Elective hand surgery after axillary lymph node dissection for cancer.
Identifieur interne : 000F51 ( PubMed/Checkpoint ); précédent : 000F50; suivant : 000F52Elective hand surgery after axillary lymph node dissection for cancer.
Auteurs : R Jay Lee ; Dawn M. Laporte ; Jaysson T. Brooks ; Cornelius D. Schubert ; E Gene DeuneSource :
- Orthopedics [ 1938-2367 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Cicatrisation de plaie, Complications postopératoires (épidémiologie), Facteurs de risque, Facteurs temps, Femelle, Humains, Incidence, Interventions chirurgicales non urgentes (), Interventions chirurgicales non urgentes (effets indésirables), Lymphadénectomie (effets indésirables), Lymphoedème (épidémiologie), Main (), Mélanome (), Noeuds lymphatiques (), Sujet âgé, Tumeurs cutanées (), Tumeurs du sein (), Études rétrospectives.
- MESH :
- effets indésirables : Interventions chirurgicales non urgentes, Lymphadénectomie.
- épidémiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Cicatrisation de plaie, Facteurs de risque, Facteurs temps, Femelle, Humains, Incidence, Interventions chirurgicales non urgentes, Main, Mélanome, Noeuds lymphatiques, Sujet âgé, Tumeurs cutanées, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Axilla, Breast Neoplasms (surgery), Elective Surgical Procedures (adverse effects), Elective Surgical Procedures (contraindications), Female, Hand (surgery), Humans, Incidence, Lymph Node Excision (adverse effects), Lymph Nodes (surgery), Lymphedema (epidemiology), Melanoma (surgery), Middle Aged, Postoperative Complications (epidemiology), Retrospective Studies, Risk Factors, Skin Neoplasms (surgery), Time Factors, Wound Healing.
- MESH :
- adverse effects : Elective Surgical Procedures, Lymph Node Excision.
- contraindications : Elective Surgical Procedures.
- epidemiology : Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms, Hand, Lymph Nodes, Melanoma, Skin Neoplasms.
- Adult, Aged, Axilla, Female, Humans, Incidence, Middle Aged, Retrospective Studies, Risk Factors, Time Factors, Wound Healing.
Abstract
After axillary lymph node dissection (ALND), patients are cautioned against ipsilateral interventional procedures to avoid the theoretical increased risk of postoperative complications, particularly lymphedema. The authors' goal was to evaluate the complications of elective hand surgery after ALND. The authors reviewed patients presenting to their hand clinic from 1998 to 2011, selecting those with a diagnosis of breast cancer or melanoma and a history of previous ALND; the authors excluded those treated nonoperatively and those treated with elective surgery in the contralateral hand. Average age of the 22 patients meeting the criteria (20 with a history of breast cancer, 6 with preexisting lymphedema) was 53.9 years (range, 26.7 to 73.6 years) at the time of ALND and 63.1 years (range, 31.7 to 83.5 years) at the time of hand surgery. Average interval between surgeries was 9.2 years (range, 8 days to 37.3 years). Follow-up averaged 9.2 months (range, 8 days to 41.7 months). Fifteen patients were surveyed for long-term postoperative results (average surgery-to-survey interval, 4.3 years [range, 1 to 11.9 years]). Fifteen patients had uneventful postoperative recoveries, 4 had peri-incisional erythema requiring oral antibiotics, 1 had incisional pain and scarring, 1 had chronic wound-healing issues, and 1 had a dehiscence requiring a return to the operating room. In the 15 patients who completed the follow-up survey, there was no disease exacerbation in the 3 patients with preexisting lymphedema, and there were no new cases of lymphedema. Routine minor hand surgery did not result in lymphedema and did not increase existing lymphedema in these patients with previous ipsilateral ALND, but almost one-third of them had short-term complications in the postoperative recovery period.
DOI: 10.3928/01477447-20150504-52
PubMed: 25970362
Affiliations:
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The authors' goal was to evaluate the complications of elective hand surgery after ALND. The authors reviewed patients presenting to their hand clinic from 1998 to 2011, selecting those with a diagnosis of breast cancer or melanoma and a history of previous ALND; the authors excluded those treated nonoperatively and those treated with elective surgery in the contralateral hand. Average age of the 22 patients meeting the criteria (20 with a history of breast cancer, 6 with preexisting lymphedema) was 53.9 years (range, 26.7 to 73.6 years) at the time of ALND and 63.1 years (range, 31.7 to 83.5 years) at the time of hand surgery. Average interval between surgeries was 9.2 years (range, 8 days to 37.3 years). Follow-up averaged 9.2 months (range, 8 days to 41.7 months). Fifteen patients were surveyed for long-term postoperative results (average surgery-to-survey interval, 4.3 years [range, 1 to 11.9 years]). Fifteen patients had uneventful postoperative recoveries, 4 had peri-incisional erythema requiring oral antibiotics, 1 had incisional pain and scarring, 1 had chronic wound-healing issues, and 1 had a dehiscence requiring a return to the operating room. In the 15 patients who completed the follow-up survey, there was no disease exacerbation in the 3 patients with preexisting lymphedema, and there were no new cases of lymphedema. Routine minor hand surgery did not result in lymphedema and did not increase existing lymphedema in these patients with previous ipsilateral ALND, but almost one-third of them had short-term complications in the postoperative recovery period.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25970362</PMID><DateCreated><Year>2015</Year><Month>05</Month><Day>14</Day></DateCreated><DateCompleted><Year>2015</Year><Month>12</Month><Day>23</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1938-2367</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>5</Issue><PubDate><Year>2015</Year><Month>May</Month></PubDate></JournalIssue><Title>Orthopedics</Title><ISOAbbreviation>Orthopedics</ISOAbbreviation></Journal><ArticleTitle>Elective hand surgery after axillary lymph node dissection for cancer.</ArticleTitle><Pagination><MedlinePgn>e367-73</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3928/01477447-20150504-52</ELocationID><Abstract><AbstractText>After axillary lymph node dissection (ALND), patients are cautioned against ipsilateral interventional procedures to avoid the theoretical increased risk of postoperative complications, particularly lymphedema. The authors' goal was to evaluate the complications of elective hand surgery after ALND. The authors reviewed patients presenting to their hand clinic from 1998 to 2011, selecting those with a diagnosis of breast cancer or melanoma and a history of previous ALND; the authors excluded those treated nonoperatively and those treated with elective surgery in the contralateral hand. Average age of the 22 patients meeting the criteria (20 with a history of breast cancer, 6 with preexisting lymphedema) was 53.9 years (range, 26.7 to 73.6 years) at the time of ALND and 63.1 years (range, 31.7 to 83.5 years) at the time of hand surgery. Average interval between surgeries was 9.2 years (range, 8 days to 37.3 years). Follow-up averaged 9.2 months (range, 8 days to 41.7 months). Fifteen patients were surveyed for long-term postoperative results (average surgery-to-survey interval, 4.3 years [range, 1 to 11.9 years]). Fifteen patients had uneventful postoperative recoveries, 4 had peri-incisional erythema requiring oral antibiotics, 1 had incisional pain and scarring, 1 had chronic wound-healing issues, and 1 had a dehiscence requiring a return to the operating room. In the 15 patients who completed the follow-up survey, there was no disease exacerbation in the 3 patients with preexisting lymphedema, and there were no new cases of lymphedema. Routine minor hand surgery did not result in lymphedema and did not increase existing lymphedema in these patients with previous ipsilateral ALND, but almost one-third of them had short-term complications in the postoperative recovery period.</AbstractText><CopyrightInformation>Copyright 2015, SLACK Incorporated.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>R Jay</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>LaPorte</LastName><ForeName>Dawn M</ForeName><Initials>DM</Initials></Author><Author ValidYN="Y"><LastName>Brooks</LastName><ForeName>Jaysson T</ForeName><Initials>JT</Initials></Author><Author ValidYN="Y"><LastName>Schubert</LastName><ForeName>Cornelius D</ForeName><Initials>CD</Initials></Author><Author ValidYN="Y"><LastName>Deune</LastName><ForeName>E Gene</ForeName><Initials>EG</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Orthopedics</MedlineTA><NlmUniqueID>7806107</NlmUniqueID><ISSNLinking>0147-7447</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017558" MajorTopicYN="N">Elective Surgical Procedures</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000744" 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Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>02</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>5</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>5</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>12</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25970362</ArticleId><ArticleId IdType="doi">10.3928/01477447-20150504-52</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Brooks, Jaysson T" sort="Brooks, Jaysson T" uniqKey="Brooks J" first="Jaysson T" last="Brooks">Jaysson T. Brooks</name><name sortKey="Deune, E Gene" sort="Deune, E Gene" uniqKey="Deune E" first="E Gene" last="Deune">E Gene Deune</name><name sortKey="Laporte, Dawn M" sort="Laporte, Dawn M" uniqKey="Laporte D" first="Dawn M" last="Laporte">Dawn M. Laporte</name><name sortKey="Lee, R Jay" sort="Lee, R Jay" uniqKey="Lee R" first="R Jay" last="Lee">R Jay Lee</name><name sortKey="Schubert, Cornelius D" sort="Schubert, Cornelius D" uniqKey="Schubert C" first="Cornelius D" last="Schubert">Cornelius D. Schubert</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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