Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy

By reviewing the related literature at home and abroad, we summarized and analyzed the development and rehabilitation mechanism of upper limb lymphedema after radical mastectomy. The results showed that upper limb overload, trauma and infection were the most common causes of upper limb lymphedema, a...

Full description

Saved in:
Bibliographic Details
Main Authors: Na XIE, Jie JIA
Format: Article
Language:English
Published: Editorial Office of Rehabilitation Medicine 2017-12-01
Series:康复学报
Subjects:
Online Access:http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2017.06054
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841536994104049664
author Na XIE
Jie JIA
author_facet Na XIE
Jie JIA
author_sort Na XIE
collection DOAJ
description By reviewing the related literature at home and abroad, we summarized and analyzed the development and rehabilitation mechanism of upper limb lymphedema after radical mastectomy. The results showed that upper limb overload, trauma and infection were the most common causes of upper limb lymphedema, and surgical methods, postoperative radiotherapy and chemotherapy, tumor recurrence, obesity and so on were considered as related risk factors. The main pathophysiological mechanisms of upper limb lymphedema were the destruction of lymphatic vessels, the obstruction of lymphatic circulation, and the retention of extracellular fluid in the interstitial space. The retained fluid was very susceptible to infection due to the high protein content, and the repeated inflammatory stimulation further aggravated the process of edema. The rehabilitation mechanism included the compensation of drainage of contralateral side, the promotion of distal reflux and the regeneration of lymphatic vessels, so as to eliminate the swelling of upper limb.
format Article
id doaj-art-aedb9e9f03974628abb061d1b901f034
institution Kabale University
issn 2096-0328
language English
publishDate 2017-12-01
publisher Editorial Office of Rehabilitation Medicine
record_format Article
series 康复学报
spelling doaj-art-aedb9e9f03974628abb061d1b901f0342025-01-14T10:05:26ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282017-12-0127545823098500Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical MastectomyNa XIEJie JIABy reviewing the related literature at home and abroad, we summarized and analyzed the development and rehabilitation mechanism of upper limb lymphedema after radical mastectomy. The results showed that upper limb overload, trauma and infection were the most common causes of upper limb lymphedema, and surgical methods, postoperative radiotherapy and chemotherapy, tumor recurrence, obesity and so on were considered as related risk factors. The main pathophysiological mechanisms of upper limb lymphedema were the destruction of lymphatic vessels, the obstruction of lymphatic circulation, and the retention of extracellular fluid in the interstitial space. The retained fluid was very susceptible to infection due to the high protein content, and the repeated inflammatory stimulation further aggravated the process of edema. The rehabilitation mechanism included the compensation of drainage of contralateral side, the promotion of distal reflux and the regeneration of lymphatic vessels, so as to eliminate the swelling of upper limb.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2017.06054breast cancerlymphedemahand rehabilitationmechanism
spellingShingle Na XIE
Jie JIA
Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy
康复学报
breast cancer
lymphedema
hand rehabilitation
mechanism
title Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy
title_full Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy
title_fullStr Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy
title_full_unstemmed Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy
title_short Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy
title_sort progress on development and rehabilitation mechanism of upper extremity lymphedema after radical mastectomy
topic breast cancer
lymphedema
hand rehabilitation
mechanism
url http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2017.06054
work_keys_str_mv AT naxie progressondevelopmentandrehabilitationmechanismofupperextremitylymphedemaafterradicalmastectomy
AT jiejia progressondevelopmentandrehabilitationmechanismofupperextremitylymphedemaafterradicalmastectomy