The Experts below are selected from a list of 3723 Experts worldwide ranked by ideXlab platform

Minghuei Cheng - One of the best experts on this subject based on the ideXlab platform.

  • Comparisons of Submental and Groin Vascularized Lymph Node Flaps Transfer for Breast Cancer-Related Lymphedema.
    Plastic and reconstructive surgery. Global open, 2018
    Co-Authors: Chia-yu Lin, Marco Pappalardo, Minghuei Cheng
    Abstract:

    Background The vascularized groin and submental lymph node (VGLN and VSLN) flaps are valuable options in the treatment of Lymphedema. This study was to compare outcomes between VGLN and VSLN transfers for Breast Cancer-Related Lymphedema. Methods Between January 2008 and December 2016, VGLN and VSLN transfers for upper limb Lymphedema were compared including flap characteristics, flap elevation time, complications, and limb circumference changes. Results All flaps survived. Similar vein (2.6 versus 3.2 mm; P = 0.3) and artery diameter (2.1 versus 2.8 mm; P = 0.3) and number of lymph nodes (3 versus 4; P = 0.4) were found between VGLN and VSLN groups, respectively. Circumferential reduction rate was higher in VSLN than VGLN (P = 0.04) group. Vascular complication rate with salvage rate was not statistically different between the 2 groups. Donor-site complication and total complication rates were statistically higher in VGLN than VSLN flaps (7.7% versus 0%, P = 0.004; 46.2% versus 23.3%, P = 0.002). At a mean 39.8 ± 22.4 months, the circumferential reduction rate was statistically higher in VSLN than in the VGLN group (55.5 ± 14.3% versus 48.4 ± 23.9%, P = 0.04). Both flaps were effectively decreased in the episodes of cellulitis. Conclusions Both VGLN and VSLN flaps are valuable surgical options in treating Breast Cancer-Related Lymphedema. However, the VSLN flap for Breast Cancer-Related Lymphedema is better in providing more significant improvements in limb circumference, a faster flap harvest time, decreased complication rates, and minimal donor-site iatrogenic Lymphedema.

  • outcomes of Lymphedema microsurgery for Breast cancer related Lymphedema with or without microvascular Breast reconstruction
    Annals of Surgery, 2017
    Co-Authors: Holger Engel, Jungju Huang, Minghuei Cheng
    Abstract:

    Objective:This study investigated the outcome of Lymphedema microsurgery with or without microsurgical Breast reconstruction for Breast Cancer-Related Lymphedema (BCRL).Background:Complete decongestive therapy, lymphovenous anastomosis, and vascularized lymph node flap transfer are the 3 major treat

Jane M. Armer - One of the best experts on this subject based on the ideXlab platform.

  • Breast Cancer-Related Lymphedema and quality of life: A qualitative analysis over years of survivorship.
    Chronic illness, 2019
    Co-Authors: Allison B. Anbari, Ausanee Wanchai, Jane M. Armer
    Abstract:

    ObjectivesThe study purpose was to examine perspectives of women with newly diagnosed Breast Cancer-Related Lymphedema (BCRL) regarding their quality of life over seven years.MethodData were collec...

  • Effects of weight-lifting or resistance exercise on Breast Cancer-Related Lymphedema: A systematic review
    Elsevier, 2019
    Co-Authors: Ausanee Wanchai, Jane M. Armer
    Abstract:

    The purpose of this systematic review was to identify the effects of weight-lifting or resistance exercise on Breast Cancer-Related Lymphedema. Published articles written in English were retrieved from electronic databases, including ScienceDirect, PubMed, Scopus, and CINAHL databases. Hand-searches for unpublished papers were also completed. Content analysis was used to examine articles that met the inclusion criteria. Among 525 searched papers, 15 papers met the inclusion criteria: 13 trials evaluated weight-lifting or resistance exercise alone and two trials evaluated weight-lifting or resistance exercise plus aerobic exercise. The results of the review showed that no arm volume change was observed for either exercise modality. In addition, six included studies showed that weight-lifting or resistance exercise did not cause Lymphedema or adverse events in patients at risk of Breast Cancer-Related Lymphedema. For patients with Breast Cancer-Related Lymphedema, six studies reported that change of swelling outcome measures were not significantly different between the weight-lifting or resistance exercise group and the control group. However, three included studies reported that volume of arm was significantly more reduced in the weight-lifting or resistance exercise group than those in the control group. The findings suggest that supervised resistance exercise may be safe, feasible, and beneficial in patients with Breast Cancer-Related Lymphedema or at risk for Breast Cancer-Related Lymphedema. However, the limitation of small sample size implies that further research is needed to confirm these findings. Keywords: Breast neoplasms, Lymphedema, Resistance training, Weight liftin

  • Effects of weight-lifting or resistance exercise on Breast Cancer-Related Lymphedema: A systematic review
    International journal of nursing sciences, 2018
    Co-Authors: Ausanee Wanchai, Jane M. Armer
    Abstract:

    The purpose of this systematic review was to identify the effects of weight-lifting or resistance exercise on Breast Cancer-Related Lymphedema. Published articles written in English were retrieved from electronic databases, including ScienceDirect, PubMed, Scopus, and CINAHL databases. Hand-searches for unpublished papers were also completed. Content analysis was used to examine articles that met the inclusion criteria. Among 525 searched papers, 15 papers met the inclusion criteria: 13 trials evaluated weight-lifting or resistance exercise alone and two trials evaluated weight-lifting or resistance exercise plus aerobic exercise. The results of the review showed that no arm volume change was observed for either exercise modality. In addition, six included studies showed that weight-lifting or resistance exercise did not cause Lymphedema or adverse events in patients at risk of Breast Cancer-Related Lymphedema. For patients with Breast Cancer-Related Lymphedema, six studies reported that change of swelling outcome measures were not significantly different between the weight-lifting or resistance exercise group and the control group. However, three included studies reported that volume of arm was significantly more reduced in the weight-lifting or resistance exercise group than those in the control group. The findings suggest that supervised resistance exercise may be safe, feasible, and beneficial in patients with Breast Cancer-Related Lymphedema or at risk for Breast Cancer-Related Lymphedema. However, the limitation of small sample size implies that further research is needed to confirm these findings.

  • Effect of Common Medications on Breast Cancer-Related Lymphedema
    Rehabilitation Oncology, 2018
    Co-Authors: Emily Tesar, Jane M. Armer
    Abstract:

    Background:It is estimated that 15% to 28% of Breast cancer survivors suffer from Breast cancer–related Lymphedema (BCRL). As the population of survivors grows, so does their risk for developing other chronic diseases such as cardiac disease, type II diabetes, chronic obstructive pulmonary disease,

  • Breast Cancer-Related Lymphedema: A literature review for clinical practice
    International Journal of Nursing Sciences, 2016
    Co-Authors: Ausanee Wanchai, Jane M. Armer, Bob R. Stewart, Bonnie B. Lasinski
    Abstract:

    Abstract Lymphedema is the swelling of soft tissues as a result of the accumulation of protein-rich fluid in extracellular spaces. Secondary Lymphedema is precipitated by an event causing blockage or interruption of the lymphatic vessels. Secondary Lymphedema is a potential complication that may affect the quality of life of patients treated for Breast cancer. Life-long risk factors of post-Breast cancer Lymphedema are related to the extent of axillary node involvement, type of Breast surgery, and radiation therapy. These factors decrease lymphatic drainage and increase stasis of fluids in the areas of skin and subcutaneous tissues that drain to regional lymph nodes. Breast Cancer-Related Lymphedema can involve the arm and hand, as well as the Breast and trunk on the operative side. Clinical symptom assessment and circumferential measures are widely used to evaluate Lymphedema. Treatment of Lymphedema associated with Breast cancer can include combined modality approaches, compression therapy, therapeutic exercises, and pharmacotherapy.

Kwan Sik Seo - One of the best experts on this subject based on the ideXlab platform.

Frank A. Vicini - One of the best experts on this subject based on the ideXlab platform.

Ji Eung Park - One of the best experts on this subject based on the ideXlab platform.

  • Quality of Life, Upper Extremity Function and the Effect of Lymphedema Treatment in Breast Cancer Related Lymphedema Patients
    Annals of rehabilitation medicine, 2012
    Co-Authors: Ji Eung Park, Hye Jin Jang, Kwan Sik Seo
    Abstract:

    OBJECTIVE To evaluate quality of life (QOL), upper extremity function and the effect of Lymphedema treatment in patients with Breast cancer related Lymphedema. METHOD The basic data comprised medical records (detailing age, sex, dominant side, location of tumor, cancer stage, operation record, cancer treatment and limb circumferences) and questionnaires (Lymphedema duration, satisfaction, self-massage). Further to this, we measured upper extremity function and QOL, administered the DASH (Disabilities of Arm Shoulder and Hand outcome measure) and used the EORTC (European Organization for Research and Treatment of Cancer)-QLQ-C30 and the EORTC-QLQ-Br23. Results of these were calculated as main outcome variables. RESULTS The questionnaire responses and arm circumferences of 59 patients with Breast cancer related Lymphedema were analyzed. In the DASH questionnaire, it was found that the older the Lymphedema patient was, the lower their upper extremity function. On the EORTC-QLQ, patients with metastasis had significantly lower scores in physical functioning and role functioning. In terms of upper extremity circumference, there was a significant upper extremity size reduction after Lymphedema treatment. CONCLUSION There were several dissociations between some subscales of quality of life questionnaires and those of upper extremity functions. Upper extremity function was correlated with the age of Breast cancer patients and QOL was influenced by M-stage. Lymphedema treatment was found to be effective in reducing edema in patients with Breast cancer related Lymphedema.