Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?
Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema,...
Gespeichert in:
| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2010-10, Vol.92 (7), p.573-576 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 576 |
|---|---|
| container_issue | 7 |
| container_start_page | 573 |
| container_title | Annals of the Royal College of Surgeons of England |
| container_volume | 92 |
| creator | Fulford, Dean Dalal, Sam Winstanley, John Hayton, Mike J |
| description | Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.
Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.
The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.
A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated. |
| doi_str_mv | 10.1308/003588410X12699663904475 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3229347</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2207878683</sourcerecordid><originalsourceid>FETCH-LOGICAL-c447t-51835af47b613053b094e5177df39adb4cbddb32b0560f6fe660888691cdc8d83</originalsourceid><addsrcrecordid>eNp1kV9LHDEUxUOx1NX2K5SADz6NJpN_d3xQZKlaWOhLC30LmSSjI7PJmsxI99s3w-qihT6FJL97OOcehDAlZ5QROCeECQBOyW9ay6aRkjWEcyU-oAXlCipFgB2gxYxVhWOH6CjnR0Joo4B-Qoc1EaCoogtk7kxwOE_p3qctNt3oEzZ_-mEw5Tps15sHHKLz2A7eJBOsx11MuE3e5BHb-SFdYBvDmEzVB9dbM_Yx4DG-al59Rh87M2T_5eU8Rr9uvv1c3lWrH7ffl9eryhbnYyUoMGE6rlpZIgrWkoZ7QZVyHWuMa7ltnWtZ3RIhSSc7LyUBANlQ6yw4YMfocqe7mdq1d9bPnga9Sf26ZNHR9Pr9T-gf9H181qyuG8ZVETh9EUjxafJ51Os-W19WEXycslZClt3zmhXy5B_yMU4plHS6rokCBRJmCnaUTTHn5Lu9F0r0XKP-X41l9OvbLPvB197YX90SmdY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2207878683</pqid></control><display><type>article</type><title>Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Fulford, Dean ; Dalal, Sam ; Winstanley, John ; Hayton, Mike J</creator><creatorcontrib>Fulford, Dean ; Dalal, Sam ; Winstanley, John ; Hayton, Mike J</creatorcontrib><description>Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.
Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.
The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.
A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>DOI: 10.1308/003588410X12699663904475</identifier><identifier>PMID: 20587171</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Antibiotics ; Attitude of Health Personnel ; Axilla ; Biopsy ; Breast cancer ; Breast Neoplasms ; Cancer surgery ; Carpal tunnel syndrome ; Cellulitis - etiology ; Contraindications ; Dissection ; Elective Surgical Procedures ; Female ; Hand - surgery ; Hospitals ; Humans ; Infections ; Lymph Node Excision - adverse effects ; Lymph Node Excision - methods ; Lymphatic Metastasis ; Lymphatic system ; Lymphedema ; Lymphedema - etiology ; Mastectomy ; Nurses ; Patients ; Surgeons ; Surgical Wound Infection - etiology ; Tourniquets - utilization</subject><ispartof>Annals of the Royal College of Surgeons of England, 2010-10, Vol.92 (7), p.573-576</ispartof><rights>Copyright Royal College of Surgeons of England Oct 2010</rights><rights>Copyright © 2010 by the Annals of The Royal College of Surgeons of England 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-51835af47b613053b094e5177df39adb4cbddb32b0560f6fe660888691cdc8d83</citedby><cites>FETCH-LOGICAL-c447t-51835af47b613053b094e5177df39adb4cbddb32b0560f6fe660888691cdc8d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229347/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229347/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27902,27903,53768,53770</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20587171$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fulford, Dean</creatorcontrib><creatorcontrib>Dalal, Sam</creatorcontrib><creatorcontrib>Winstanley, John</creatorcontrib><creatorcontrib>Hayton, Mike J</creatorcontrib><title>Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?</title><title>Annals of the Royal College of Surgeons of England</title><addtitle>Ann R Coll Surg Engl</addtitle><description>Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.
Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.
The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.
A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated.</description><subject>Antibiotics</subject><subject>Attitude of Health Personnel</subject><subject>Axilla</subject><subject>Biopsy</subject><subject>Breast cancer</subject><subject>Breast Neoplasms</subject><subject>Cancer surgery</subject><subject>Carpal tunnel syndrome</subject><subject>Cellulitis - etiology</subject><subject>Contraindications</subject><subject>Dissection</subject><subject>Elective Surgical Procedures</subject><subject>Female</subject><subject>Hand - surgery</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infections</subject><subject>Lymph Node Excision - adverse effects</subject><subject>Lymph Node Excision - methods</subject><subject>Lymphatic Metastasis</subject><subject>Lymphatic system</subject><subject>Lymphedema</subject><subject>Lymphedema - etiology</subject><subject>Mastectomy</subject><subject>Nurses</subject><subject>Patients</subject><subject>Surgeons</subject><subject>Surgical Wound Infection - etiology</subject><subject>Tourniquets - utilization</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kV9LHDEUxUOx1NX2K5SADz6NJpN_d3xQZKlaWOhLC30LmSSjI7PJmsxI99s3w-qihT6FJL97OOcehDAlZ5QROCeECQBOyW9ay6aRkjWEcyU-oAXlCipFgB2gxYxVhWOH6CjnR0Joo4B-Qoc1EaCoogtk7kxwOE_p3qctNt3oEzZ_-mEw5Tps15sHHKLz2A7eJBOsx11MuE3e5BHb-SFdYBvDmEzVB9dbM_Yx4DG-al59Rh87M2T_5eU8Rr9uvv1c3lWrH7ffl9eryhbnYyUoMGE6rlpZIgrWkoZ7QZVyHWuMa7ltnWtZ3RIhSSc7LyUBANlQ6yw4YMfocqe7mdq1d9bPnga9Sf26ZNHR9Pr9T-gf9H181qyuG8ZVETh9EUjxafJ51Os-W19WEXycslZClt3zmhXy5B_yMU4plHS6rokCBRJmCnaUTTHn5Lu9F0r0XKP-X41l9OvbLPvB197YX90SmdY</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Fulford, Dean</creator><creator>Dalal, Sam</creator><creator>Winstanley, John</creator><creator>Hayton, Mike J</creator><general>BMJ Publishing Group LTD</general><general>The Royal College of Surgeons of England</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20101001</creationdate><title>Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?</title><author>Fulford, Dean ; Dalal, Sam ; Winstanley, John ; Hayton, Mike J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-51835af47b613053b094e5177df39adb4cbddb32b0560f6fe660888691cdc8d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Antibiotics</topic><topic>Attitude of Health Personnel</topic><topic>Axilla</topic><topic>Biopsy</topic><topic>Breast cancer</topic><topic>Breast Neoplasms</topic><topic>Cancer surgery</topic><topic>Carpal tunnel syndrome</topic><topic>Cellulitis - etiology</topic><topic>Contraindications</topic><topic>Dissection</topic><topic>Elective Surgical Procedures</topic><topic>Female</topic><topic>Hand - surgery</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infections</topic><topic>Lymph Node Excision - adverse effects</topic><topic>Lymph Node Excision - methods</topic><topic>Lymphatic Metastasis</topic><topic>Lymphatic system</topic><topic>Lymphedema</topic><topic>Lymphedema - etiology</topic><topic>Mastectomy</topic><topic>Nurses</topic><topic>Patients</topic><topic>Surgeons</topic><topic>Surgical Wound Infection - etiology</topic><topic>Tourniquets - utilization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fulford, Dean</creatorcontrib><creatorcontrib>Dalal, Sam</creatorcontrib><creatorcontrib>Winstanley, John</creatorcontrib><creatorcontrib>Hayton, Mike J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>UK & Ireland Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the Royal College of Surgeons of England</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fulford, Dean</au><au>Dalal, Sam</au><au>Winstanley, John</au><au>Hayton, Mike J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery?</atitle><jtitle>Annals of the Royal College of Surgeons of England</jtitle><addtitle>Ann R Coll Surg Engl</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>92</volume><issue>7</issue><spage>573</spage><epage>576</epage><pages>573-576</pages><issn>0035-8843</issn><eissn>1478-7083</eissn><abstract>Breast cancer patients who have had prior axillary lymph node clearance (ALNC) can present with ipsilateral hand conditions that could easily be treated with surgical intervention. These patients are often advised to avoid interventional procedures due to risks of complications such as lymphoedema, infection and cellulitis.
Between April and June 2009, we conducted an online survey of hand surgeons, breast surgeons and breast-care nurses to obtain their views on hand surgery after ipsilateral axillary lymph node clearance.
The majority of hand surgeons (58%) felt there was no contra-indication to surgery in a breast cancer patient with prior ipsilateral ALNC compared to just 30% of breast surgeons and 10% of breast-care nurses. The majority of breast surgeons and breast-care nurses (70% and 89%, respectively) felt that hand surgery was a relative contra-indication compared to just 41% of hand surgeons. Postoperative lymphoedema was the commonest cited reason for avoiding surgery. The majority of hand surgeons (79%) and nearly two-thirds of breast surgeons (57%) would use a tourniquet during surgery if it was normal practice.
A review of the published literature does not support the notion that these patients experience increased complications; therefore, we recommend the advice given to breast cancer patients regarding ipsilateral surgery be re-evaluated.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>20587171</pmid><doi>10.1308/003588410X12699663904475</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0035-8843 |
| ispartof | Annals of the Royal College of Surgeons of England, 2010-10, Vol.92 (7), p.573-576 |
| issn | 0035-8843 1478-7083 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3229347 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Antibiotics Attitude of Health Personnel Axilla Biopsy Breast cancer Breast Neoplasms Cancer surgery Carpal tunnel syndrome Cellulitis - etiology Contraindications Dissection Elective Surgical Procedures Female Hand - surgery Hospitals Humans Infections Lymph Node Excision - adverse effects Lymph Node Excision - methods Lymphatic Metastasis Lymphatic system Lymphedema Lymphedema - etiology Mastectomy Nurses Patients Surgeons Surgical Wound Infection - etiology Tourniquets - utilization |
| title | Hand surgery after axillary lymph node clearance for breast cancer: contra-indication to surgery? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T09%3A44%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hand%20surgery%20after%20axillary%20lymph%20node%20clearance%20for%20breast%20cancer:%20contra-indication%20to%20surgery?&rft.jtitle=Annals%20of%20the%20Royal%20College%20of%20Surgeons%20of%20England&rft.au=Fulford,%20Dean&rft.date=2010-10-01&rft.volume=92&rft.issue=7&rft.spage=573&rft.epage=576&rft.pages=573-576&rft.issn=0035-8843&rft.eissn=1478-7083&rft_id=info:doi/10.1308/003588410X12699663904475&rft_dat=%3Cproquest_pubme%3E2207878683%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2207878683&rft_id=info:pmid/20587171&rfr_iscdi=true |