"Movimentação precoce do braço no controle do seroma pós-linfadenectomia axilar " / Early arm movement to control seroma formation after axillary lymphadenectomy.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

This study aimed to evaluate the efficacy of early arm movement in the control of seroma formation, in women who underwent complete axillary lymphadenectomy (AL) due to breast cancer. A comparative study involved 39 women with diagnosis of unilateral breast cancer of any extension who underwent LA. Data were collected between July 2004 and January 2005, at the onco-gynecology and mastology sector - Gynecology and Obstetric Department of the University of São Paulo at Ribeirão Preto Medical School Hospital das Clínicas. Participants were randomly distributed in two groups: Movement Group (MG) and Control Group (CG). In the CG, 20 women received routine orientation while, in the MG, 19 women were oriented towards systematic early arm movement, with a specific movement program initiated before hospital discharge and continued at home. All women were evaluated the day before surgery, the first day after surgery, 5-10 days and 30-40 days after surgery. The Mann-Whitney statistical test revealed that the groups were homogeneous in terms of age and body mass index, although the number of subjects was found statistically insignificant. The permanence of the drain and the volume drained were lower in MG. Incidence levels of seroma were equal in the two groups, but the resolution was faster and less invasive in MG. In spite of a statistically insignificant number of subjects, early and systematic arm movement provided better seroma absorption and was not associated with other surgical complications.

ASSUNTO(S)

nursing rehabilitation lympho node excise neoplasias mamárias enfermagem breast neoplasia reabilitação excisão de nódulo linfático

ACESSO AO ARTIGO

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