The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study
Background In prosthesis-based breast reconstruction patients, the drain tends to be kept in place longer than in patients who undergo only mastectomy. Postoperative arm exercise also increases the drainage volume. However, to preserve shoulder function, early exercise is recommended. In this study,...
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Korean Society of Plastic and Reconstructive Surgeons
2021
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oai:doaj.org-article:8de5a84e4a2d4769842e26c571924eb32021-11-25T06:04:37ZThe effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study2234-61632234-617110.5999/aps.2021.00500https://doaj.org/article/8de5a84e4a2d4769842e26c571924eb32021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2021-00500.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171Background In prosthesis-based breast reconstruction patients, the drain tends to be kept in place longer than in patients who undergo only mastectomy. Postoperative arm exercise also increases the drainage volume. However, to preserve shoulder function, early exercise is recommended. In this study, we investigated the effect of early exercise on the total drainage volume and drain duration in these patients. Methods We designed a prospective randomized trial involving 56 patients who underwent immediate breast reconstruction following mastectomy using tissue expanders. In each group, the patients were randomized either to perform early arm exercises using specific shoulder movement guidelines 2 days after surgery or to restrict arm movement above the shoulder height until drain removal. The drain duration and the total amount of drainage were the primary endpoints. Results There were no significant differences in age, height, weight, body mass index, or mastectomy specimen weight between the two groups. The total amount of drainage was 1,497 mL in the early exercise group and 1,336 mL in the exercise restriction group. The duration until complete removal of the drains was 19.71 days in the early exercise group and 17.11 days in the exercise restriction group. Conclusions Exercise restriction after breast reconstruction did not lead to a significant difference in the drainage volume or the average time until drain removal. Thus, early exercise is recommended for improved shoulder mobility postoperatively. More long-term studies are needed to determine the effect of early exercise on shoulder mobility in prosthesis-based breast reconstruction patients.Oh Young JooSeung Jin MoonDong Won LeeDae Hyun LewWon Jai LeeSeung Yong SongKorean Society of Plastic and Reconstructive Surgeonsarticlearm exercisemastectomydrainage volumemammaplastySurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 583-589 (2021) |
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arm exercise mastectomy drainage volume mammaplasty Surgery RD1-811 |
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arm exercise mastectomy drainage volume mammaplasty Surgery RD1-811 Oh Young Joo Seung Jin Moon Dong Won Lee Dae Hyun Lew Won Jai Lee Seung Yong Song The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| description |
Background In prosthesis-based breast reconstruction patients, the drain tends to be kept in place longer than in patients who undergo only mastectomy. Postoperative arm exercise also increases the drainage volume. However, to preserve shoulder function, early exercise is recommended. In this study, we investigated the effect of early exercise on the total drainage volume and drain duration in these patients. Methods We designed a prospective randomized trial involving 56 patients who underwent immediate breast reconstruction following mastectomy using tissue expanders. In each group, the patients were randomized either to perform early arm exercises using specific shoulder movement guidelines 2 days after surgery or to restrict arm movement above the shoulder height until drain removal. The drain duration and the total amount of drainage were the primary endpoints. Results There were no significant differences in age, height, weight, body mass index, or mastectomy specimen weight between the two groups. The total amount of drainage was 1,497 mL in the early exercise group and 1,336 mL in the exercise restriction group. The duration until complete removal of the drains was 19.71 days in the early exercise group and 17.11 days in the exercise restriction group. Conclusions Exercise restriction after breast reconstruction did not lead to a significant difference in the drainage volume or the average time until drain removal. Thus, early exercise is recommended for improved shoulder mobility postoperatively. More long-term studies are needed to determine the effect of early exercise on shoulder mobility in prosthesis-based breast reconstruction patients. |
| format |
article |
| author |
Oh Young Joo Seung Jin Moon Dong Won Lee Dae Hyun Lew Won Jai Lee Seung Yong Song |
| author_facet |
Oh Young Joo Seung Jin Moon Dong Won Lee Dae Hyun Lew Won Jai Lee Seung Yong Song |
| author_sort |
Oh Young Joo |
| title |
The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| title_short |
The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| title_full |
The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| title_fullStr |
The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| title_full_unstemmed |
The effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| title_sort |
effect of early arm exercise on drainage volume after total mastectomy and tissue expander insertion in breast cancer patients: a prospective study |
| publisher |
Korean Society of Plastic and Reconstructive Surgeons |
| publishDate |
2021 |
| url |
https://doaj.org/article/8de5a84e4a2d4769842e26c571924eb3 |
| work_keys_str_mv |
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