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Related Experiment Videos

Immediate versus delayed shoulder exercises after axillary lymph node dissection.

R F Jansen1, A N van Geel, H G de Groot

  • 1Department of Surgical Oncology, Dr Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.

American Journal of Surgery
|November 1, 1990
PubMed
Summary
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Delayed shoulder exercises after breast cancer surgery did not significantly impact wound drainage or shoulder function. Early mobilization appears safe and comparable to delayed exercises for patients undergoing axillary lymph node dissection.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Rehabilitation Medicine

Background:

  • Axillary lymph node dissection (ALND) is a common procedure for breast cancer staging.
  • Postoperative shoulder dysfunction and wound complications are concerns following ALND.
  • The optimal timing for initiating shoulder exercises after ALND is not well-established.

Purpose of the Study:

  • To investigate the effect of delayed versus early shoulder exercises on wound drainage and shoulder function post-ALND.
  • To compare wound complications and seroma formation between early and delayed exercise groups.

Main Methods:

  • A multicenter, randomized, prospective study involving 144 breast cancer patients undergoing ALND.
  • Group 1: Active shoulder exercises initiated 1 day postoperatively.

Related Experiment Videos

  • Group 2: Shoulder exercises initiated on postoperative day 8, after 1 week of arm immobilization.

    • Main Results:

    • Group 2 showed 14% less wound drainage volume (600 ± 436 mL vs. 701 ± 398 mL), but this difference was not statistically significant.
    • No significant differences were observed between groups in wound drainage duration, seroma aspirations, wound complication rates, or shoulder function at 6 months.

    Conclusions:

    • Delayed initiation of shoulder exercises following ALND does not offer significant benefits regarding wound drainage or shoulder function compared to early initiation.
    • Early active shoulder exercises appear to be a safe and effective approach after ALND, comparable to delayed exercises.