Positive impact of delayed breast reconstruction on breast-cancer treatment-related arm lymphoedema

Summary Background The study aims to determine the impact of delayed breast reconstruction on women with breast-cancer treatment-related lymphoedema after mastectomy. Methods Twenty women with breast-cancer treatment-related arm lymphoedema prospectively requesting breast reconstruction were include...

Full description

Saved in:
Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2012-08, Vol.65 (8), p.1060-1063
Main Authors: Blanchard, Marie, Arrault, Maria, Vignes, Stéphane
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Blood and lymphatic vessels
Breast cancer
Breast Neoplasms - complications
Breast Neoplasms - surgery
Breast reconstruction
Cardiology. Vascular system
Disease Progression
Diseases of the lymphatic vessels
Female
Follow-Up Studies
France - epidemiology
Gynecology. Andrology. Obstetrics
Hand
Humans
Incidence
Lymph Node Excision - adverse effects
Lymphedema - diagnosis
Lymphedema - epidemiology
Lymphedema - etiology
Lymphoedema
Mammaplasty - adverse effects
Mammary gland diseases
Medical sciences
Middle Aged
Plastic Surgery
Postoperative Complications
Prognosis
Retrospective Studies
Severity of Illness Index
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Time Factors
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Background The study aims to determine the impact of delayed breast reconstruction on women with breast-cancer treatment-related lymphoedema after mastectomy. Methods Twenty women with breast-cancer treatment-related arm lymphoedema prospectively requesting breast reconstruction were included between January 2002 and June 2009. Lymphoedema volume was calculated for each 5-cm segment using the formula for a truncated cone. Results Three patients underwent transverse rectus abdominis myocutaneous flap reconstruction, five received pedicled latissimus dorsi myocutaneous flaps associated with a breast implant and 12 a breast implant (silicone) alone. Median lymphoedema duration at the time of breast reconstruction was 21 (interquartile range (IQR): 17–34) months. Breast reconstruction was done a median of 30 (IQR: 23–56) months after mastectomy. The median lymphoedema volume at medians of 5 (244 ml, IQR: 159–435) and 22 months (235 ml, IQR: 146–361) of follow-up after reconstruction compared to that measured 6 months before breast reconstruction of 378 ml (IQR: 261–459) were significantly lower ( p  
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2012.03.019