Lymphedema after Mastectomy and Axillary Lymph Nodes Dissection

Abstract

Lymphedema after Mastectomy and Axillary Lymph Nodes Dissection

Komtouch Wangdamrongwesh BSc (Physiotherapy)

Department of Rehabilitation, BMA Medical College and Vajira Hospital

Lymphedema is one of the most common complication following mastectomy and axillary lymph nodes dissection. This condition results from damage to the lymphatic system by surgery or radiation and leading to an interruption or obstruction of the lymphatic flow to blood circulation. Then, extracellular fluid gradually collects in the arm. The swelling will occur in the arm, hand and may be in chest and back. It can induce pain and infection easily. Now, there is no definite treatment. The principles of management are to decrease the swelling and to slow the occurrence. There are many kinds of treatment, consisting of surgery, pharmacological and complex physical therapy.

Vajira Med J 2007 ; 51 : 149 - 153