The influence of the initiation of an exercise programme on seroma formation and dehiscence following breast cancer surgery

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dc.contributor.authorPetito, Eliana L. [UNIFESP]
dc.contributor.authorEsteves, Marcella T. [UNIFESP]
dc.contributor.authorElias, Simone [UNIFESP]
dc.contributor.authorFacina, Gil [UNIFESP]
dc.contributor.authorNazario, Afonso C. P. [UNIFESP]
dc.contributor.authorGutierrez, Maria G. R. [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:38:09Z
dc.date.available2016-01-24T14:38:09Z
dc.date.issued2014-11-01
dc.description.abstractAims and objectives. To verify whether early (first post-operative day) or late initiation (after removal of the continuous suction drain) of a functional rehabilitation exercise programme influences the incidence of seroma formation and dehiscence for women after breast cancer surgery.Background. Benefits of early implementation of an exercise programme initiated with women in the first days following breast cancer surgery are widely known. However, the safe initiation of the exercises is still a controversial issue and some authors correlate early initiation of the exercises with an increase in seroma formation.Design. A prospective, randomised, controlled clinical trial.Methods. Seventy-seven women were randomly assigned to initiate the programme on post-operative day 1 (early group = 40) or after removal of the drain (late group = 37) and were monitored until the 45th post-operative day. Patients in the early group were instructed to perform the exercises daily at home, beginning on post-operative day 1, while those of the late group began the exercises after the drain was removed. the assessment for seroma formation and dehiscence was performed on post-operative days 7 and 45.Results. There was no statistically significant difference regard to seroma formation between early group and late group. Also there was no association between the presence of dehiscence and early exercises.Conclusion. the early initiation of the exercises for women, following breast cancer surgery, constitutes a safe practice for the rehabilitation. However, these findings need to be further explored and confirmed in a larger sample.Relevance to clinical practice. Studies showing evidence that early functional rehabilitation process is a safe practice for women having surgery for breast cancer, as well as the present research, are of interest to health professionals who care for these patients and contribute to the wider global clinical community.en
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Enfermagem, BR-04024002 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Gynecol, BR-04024002 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Enfermagem, BR-04024002 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Gynecol, BR-04024002 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent3087-3094
dc.identifierhttp://dx.doi.org/10.1111/jocn.12544
dc.identifier.citationJournal of Clinical Nursing. Hoboken: Wiley-Blackwell, v. 23, n. 21-22, p. 3087-3094, 2014.
dc.identifier.doi10.1111/jocn.12544
dc.identifier.issn0962-1067
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/38429
dc.identifier.wosWOS:000343835300010
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Clinical Nursing
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectbreast neoplasmsen
dc.subjectdehiscenceen
dc.subjectexercisesen
dc.subjectseromaen
dc.titleThe influence of the initiation of an exercise programme on seroma formation and dehiscence following breast cancer surgeryen
dc.typeinfo:eu-repo/semantics/article
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