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Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery.
Lymphology 2012; 45(3):103-12L

Abstract

This study evaluated the effectiveness of manual lymphatic drainage (MLD) in the prevention of secondary lymphedema after treatment of breast cancer. The study consisted of 67 women, who underwent breast surgery for primary breast cancer. From the second day of surgery, 33 randomly chosen women were given MLD. The control group consisted of 34 women who did not receive MLD. Measurements of the volumes of both the arms were taken before surgery and on days 2, 7, 14, and at 3 and 6 months after surgery. At 6 months after breast cancer surgery, among the women who did not undergo MLD, a significant increase in the arm volume on the operated side was observed (p=0.0033) when compared with the arm volume before surgery. At this time, there was no statistically significant increase in the volume of the upper limb on the operated side in women who underwent MLD. This study demonstrates that regardless of the surgery type and the number of the lymph nodes removed, MLD effectively prevented lymphedema of the arm on the operated side. Even in high risk breast cancer treatments (operation plus irradiation), MLD was demonstrated to be effective against arm volume increase. Even though confirmatory studies are needed, this study demonstrates that MLD administered early after operation for breast cancer should be considered for the prevention of lymphedema.

Authors+Show Affiliations

Wannsee-Schule eV, Berlin, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23342930

Citation

Zimmermann, A, et al. "Efficacy of Manual Lymphatic Drainage in Preventing Secondary Lymphedema After Breast Cancer Surgery." Lymphology, vol. 45, no. 3, 2012, pp. 103-12.
Zimmermann A, Wozniewski M, Szklarska A, et al. Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. Lymphology. 2012;45(3):103-12.
Zimmermann, A., Wozniewski, M., Szklarska, A., Lipowicz, A., & Szuba, A. (2012). Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. Lymphology, 45(3), pp. 103-12.
Zimmermann A, et al. Efficacy of Manual Lymphatic Drainage in Preventing Secondary Lymphedema After Breast Cancer Surgery. Lymphology. 2012;45(3):103-12. PubMed PMID: 23342930.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of manual lymphatic drainage in preventing secondary lymphedema after breast cancer surgery. AU - Zimmermann,A, AU - Wozniewski,M, AU - Szklarska,A, AU - Lipowicz,A, AU - Szuba,A, PY - 2013/1/25/entrez PY - 2013/1/25/pubmed PY - 2013/4/17/medline SP - 103 EP - 12 JF - Lymphology JO - Lymphology VL - 45 IS - 3 N2 - This study evaluated the effectiveness of manual lymphatic drainage (MLD) in the prevention of secondary lymphedema after treatment of breast cancer. The study consisted of 67 women, who underwent breast surgery for primary breast cancer. From the second day of surgery, 33 randomly chosen women were given MLD. The control group consisted of 34 women who did not receive MLD. Measurements of the volumes of both the arms were taken before surgery and on days 2, 7, 14, and at 3 and 6 months after surgery. At 6 months after breast cancer surgery, among the women who did not undergo MLD, a significant increase in the arm volume on the operated side was observed (p=0.0033) when compared with the arm volume before surgery. At this time, there was no statistically significant increase in the volume of the upper limb on the operated side in women who underwent MLD. This study demonstrates that regardless of the surgery type and the number of the lymph nodes removed, MLD effectively prevented lymphedema of the arm on the operated side. Even in high risk breast cancer treatments (operation plus irradiation), MLD was demonstrated to be effective against arm volume increase. Even though confirmatory studies are needed, this study demonstrates that MLD administered early after operation for breast cancer should be considered for the prevention of lymphedema. SN - 0024-7766 UR - https://www.unboundmedicine.com/medline/citation/23342930/Efficacy_of_manual_lymphatic_drainage_in_preventing_secondary_lymphedema_after_breast_cancer_surgery_ L2 - https://ClinicalTrials.gov/search/term=23342930 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -