A03   1    @0 Cancer
A05       @2 83
A06       @2 12 @3 SUP2
A08 01  1  ENG  @1 Conservative approaches to lymphedema treatment
A11 01  1    @1 RINEHART-AYRES (M. E.)
A14 01      @1 Thomas Jefferson University, College of Health Professions @2 Philadelphia, Pennsylvania @3 USA @Z 1 aut.
A18 01  1    @1 American Cancer Society @2 New York, NY @3 USA @9 patr.
A20       @1 2828-2832
A21       @1 1998
A23 01      @0 ENG
A43 01      @1 INIST @2 2701 @5 354000073315320100
A44       @0 0000 @1 © 1999 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 99-0143838
A60       @1 P @2 C
A61       @0 A
A64 01  1    @0 Cancer
A66 01      @0 USA
C01 01    ENG  @0 BACKGROUND. Upper extremity lymphedema can develop after surgery for breast carcinoma. Once developed, it becomes a chronic problem that women must cope with for the rest of their lives. Steps to prevent lymphedema should begin immediately after surgery. However, there is little information available about what actually causes lymphedema; therefore, it is difficult to prevent, and there is some controversy over how women should be treated once lymphedema has developed. METHODS. The literature was reviewed to understand the education about arm care provided to women during and after the short hospital stay for breast carcinoma surgery. Evaluation and treatment options for lymphedema and complications resulting from lymphedema were explored. RESULTS. Women are provided with basic arm care information after surgery; however, many women require reinforcement from health professionals, such as physical or occupational therapists, to reach optimum functional outcomes. If lymphedema does develop, then there are two treatment regimes that have been used. The compression pump, along with skin care, exercise, and compression garments, is one option. However, there is little consistency with the length of time the pump should be used or the optimum number of days required to receive the best results. The second treatment option is known as complex decongestive physiotherapy or complex physical therapy. Arm care, therapeutic exercises, manual lymph drainage, and compression bandages and/or garments comprise this treatment regime. Decreases in lymphedema are noted if women are compliant with the prescribed treatment program. CONCLUSIONS. Women must be educated about possible complications after breast surgery. This should be a team effort, with physicians, nurses, physical and occupational therapists, and Reach to Recovery volunteers from the American Cancer Society all participating in the process. If women do develop lymphedema, then an individual treatment program must be established, and adherence to the program must be stressed. More research is needed to determine the optimum treatment regime for women who develop lymphedema.
C02 01  X    @0 002B25K
C03 01  X  FRE  @0 Carcinome @5 01
C03 01  X  ENG  @0 Carcinoma @5 01
C03 01  X  SPA  @0 Carcinoma @5 01
C03 02  X  FRE  @0 Glande mammaire @5 02
C03 02  X  ENG  @0 Mammary gland @5 02
C03 02  X  SPA  @0 Glándula mamaria @5 02
C03 03  X  FRE  @0 Lymphadénectomie @5 04
C03 03  X  ENG  @0 Lymphadenectomy @5 04
C03 03  X  SPA  @0 Linfadenectomía @5 04
C03 04  X  FRE  @0 Mastectomie @5 05
C03 04  X  ENG  @0 Mastectomy @5 05
C03 04  X  SPA  @0 Mastectomía @5 05
C03 05  X  FRE  @0 Complication @5 06
C03 05  X  ENG  @0 Complication @5 06
C03 05  X  SPA  @0 Complicación @5 06
C03 06  X  FRE  @0 Lymphoedème @5 07
C03 06  X  ENG  @0 Lymphedema @5 07
C03 06  X  SPA  @0 Linfedema @5 07
C03 07  X  FRE  @0 Traitement @5 08
C03 07  X  ENG  @0 Treatment @5 08
C03 07  X  SPA  @0 Tratamiento @5 08
C03 08  X  FRE  @0 Prévention @5 09
C03 08  X  ENG  @0 Prevention @5 09
C03 08  X  SPA  @0 Prevención @5 09
C03 09  X  FRE  @0 Traitement instrumental @5 10
C03 09  X  ENG  @0 Instrumentation therapy @5 10
C03 09  X  SPA  @0 Tratamiento instrumental @5 10
C03 10  X  FRE  @0 Bandage compressif @5 11
C03 10  X  ENG  @0 Compressive bandage @5 11
C03 10  X  SPA  @0 Vendaje compresivo @5 11
C03 11  X  FRE  @0 Pompe @5 12
C03 11  X  ENG  @0 Pump @5 12
C03 11  X  SPA  @0 Bomba @5 12
C03 12  X  FRE  @0 Information @5 13
C03 12  X  ENG  @0 Information @5 13
C03 12  X  SPA  @0 Información @5 13
C03 13  X  FRE  @0 Education santé @5 14
C03 13  X  ENG  @0 Health education @5 14
C03 13  X  SPA  @0 Educación sanitaria @5 14
C03 14  X  FRE  @0 Article synthèse @5 17
C03 14  X  ENG  @0 Review @5 17
C03 14  X  SPA  @0 Artículo síntesis @5 17
C03 15  X  FRE  @0 Homme @5 20
C03 15  X  ENG  @0 Human @5 20
C03 15  X  SPA  @0 Hombre @5 20
C07 01  X  FRE  @0 Tumeur maligne @5 37
C07 01  X  ENG  @0 Malignant tumor @5 37
C07 01  X  SPA  @0 Tumor maligno @5 37
C07 02  X  FRE  @0 Glande mammaire pathologie @2 NM @5 38
C07 02  X  ENG  @0 Mammary gland diseases @2 NM @5 38
C07 02  X  SPA  @0 Glándula mamaria patología @2 NM @5 38
C07 03  X  FRE  @0 Chirurgie @5 45
C07 03  X  ENG  @0 Surgery @5 45
C07 03  X  SPA  @0 Cirugía @5 45
C07 04  X  FRE  @0 Appareil circulatoire pathologie @5 53
C07 04  X  ENG  @0 Cardiovascular disease @5 53
C07 04  X  SPA  @0 Aparato circulatorio patología @5 53
C07 05  X  FRE  @0 Lymphatique pathologie @5 54
C07 05  X  ENG  @0 Lymphatic vessel disease @5 54
C07 05  X  SPA  @0 Linfático patología @5 54
N21       @1 084
pR  
A30 01  1  ENG  @1 American Cancer Society Workshop on Breast Cancer Treatment-Related Lymphedema @3 New York, New York USA @4 1997-02-20

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<div type="abstract" xml:lang="en">BACKGROUND. Upper extremity lymphedema can develop after surgery for breast carcinoma. Once developed, it becomes a chronic problem that women must cope with for the rest of their lives. Steps to prevent lymphedema should begin immediately after surgery. However, there is little information available about what actually causes lymphedema; therefore, it is difficult to prevent, and there is some controversy over how women should be treated once lymphedema has developed. METHODS. The literature was reviewed to understand the education about arm care provided to women during and after the short hospital stay for breast carcinoma surgery. Evaluation and treatment options for lymphedema and complications resulting from lymphedema were explored. RESULTS. Women are provided with basic arm care information after surgery; however, many women require reinforcement from health professionals, such as physical or occupational therapists, to reach optimum functional outcomes. If lymphedema does develop, then there are two treatment regimes that have been used. The compression pump, along with skin care, exercise, and compression garments, is one option. However, there is little consistency with the length of time the pump should be used or the optimum number of days required to receive the best results. The second treatment option is known as complex decongestive physiotherapy or complex physical therapy. Arm care, therapeutic exercises, manual lymph drainage, and compression bandages and/or garments comprise this treatment regime. Decreases in lymphedema are noted if women are compliant with the prescribed treatment program. CONCLUSIONS. Women must be educated about possible complications after breast surgery. This should be a team effort, with physicians, nurses, physical and occupational therapists, and Reach to Recovery volunteers from the American Cancer Society all participating in the process. If women do develop lymphedema, then an individual treatment program must be established, and adherence to the program must be stressed. More research is needed to determine the optimum treatment regime for women who develop lymphedema.</div>
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<s0>Tumeur maligne</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Glande mammaire pathologie</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Mammary gland diseases</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Glándula mamaria patología</s0>
<s2>NM</s2>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>45</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>53</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>53</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>53</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>54</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>54</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>54</s5>
</fC07>
<fN21>
<s1>084</s1>
</fN21>
</pA>
<pR>
<fA30 i1="01" i2="1" l="ENG">
<s1>American Cancer Society Workshop on Breast Cancer Treatment-Related Lymphedema</s1>
<s3>New York, New York USA</s3>
<s4>1997-02-20</s4>
</fA30>
</pR>
</standard>
</inist>
</record>

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