Issue 6-94, 2019

The effectiveness of the use of preformed physical factors and subcutaneous surgical correction in the rehabilitation of patients with breast cancer with late lymphedema of the upper limb

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1 Sidorov D.B., 2 Grushina T.I.

1 Moscow Regional Oncology Center, Balashiha, Russia
2 National Medical Research Center for Rehabilitation and Balneology, Moscow, Russia


ABSTRACT

The purpose of the study is the scientific justification and development of a complex of conservative rehabilitation measuresand subcutaneous surgical correction in patients with breast cancer with late lymphedema of the upper limb. To solvethe tasks, an open, prospective cohort randomized controlled clinical trial was conducted, in which 200 women with breastcancer of the I-III stage III clinical group with late postmastectomy lymphedema of the II-IV degree took part. The age of thepatients was from 30 to 69 years, the average age was 54.9 ± 8 years. All patients with postmastectomy lymphedema usingthe method of simple randomization were divided into 4 groups depending on the type of treatment.Assessment of the degree of lymphedema and the results of its treatment was carried out according to water plethysmographyin relative units (in%), a change in the thickness of the subcutaneous adipose tissue of the limb – according toultrasound data. It is proved that the combined use of physical factors and subcutaneous surgical correction due to theremoval of hypertrophied fatty tissue with the activation of deep lymphatic collectors of the edematous upper limb cansignificantly reduce the severity of late postmastectomy lymphedema.


KEYWORDS: breast cancer, lymphedema, liposuction, subcutaneous surgical correction, physiotherapy, rehabilitation.


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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.