Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies
Introduction: Lower limb lymphedema (LLL) is one of the most disabling side effects of surgical and radiotherapy treatment for gynecological cancers (carcinoma of the cervix, carcinoma of the ovary, carcinoma of the endometrium, and carcinoma of the vulva). The incidence of lymphedema varies in gyn...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IJPHY
2023-06-01
|
| Series: | International Journal of Physiotherapy |
| Subjects: | |
| Online Access: | https://ijphy.com/index.php/journal/article/view/1322 |
| _version_ | 1797799580256960512 |
|---|---|
| author | Raghava Krishna Sakkuru Narendra Hulikal Subramanian Bala Venkata Madhavi Konetigari |
| author_facet | Raghava Krishna Sakkuru Narendra Hulikal Subramanian Bala Venkata Madhavi Konetigari |
| author_sort | Raghava Krishna Sakkuru |
| collection | DOAJ |
| description |
Introduction: Lower limb lymphedema (LLL) is one of the most disabling side effects of surgical and radiotherapy treatment for gynecological cancers (carcinoma of the cervix, carcinoma of the ovary, carcinoma of the endometrium, and carcinoma of the vulva). The incidence of lymphedema varies in gynecological cancers and patients undergoing radiotherapy and surgery. This prospective study aims to determine the incidence of lower limb lymphedema after surgery and radiotherapy in gynecological malignancies.
Methodology: A total of 512 subjects who undergo treatment for gynecological malignancies in the department of surgical oncology and / or radiotherapy were screened to find out the incidence of lymphedema by measuring limb circumference with inch tape and extracellular fluid (ECF) volume with bio-impedance analyzer at four intervals, before surgery/ radiotherapy, after surgery/radiotherapy, three months follow-up and six months follow-up. The limb circumference and ECF were used to find out the lymphedema.
Results: Turkey's pairwise comparison test was carried out to determine the incidence of lymphedema in both subjects (radiotherapy & surgery). The percentage of incidence of lymphedema in subjects who have undergone radiotherapy and surgical treatment with gynecological malignancies is 18.94% overall.
Conclusion: Many subjects developed lymphedema with post-treatment gynecological malignancies. It causes significant functional problems, emotional disturbances, adversely affecting the quality of life, and it also causes a financial burden to the family. Lymphedema can be diagnosed initially using a Bio-impedance analyzer and inch tape to minimize the complications and progression of the disease.
|
| first_indexed | 2024-03-13T04:21:02Z |
| format | Article |
| id | doaj.art-afd4f93a259c4df3a187a5db79f594b1 |
| institution | Directory Open Access Journal |
| issn | 2349-5987 2348-8336 |
| language | English |
| last_indexed | 2024-03-13T04:21:02Z |
| publishDate | 2023-06-01 |
| publisher | IJPHY |
| record_format | Article |
| series | International Journal of Physiotherapy |
| spelling | doaj.art-afd4f93a259c4df3a187a5db79f594b12023-06-20T10:07:40ZengIJPHYInternational Journal of Physiotherapy2349-59872348-83362023-06-0110210.15621/ijphy/2023/v10i2/1322Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological MalignanciesRaghava Krishna Sakkuru0Narendra Hulikal1Subramanian Bala Venkata2Madhavi Konetigari3Tutor, College of Physiotherapy, SVIMS, Tirupati, Andhra Pradesh, 517502.Professor & HOD, Department of Surgical Oncology, SVIMS, Tirupati, Andhra Pradesh, 517502. E-mail: drnarendrah@yahoo.co.inAssociate Professor & HOD, Department of Radiotherapy, SVIMS, Tirupati, Andhra Pradesh, 517502.Principal, College of Physiotherapy, SVIMS, Tirupati, Andhra Pradesh, 517502. Introduction: Lower limb lymphedema (LLL) is one of the most disabling side effects of surgical and radiotherapy treatment for gynecological cancers (carcinoma of the cervix, carcinoma of the ovary, carcinoma of the endometrium, and carcinoma of the vulva). The incidence of lymphedema varies in gynecological cancers and patients undergoing radiotherapy and surgery. This prospective study aims to determine the incidence of lower limb lymphedema after surgery and radiotherapy in gynecological malignancies. Methodology: A total of 512 subjects who undergo treatment for gynecological malignancies in the department of surgical oncology and / or radiotherapy were screened to find out the incidence of lymphedema by measuring limb circumference with inch tape and extracellular fluid (ECF) volume with bio-impedance analyzer at four intervals, before surgery/ radiotherapy, after surgery/radiotherapy, three months follow-up and six months follow-up. The limb circumference and ECF were used to find out the lymphedema. Results: Turkey's pairwise comparison test was carried out to determine the incidence of lymphedema in both subjects (radiotherapy & surgery). The percentage of incidence of lymphedema in subjects who have undergone radiotherapy and surgical treatment with gynecological malignancies is 18.94% overall. Conclusion: Many subjects developed lymphedema with post-treatment gynecological malignancies. It causes significant functional problems, emotional disturbances, adversely affecting the quality of life, and it also causes a financial burden to the family. Lymphedema can be diagnosed initially using a Bio-impedance analyzer and inch tape to minimize the complications and progression of the disease. https://ijphy.com/index.php/journal/article/view/1322Gynaecological malignancy, Bio-impedance analyzer, lowers limb lymphedema, incidence, extracellular fluid, limb circumference. |
| spellingShingle | Raghava Krishna Sakkuru Narendra Hulikal Subramanian Bala Venkata Madhavi Konetigari Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies International Journal of Physiotherapy Gynaecological malignancy, Bio-impedance analyzer, lowers limb lymphedema, incidence, extracellular fluid, limb circumference. |
| title | Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies |
| title_full | Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies |
| title_fullStr | Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies |
| title_full_unstemmed | Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies |
| title_short | Incidence of Lower Limb Lymphedema in Post therapeutic Gynaecological Malignancies |
| title_sort | incidence of lower limb lymphedema in post therapeutic gynaecological malignancies |
| topic | Gynaecological malignancy, Bio-impedance analyzer, lowers limb lymphedema, incidence, extracellular fluid, limb circumference. |
| url | https://ijphy.com/index.php/journal/article/view/1322 |
| work_keys_str_mv | AT raghavakrishnasakkuru incidenceoflowerlimblymphedemainposttherapeuticgynaecologicalmalignancies AT narendrahulikal incidenceoflowerlimblymphedemainposttherapeuticgynaecologicalmalignancies AT subramanianbalavenkata incidenceoflowerlimblymphedemainposttherapeuticgynaecologicalmalignancies AT madhavikonetigari incidenceoflowerlimblymphedemainposttherapeuticgynaecologicalmalignancies |