A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema
Abstract Breast cancer-related lymphoedema (BCRL) is a common and intractable complication. To evaluate the possible complications of using lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator (TRAM/DIEP) flaps for breast reconstruction and BCRL treatment, 20 patien...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2017-03-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-017-00164-1 |
| _version_ | 1819040044296437760 |
|---|---|
| author | Zhuangqing Yang Sheng Huang Jiankui Wang Yan Xi Xiaojuan Yang Qi Tang Juan Du Jianyun Nie Tianning Zou Shaoqing Zhou Xueliang Tang Dedian Chen |
| author_facet | Zhuangqing Yang Sheng Huang Jiankui Wang Yan Xi Xiaojuan Yang Qi Tang Juan Du Jianyun Nie Tianning Zou Shaoqing Zhou Xueliang Tang Dedian Chen |
| author_sort | Zhuangqing Yang |
| collection | DOAJ |
| description | Abstract Breast cancer-related lymphoedema (BCRL) is a common and intractable complication. To evaluate the possible complications of using lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator (TRAM/DIEP) flaps for breast reconstruction and BCRL treatment, 20 patients with moderate or severe BCRL were retrospectively enrolled between November 2012 and October 2014. 10 patients had undergone lymphatic TRAM/DIEP flap surgery were assigned to the surgery group. 10 patients unwilling to undergo reconstruction were assigned to the physiotherapy group treated with traditional physical therapy. Upper-limb movement and circumference were measured and patients’ subjective assessment was assessed using a questionnaire. In the surgery group, all flaps were successfully transferred. BCRL in 8 patients was improved by one level. The upper-limb circumference returned to normal in 1 case, and only 1 patient did not improve. In the physiotherapy group, a slight improvement was noted in 6 patients and unchanged in four cases. From the questionnaires, patients underwent lymphatic TRAM/DIEP flap surgery reported a significantly greater improvement in the affected limb (p < 0.05). In the physiotherapy group, the limb subjective did not improve as well as in the surgery group. Lymphatic TRAM/DIEP is a safe and effective option for patients who suffer from post-mastectomy lymphoedema. |
| first_indexed | 2024-12-21T09:02:50Z |
| format | Article |
| id | doaj.art-984d04a17b484fdf9a9af754bd85d631 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-21T09:02:50Z |
| publishDate | 2017-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-984d04a17b484fdf9a9af754bd85d6312022-12-21T19:09:25ZengNature PortfolioScientific Reports2045-23222017-03-01711610.1038/s41598-017-00164-1A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedemaZhuangqing Yang0Sheng Huang1Jiankui Wang2Yan Xi3Xiaojuan Yang4Qi Tang5Juan Du6Jianyun Nie7Tianning Zou8Shaoqing Zhou9Xueliang Tang10Dedian Chen11The 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityDepartment of Head and Neck Surgery, the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityThe 2nd Department of Breast Surgery, Breast Cancer Center of the Third Affiliated Hospital of Kunming Medical UniversityAbstract Breast cancer-related lymphoedema (BCRL) is a common and intractable complication. To evaluate the possible complications of using lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator (TRAM/DIEP) flaps for breast reconstruction and BCRL treatment, 20 patients with moderate or severe BCRL were retrospectively enrolled between November 2012 and October 2014. 10 patients had undergone lymphatic TRAM/DIEP flap surgery were assigned to the surgery group. 10 patients unwilling to undergo reconstruction were assigned to the physiotherapy group treated with traditional physical therapy. Upper-limb movement and circumference were measured and patients’ subjective assessment was assessed using a questionnaire. In the surgery group, all flaps were successfully transferred. BCRL in 8 patients was improved by one level. The upper-limb circumference returned to normal in 1 case, and only 1 patient did not improve. In the physiotherapy group, a slight improvement was noted in 6 patients and unchanged in four cases. From the questionnaires, patients underwent lymphatic TRAM/DIEP flap surgery reported a significantly greater improvement in the affected limb (p < 0.05). In the physiotherapy group, the limb subjective did not improve as well as in the surgery group. Lymphatic TRAM/DIEP is a safe and effective option for patients who suffer from post-mastectomy lymphoedema.https://doi.org/10.1038/s41598-017-00164-1 |
| spellingShingle | Zhuangqing Yang Sheng Huang Jiankui Wang Yan Xi Xiaojuan Yang Qi Tang Juan Du Jianyun Nie Tianning Zou Shaoqing Zhou Xueliang Tang Dedian Chen A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema Scientific Reports |
| title | A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema |
| title_full | A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema |
| title_fullStr | A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema |
| title_full_unstemmed | A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema |
| title_short | A retrospective study of lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator flaps for breast cancer treatment-induced upper-limb lymphoedema |
| title_sort | retrospective study of lymphatic transverse rectus abdominis myocutaneous deep inferior epigastric perforator flaps for breast cancer treatment induced upper limb lymphoedema |
| url | https://doi.org/10.1038/s41598-017-00164-1 |
| work_keys_str_mv | AT zhuangqingyang aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT shenghuang aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT jiankuiwang aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT yanxi aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT xiaojuanyang aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT qitang aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT juandu aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT jianyunnie aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT tianningzou aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT shaoqingzhou aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT xueliangtang aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT dedianchen aretrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT zhuangqingyang retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT shenghuang retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT jiankuiwang retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT yanxi retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT xiaojuanyang retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT qitang retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT juandu retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT jianyunnie retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT tianningzou retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT shaoqingzhou retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT xueliangtang retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema AT dedianchen retrospectivestudyoflymphatictransverserectusabdominismyocutaneousdeepinferiorepigastricperforatorflapsforbreastcancertreatmentinducedupperlimblymphoedema |