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Postmastectomy lymphedema treated with the Wright linear pump.

C Kim-Sing1, V E Basco

  • 1Department of Radiation Oncology, A. Maxwell Evans Clinic of the Cancer Control Agency, British Columbia, Vancouver.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|September 1, 1987
PubMed
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The Wright linear pump effectively reduced arm swelling in postmastectomy lymphedema patients. This intermittent compression pump offers a well-tolerated and potentially superior treatment option for managing lymphedema.

Area of Science:

  • Medical Devices
  • Oncology Rehabilitation
  • Vascular Medicine

Background:

  • Postmastectomy lymphedema significantly impacts quality of life.
  • Conservative treatments often fail to fully resolve arm swelling.
  • Sequential intermittent compression is a recognized lymphedema management modality.

Purpose of the Study:

  • To evaluate the efficacy of the Wright linear pump for treating postmastectomy lymphedema.
  • To assess patient tolerance and safety of the device.
  • To compare the pump's effectiveness against other available compression devices.

Main Methods:

  • A phase II clinical trial involving 15 patients with refractory postmastectomy lymphedema.
  • Treatment utilized the Wright linear pump, a programmable, gradient pressure, sequential, intermittent compression device.

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  • Outcomes measured included subjective patient reports and objective reduction in arm edema.

    • Main Results:

    • All 15 patients reported subjective improvement in their lymphedema.
    • Objective reduction in arm edema was observed in all participants, varying with initial lymphedema severity.
    • The device was easy to use, well-tolerated, and no adverse events like fluid overload were noted.

    Conclusions:

    • The Wright linear pump demonstrates significant efficacy in reducing postmastectomy lymphedema.
    • It appears to be more effective than other available pneumatic intermittent compression pumps.
    • The device offers a safe, well-tolerated, and user-friendly treatment option for lymphedema management.