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Early Rehabilitation after Total Mastectomy and Immediate Reconstruction with Tissue Expander Insertion in Breast Cancer Patients: A Retrospective Case-control Study / 한국유방암학회지
Journal of Breast Cancer ; : 472-483, 2019.
Artículo en Inglés | WPRIM | ID: wpr-764275
ABSTRACT

PURPOSE:

To prevent surgical site complications, many plastic surgeons use the so-called “conventional protocol,” which immobilizes the shoulder and upper arm for 1 month after reconstruction. In an effort to improve the shoulder mobility of patients who received immediate breast reconstruction with tissue expander insertion (TEI), we introduced an early rehabilitation protocol with a short-term immobilization period of 2 weeks. This study aims to compare this early rehabilitation exercise program with the conventional protocol and to determine factors affecting shoulder mobility and quality of life of patients after immediate breast reconstruction.

METHODS:

A total of 115 patients with breast cancer who underwent reconstructive surgery were retrospectively reviewed. For patients who underwent reconstruction before January 2017, the conventional protocol was followed with immobilization of their shoulder for over 4 weeks. Patients who underwent reconstruction after January 2017 were educated to undergo a self-exercise program after a short-term immobilization period of 2 weeks. We compared shoulder mobility, pain, quality of life, and complications at postoperative 1 and 2 months between the groups.

RESULTS:

Patients who received early rehabilitation showed greater shoulder flexion and abduction range at postoperative 1 month than those who received the conventional protocol. This increased shoulder abduction range continued until postoperative 2 months. There were no significant surgical site problems in both groups during the 2 months of follow-up.

CONCLUSION:

To enhance the recovery of shoulder mobility, early rehabilitation with a shorter immobilization period should be recommended to patients with breast cancer undergoing reconstruction surgery with TEI. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT03541161
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Brazo / Plásticos / Calidad de Vida / Rehabilitación / Hombro / Mama / Neoplasias de la Mama / Mastectomía Simple / Estudios de Casos y Controles / Dispositivos de Expansión Tisular Tipo de estudio: Guía de Práctica Clínica / Estudio observacional / Estudio pronóstico Límite: Femenino / Humanos Idioma: Inglés Revista: Journal of Breast Cancer Año: 2019 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Brazo / Plásticos / Calidad de Vida / Rehabilitación / Hombro / Mama / Neoplasias de la Mama / Mastectomía Simple / Estudios de Casos y Controles / Dispositivos de Expansión Tisular Tipo de estudio: Guía de Práctica Clínica / Estudio observacional / Estudio pronóstico Límite: Femenino / Humanos Idioma: Inglés Revista: Journal of Breast Cancer Año: 2019 Tipo del documento: Artículo