乳腺癌手术后淋巴胀的风险不应限制必要的手术干预
Michael J Fitzgerald1, Jesse Galina1, Emily Kolodka1
1Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, New Hyde Park, NY, USA.
概括
经过乳腺癌手术的患者可以安全地接受上肢干预. 该研究发现,在这些程序后,新的淋巴胀发作或恶化发生率很低.
科学领域:
- 在瘤学瘤学.
- 淋巴 edem 管理 淋巴 edem 管理
- 整形外科 整形外科 整形外科
背景情况:
- 乳腺癌手术可以增加淋巴的风险.
- 上肢干预在乳腺癌幸存者中很常见.
- 这些关于淋巴的干预措施的安全性至关重要.
研究的目的:
- 为了确定淋巴瘤发作或恶化的发生率.
- 为了评估经过乳腺癌手术后上肢干预的患者.
- 评估与非操作和操作程序相关的风险.
主要方法:
- 对161名先前经过乳腺癌手术的患者进行了回顾性审查.
- 纳入标准:乳腺癌手术/淋巴的病史,ipsilateral上肢干预和1个月的随访.
- 收集了有关人口统计,手术,淋巴结剖析和淋巴状况的数据.
主要成果:
- 分析了385次手术 (300次注射,85次手术),平均随访时间为31个月.
- 19名患有先前存在的淋巴的患者没有出现恶化.
- 3名患者在平均30个月后出现了新发性淋巴 (1.5%的发病率).
结论:
- 乳腺癌幸存者的上肢干预与淋巴的低风险有关.
- 无论是非手术还是手术程序,在淋巴瘤发作或恶化方面似乎都是安全的.
- 这一发现支持继续必要的手和上肢治疗.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12
Pre-Procedural Guidelines for Assessing Blood Pressure
595
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
595
Handwashing II: Pre-procedure and Initial Procedure Steps
950
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
950
Aneurysm IV: Nursing Management
8
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
8
Handwashing III: During the Procedure and Post-Procedure Steps
1.5K
To wash hands properly, follow these steps:
1.5K
Cardiomyopathy VII: Pre and Post Operative Nursing Management
16
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
16


