the effect of a thorax bandage on postoperative seroma ......week 1 v as 0-100 mm week 2 week 4 0 50...
TRANSCRIPT
Background Seroma formation is a common complication after breast cancer surgery and delays recovery. Excessive seroma formation puts
pressure on the wound, which is painful for the patient, sets limitations on daily activities and delays further treatment. The aim of this
study was to investigate whether the postoperative use of a thorax bandage reduces seroma formation in a breast cancer patient. In
addition, the practical aspects of wearing the thorax bandage (duration and experience of the patient) will be described. For this study
a novel 2 Layer cohesive Compression System has been used.
Material & Methods
Results
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nr. 3:4-5.
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3. Kurkoi K, Shimozuma K, Taguchi T, Imai H, Yamashiro H, Ohsumi S, et al. Evidence based risk factors for seroma formation in breast surgery. Jpn J Clin Oncol. 2006 36(4):197-206.
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Conclusion In this case study the application of
a thorax bandage seemed clinically
successful for the patient. However,
further studies are necessary to
investigate the effect of the thorax
bandage on seroma formation. At
least the experience of the patient was
positive. In this report, the case of a 62 year old woman will be presented following
surgery on both breasts; a modifi ed radical mastectomy (MRM) on the right,
and an axillary lymph node dissection (ALND) on the left. The selection
criteria were: status after MRM and at least one seroma aspiration. After the
surgery the axilla on the left became infected (after the fi rst seroma aspiration)
and the patient was hospitalized for fi ve days of antibiotic treatment. The
research design is an n=1 single subject design, where a baseline situation
is followed by an intervention phase. This design is also called an A-B design
with baseline measurements (A), score on the visual analog scale (VAS), the
Disability of the Arm, Shoulder, and Hand Questionnaire Dutch language
version (DASH-DLV), four weeks of physical therapy treatment and the use
of a thorax bandage on the surgical site on the right (B). The measurements
were repeated over the course of treatment and again at the conclusion.
After the start of the physical therapy interventions there were no more seroma
aspirations needed on the right breast. On the left, there was one aspiration of 100
ml, on the infection site. The patient found the thorax bandage comfortable. “It makes
me feel safe.” The pain score was measured three times and a DASH-DLV was
completed. Over a period of four weeks the VAS score decreased by 26 mm and the
DASH-DLV score by16 points. Both scores are clinically relevant for the patient.0
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Week 1
VAS
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00 m
m
Week 2
Week 4
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Week 1
DA
SH
-DLV
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Week 2
Week 4
The Effect of a Thorax Bandage on Postoperative Seroma Formation in a Breast Cancer Patient
A.T.M. Nieuwenhuijsen, Edema and Oncology Physiotherapist • St. Antonius Ziekenhuis, Nieuwegein, The Netherlands.
8835_posters_coban_14.indd 2 29-08-11 11:21