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Mastectomy rehabilitation

E J Roslan, E G Kelly, M A Zain, N H Basiron, F H Imran
Breast reconstructive surgery has evolved tremendously since its inception. Following tumour clearance surgery, physical restoration with breast reconstruction is an important aspect of physical and emotional rehabilitation. Various methods have been described to suit patients demand for the best aesthetic outcome. Surgeon's preference, experience and practicality of differing procedures must be considered. We describe a simultaneous bilateral breast reconstruction with free deep inferior epigastric (DIEP) flap and pedicled transverse rectus abdominis musculocutaneous (TRAM) flap immediately post mastectomies for bilateral breast cancers...
February 2017: Medical Journal of Malaysia
Natalia A Zhevago, Alexander A Zimin, Tatyana V Glazanova, Natalia I Davydova, Natalia V Bychkova, Zhanna V Chubukina, Anna I Buinyakova, Marina F Ballyuzek, Kira A Samoilova
To this day, two methods of phototherapy (PT) have been successfully used in post-surgical immunorehabilitation of patients with breast cancer (BC): intravenous laser irradiation of the patients' blood and reinfusion of lympholeukosuspension of BC patients after single irradiation with HeNe laser. The objective of this pilot experimental study was to verify the effectiveness of the percutaneous use of polychromatic visible light combined with polychromatic infrared (pVIS+pIR) radiation similar to the major components of natural solar spectrum in post-surgical management of BC patients...
January 2017: Journal of Photochemistry and Photobiology. B, Biology
Katarzyna Hojan, Magdalena Wojtysiak, Juliusz Huber, Marta Molińska-Glura, Agnieszka Wiertel-Krawczuk, Piotr Milecki
PURPOSE: Breast cancer surgery or radiotherapy (RT) are potential causes of persistent pain syndrome. It remains to be clarified whether numbness or pain reported by patients after mastectomy and RT are conditioned by changes in nerve transmission. The aim of this study was to examine the potential relationship between subjective sensory complications and neurophysiological examinations in breast cancer survivors with post-mastectomy pain syndrome. METHODS: Sixty breast cancer survivors (30 patients only after mastectomy - group A; and 30 after mastectomy with RT - group B) complaining of pain and sensory disturbances in the brachial plexus area and 20 healthy women (group C) were studied with regard to sensory perception and pain intensity using the Visual Analogue Scale and electroneurography (ENG)...
August 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
T E Odinets, Yu A Briskin
UNLABELLED: A frequent consequence of the treatment of breast cancer is the postmastectomy syndrome that combines psycho-emotional and functional disorders in various body systems. AIM: The objective of the present study was to evaluate the influence of the program of differential physical rehabilitation on the functional state of the autonomic nervous system in the women with the postmastectomy syndrome at the stationary stage of the rehabilitative treatment. MATERIAL AND METHODS: The study included 50 presenting with the postmastectomy syndrome following radical mastectomy as described by J...
May 2016: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
Valeriya Gritsenko, Eric Dailey, Nicholas Kyle, Matt Taylor, Sean Whittacre, Anne K Swisher
OBJECTIVE: To determine if a low-cost, automated motion analysis system using Microsoft Kinect could accurately measure shoulder motion and detect motion impairments in women following breast cancer surgery. DESIGN: Descriptive study of motion measured via 2 methods. SETTING: Academic cancer center oncology clinic. PARTICIPANTS: 20 women (mean age = 60 yrs) were assessed for active and passive shoulder motions during a routine post-operative clinic visit (mean = 18 days after surgery) following mastectomy (n = 4) or lumpectomy (n = 16) for breast cancer...
2015: PloS One
Siew Yim Loh, Aisya Nadia Musa
CONTEXT: Breast cancer is the most prevalent cancer amongst women but it has the highest survival rates amongst all cancer. Rehabilitation therapy of post-treatment effects from cancer and its treatment is needed to improve functioning and quality of life. This review investigated the range of methods for improving physical, psychosocial, occupational, and social wellbeing in women with breast cancer after receiving breast cancer surgery. METHOD: A search for articles published in English between the years 2009 and 2014 was carried out using The Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, PubMed, and ScienceDirect...
2015: Breast Cancer: Targets and Therapy
Daniela Cristina Mucinhato Ambrósio, Manoel Antônio Dos Santos
It is necessary to understand how social support can contribute to minimize the impact of the diagnosis and treatment of mammary tumors in order to underpin the actions of comprehensive women's health care. This study seeks to analyze the contribution of the national and international literature regarding the perceived social support by women diagnosed with breast cancer. Twelve studies were selected from the MedLine, Lilacs and PsycINFO databases over a 10-year period (2000-2010) with pre-defined criteria for inclusion...
March 2015: Ciência & Saúde Coletiva
Tomasz Zieliński, Katarzyna Lorenc-Podgórska, Bogusław Antoszewski
UNLABELLED: Breast cancer is the most common malignancy occurring in women. The treatment of breast cancer is a complex, multistep process involving surgical treatment, chemotherapy, radiotherapy, hormone therapy, targeted therapy, and very often rehabilitation. After the treatment of the underlying disease, or still in its course, there remains a problem of deformation of the chest. Although the number of women opting for breast reconstructive surgery increases every year, the number of such procedures in Poland is low...
October 2014: Polski Przeglad Chirurgiczny
Deise Helena Pelloso Borghesan, Angela Andreia França Gravena, Tiara Cristina Romeiro Lopes, Sheila Cristina Rocha Brischiliari, Marcela de Oliveira Demitto, Catia Millene Dell Agnolo, Maria Dalva de Barros Carvalho, Sandra Marisa Pelloso
BACKGROUND: : In 2012, the breast cancer estimate worldwide stood at 1.67 million new cases, these accounting for 25% of all types of cancer diagnosed in women. For 2014, 57,120 new cases are expected, with a risk estimated at 56.1 cases for every 100,000 women. The objective of this study was to analyze the satisfaction regarding the use of external breast prostheses by women undergoing mastectomy. MATERIALS AND METHODS: This cross-sectional study was conducted with 76 women who used an external breast prosthesis (EBP), registered in the services of the Cuiaba Center for Comprehensive Rehabilitation, Mato Grosso, Brazil, from 2009 to 2012...
2014: Asian Pacific Journal of Cancer Prevention: APJCP
Aybala A Ay, Suat Kutun, Abdullah Cetin
BACKGROUND: Lymphoedema resulting from axillary lymph node dissection remains a challenging complication after modified radical mastectomy. OBJECTIVE: To examine the effects of supportive therapy such as rehabilitation and medical and physical treatment on the development of lymphoedema, in an attempt to establish non-surgical ways to help prevent or reduce it. METHODS: Patients (N=5 064) who underwent breast cancer surgery in the Department of General Surgery, Ankara Oncology Research and Training Hospital, Turkey, between 1995 and 2010 were included...
June 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
T I Grushina
Post-mastectomy lymphedema on the side of the surgical intervention is a major complication of radical therapy of breast cancer patients. Pneumatic compression (compression pump technology) of various types, modes and techniques is used for their rehabilitation. A total of 192 breast cancer patients with I-IV degree lymphedema were available for the examination in the present study. All of them were treated with the application of different modes of one- and multi-chambered pneumatic compression. Based on the results of aqueous and impedance plethysmography, the multi-chambered pneumatic compression was identified as the most effective methods for the purpose, with the pressure inside the chambers below 60-80 mm Hg and the duration of the treatment 45-60 min per day...
January 2014: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
A Testa, C Iannace, L Di Libero
BACKGROUND: In the immediate postoperative period surgical breast cancer patients can face many problems including functional limitation of the shoulder, edema, pain and depression. Although those symptoms can alleviate during the stages of the therapeutic route, most of the time concur significantly to the everyday life discomforts decreasing sharply the quality of life. Therefore, is essential to pay attention to the functional problems of breast cancer patients in order to ensure a quick and complete physical and psychosocial recovery...
June 2014: European Journal of Physical and Rehabilitation Medicine
Naoko Minatani, Yoshimasa Kosaka, Norihiko Sengoku, Mariko Kikuchi, Hiroshi Nishimiya, Mina Waraya, Takumo Enomoto, Hirokazu Tanino, Masahiko Watanabe
The patient was a 60-year-old woman who underwent total mastectomy and axillary lymph node dissection for right breast cancer. She was treated with adjuvant chemotherapy( epirubicin plus cyclophosphamide[EC]and paclitaxel), hormone therapy, and radiation therapy. Multiple lung, lymph node, and bone metastases were detected after 4 years. The patient subsequently received nab-paclitaxel (nabPTX, 260 mg/m2, triweekly) and zoledronate therapy. Ptosis of her right eyebrow and the right angle of her mouth were observed after 8 courses of nabPTX, and peripheral right facial nerve palsy was diagnosed...
November 2013: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Chiyomi Egawa, Hiroki Kusama, Masatsugu Okishiro, Kazuko Oku, Takayoshi Goto, Teruaki Nagano, Shinichi Nakatsuka, Yuichi Takatsuka
BACKGROUND: Currently, minimal surgery is the treatment of choice for most breast cancer patients. However, some patients with locally advanced breast cancer( LABC) require standard radical mastectomy( SRM) before or after systemic therapy. PATIENTS AND METHODS: We reviewed the medical records of 7 patients with breast cancer who underwent SRM in our hospital between January 2007 and April 2013 and examined their clinicopathological features and prognostic outcomes...
November 2013: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Aase Sagen, Rolf Kaaresen, Leiv Sandvik, Inger Thune, May Arna Risberg
OBJECTIVE: To examine upper limb physical function and adverse effects after axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) in patients with breast cancer to identify impairments that can inform rehabilitation strategies. DESIGN: Prospective longitudinal cohort. Upper limb measurements were studied preoperatively and 2.5 years after breast cancer treatment. SETTING: Hospital setting. PARTICIPANTS: Two groups of patients with early-stage primary breast cancer (N=391): the ALND surgery group (mean age, 55±10y) and the SLNB group (mean age, 57±10y)...
May 2014: Archives of Physical Medicine and Rehabilitation
(no author information available yet)
An absence of breast is the irreversible cosmetic and physical defect, which reduces the self-assessment and psyco-emotional status of women. Nowadays the necessity of reconstruction after mastectomy will gain more popularity and plays a fundamental role in psychological and social rehabilitation of breast cancer patients. The article analyzes the experience of reconstructive plasty of 26 patients with I-III stages of breast cancer.
2013: Vestnik Khirurgii Imeni I. I. Grekova
Young Sun, Sung-Won Kim, Chan Yeong Heo, Dongwon Kim, Yoonsun Hwang, Cha Kyong Yom, Eunyoung Kang
OBJECTIVE: More than 80% of women with breast cancer survive for more than 5 years; quality of life is an important issue in these patients. The aim of this study was to assess differences in quality of life among patients who have undergone breast-conserving surgery, total mastectomy and immediate reconstruction after total mastectomy. METHODS: A cross-sectional study was conducted during follow-up visits. Women who underwent surgical treatment at least 2 years prior were eligible if they were aged 20-70 years and had a diagnosis of breast cancer (Stages 0-III)...
January 2014: Japanese Journal of Clinical Oncology
J Van Geertruyden
Breast reconstruction after mastectomy should be an integrated part in the therapeutical approach of a patient with breast cancer. It rehabilitates the woman's body and femininity. Breast implant is the option most frequently used, although other alternatives exist, as breast reconstruction with autologous tissues. The major advantage of the breast implant reconstruction is the reduced surgery, but risks of complications are real and the long term evolution shows a frequent deterioration of aesthetic aspect...
September 2013: Revue Médicale de Bruxelles
Hulya Uzkeser, Saliha Karatay, Burak Erdemci, Mehmet Koc, Kazım Senel
BACKGROUND: This study has two aims. The first was to investigate the efficacy and contribution of an intermittent pneumatic compression pump in the management of lymphedema, and the second was to evaluate the correlation of our measurement methods. METHODS: This study was designed as a controlled clinical trial at the Physical Medicine and Rehabilitation Department of Ataturk University Faculty of Medicine. Thirty-one patients with upper extremity lymphedema following mastectomy participated in the study...
May 2015: Breast Cancer: the Journal of the Japanese Breast Cancer Society
Delva Shamley, Ion Lascurain-Aguirrebeña, Reza Oskrochi
Normal painfree movement of the upper limb requires movement at the glenohumeral joint and movement of the scapula on the thorax. Co-ordinated movement of these joints is known as the scapulohumeral rhythm and is required during elevation of the arm. Coordinated movement is further achieved by timing of the many muscles acting across the joints. A pilot study from our laboratory has shown significant alterations to this scapulohumeral rhythm and its muscle control following treatment for breast cancer. The aims of this study were to: (1) correlate altered muscle activity from a larger sample with observed movement deviations; (2) compare movement and muscle deviations in survivors with a healthy population and (3) explore the impact of a mastectomy versus a wide local excision (WLE) on the observed deviations...
April 2014: Clinical Anatomy
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