scholarly journals Manual lymphatic drainage guided by real-time indocyanine green lymphography in breast cancer-related lymphedema

2021 ◽  
Vol 48 (2) ◽  
pp. 239-240
Author(s):  
Pedro Ciudad ◽  
Samyd S. Bustos ◽  
Antonio J. Forte ◽  
Maria T. Huayllani ◽  
Oscar J. Manrique ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Indocyanine Green ◽  
Real Time ◽  
Lymphatic Drainage ◽  
Manual Lymphatic Drainage ◽  
Breast Cancer Related Lymphedema

scholarly journals Changes in Indocyanine Green Lymphography Patterns after Physical Treatment in Secondary Upper Limb Lymphedema

2020 ◽  
Vol 9 (2) ◽  
pp. 306
Author(s):  
María Elena Medina-Rodríguez ◽  
María de-la-Casa-Almeida ◽  
Jesús González Martín ◽  
María Hermida Anllo ◽  
Esther M. Medrano-Sánchez
Keyword(s):  
Breast Cancer ◽  
Physical Therapy ◽  
Indocyanine Green ◽  
Upper Limb ◽  
Lymphatic Drainage ◽  
Manual Lymphatic Drainage ◽  
Physical Treatment ◽  
Lymphatic Function ◽  
Disease Patterns ◽  
Before And After

Indocyanine green (ICG) lymphography is used to evaluate the lymphatic function before and after pneumatic compression or post-manual lymphatic drainage. The aim of this study was to ascertain the changes in the fluoroscopic pattern produced by the provision of complex physical therapy. This prospective analytic (pretest-posttest) study was conducted in 19 patients with upper lymphedema secondary to breast cancer. Nine patients were excluded due to ICG found after 3 weeks. The ICG patterns were analyzed under basal conditions and after three weeks of treatment. After the treatment, 45% of the patients presented tracer remains in the affected limb, and this finding was significantly related to time of the lymphedema development. In one subject, the patterns remain unchanged or cannot be defined. Three of the ten patients observed present the worsening of at least 1 of the patterns and in the rest of the subjects, six cases, the improvement of the patterns is observed. In 60% of the cases, the most severe pattern reversed towards slight (splash) cases, and moderate cases reversed towards a slight case in 70% of cases. Therefore, after treatment with complex physical therapy, the pathological patterns observed in the pretest, which evolved positively, reverted their severity toward milder disease patterns or towards normality.

scholarly journals EFFECTIVENESS OF MANUAL LYMPHATIC DRAINAGE IN IMPROVING QUALITY OF LIFE AMONG WOMEN WITH BREAST CANCER RELATED LYMPHEDEMA

2018 ◽  
Vol 7 (2) ◽  
pp. 38-44
Author(s):  
Nazia Iqbal ◽  
Hussaini Begum ◽  
Amanullah Khan
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Lymphatic Drainage ◽  
The Body ◽  
Care Hospital ◽  
Manual Lymphatic Drainage ◽  
Impact Scale ◽  
Life Impact ◽  
Breast Cancer Related Lymphedema

BACKGROUND & AIM The body of evidence related to higher incidence of breast cancer related lymphedema after breast surgeries concluded compromise Quality of Life (QoL) among women over the past decade. The aim of this study is to evaluate the effectiveness of Manual Lymphatic Drainage (MLD) in improving QoL among women with Breast cancer related Lymphedema. STUDY DESIGN & PARTICIPANTS A Quasi Experimental study was conducted on women of the age 36-60 years with stage I and II breast cancer related lymphedema at Rehabilitation Department of a tertiary care Hospital. METHODS Total 70 women recruited with lymphedema were assessed at baseline and after treatment on Lymphedema Life Impact Scale. Manual lymphatic drainage technique was applied for 3 days in a week for 6 weeks with a compression bandage for first 4 weeks. RESULTS The findings showed that Manual Lymphatic Drainage (MLD) technique significantly improves the Lymphedema Life Impact Scale score after intervention p <0.05 notably in psychological domain of the scale p=0.0001 furthermore, the percentage of impairment was also reduced significantly from 75.98% to 44.18%.

Comparison of Intermittent Pneumatic Compression with Manual Lymphatic Drainage for Treatment of Breast Cancer-Related Lymphedema

2012 ◽  
Vol 10 (3) ◽  
pp. 129-135 ◽  
Author(s):  
Sibel Ozkan Gurdal ◽  
Alis Kostanoglu ◽  
Ikbal Cavdar ◽  
Ayfer Ozbas ◽  
Neslihan Cabioglu ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymphatic Drainage ◽  
Intermittent Pneumatic Compression ◽  
Manual Lymphatic Drainage ◽  
Breast Cancer Related Lymphedema

scholarly journals A new indocyanine green fluorescence lymphography protocol for identification of the lymphatic drainage pathway for patients with breast cancer-related lymphoedema

BMC Cancer ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hiroo Suami ◽  
Asha Heydon-White ◽  
Helen Mackie ◽  
Sharon Czerniec ◽  
Louise Koelmeyer ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Indocyanine Green ◽  
Lymphatic Drainage ◽  
Common Side Effect ◽  
Upper Limbs ◽  
Manual Lymphatic Drainage ◽  
Imaging Data ◽  
Spontaneous Movement ◽  
Lymphatic Imaging ◽  
Ipsilateral Axilla

Abstract Background Breast cancer related lymphoedema (BCRL) is a common side effect of cancer treatment. Recently indocyanine green (ICG) fluorescent lymphography has become a popular method for imaging the lymphatics, however there are no standard protocols nor imaging criteria. We have developed a prospective protocol to aid in the diagnosis and therapeutic management of BCRL. Methods Lymphatic imaging procedures were conducted in three phases. Following initial observation of spontaneous movement of ICG in phase one, manual lymphatic drainage (MLD) massage was applied to facilitate ICG transit via the lymphatics in phase two. All imaging data was collected in phase three. Continuous lymphatic imaging of the upper limb was conducted for approximately an hour and lymphatic drainage pathways were determined. Correlations between the drainage pathway and MD Anderson Cancer Centre (MDACC) ICG lymphoedema stage were investigated. Results One hundred and three upper limbs with BCRL were assessed with this new protocol. Despite most of the patients having undergone axillary node dissection, the ipsilateral axilla drainage pathway was the most common (67% of upper limbs). We found drainage to the ipsilateral axilla decreased as MDACC stage increased. Our results suggest that the axillary pathway remained patent for over two-thirds of patients, rather than completely obstructed as conventionally thought to be the case for BCRL. Conclusions We developed a new ICG lymphography protocol for diagnosing BCRL focusing on identification of an individual patient’s lymphatic drainage pathway after lymph node surgery. The new ICG lymphography protocol will allow a personalised approach to manual lymphatic drainage massage and potentially surgery.

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