Estudo comparativo da eficácia da movimentação precoce do braço no controle do seroma pós-linfadenectomia axilar em mulheres com câncer de mama
A comparative study of the efficacy of early arm mobilization in the control of seroma formation after axillary limphadenectomy in breast cancer surgery
Keywords:
Breast cancer, Axillary, linfadenectomy, Seroma; Early arm movementAbstract
Objective: To assess the efficacy of early arm movement in the control of seroma formation in women with breast cancer cer submitted to axillary limphadenectomy (AL). Methods: A consecutive and
prospective study of 39 women with the diagnosis of unilateral breast cancer was undertaken. They
were submitted to surgery and had been randomized in two groups: movement group (MG) and
control group (CG). At the first group, patients were oriented to realize early arm movement throught an specific movement training programme that was initiated during hospitalization period and
continued at home; the second group received ordinary orientations. Mann-Whitney and Fisher tests
were used to compare variables between groups. Results: Both groups were homogeneous regarding
age and body mass index (p > 0.05). There were no statistically significant diference between MGand CG about drain permanence time, total drained volume and incidence of seroma. However,
there were a smaller percentage of the number ofseroma punctions (p = 0.01) and punctioned seroma volume (p = 0.04) for MG. Conclusion: Early arm movement favoured a better absorption of
seroma and it was associated with a less invasive resolution ofseroma.
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Copyright (c) 2026 Thais de Oliveira Gozzo, Ana Maria de Almeida, Marislei Panobianco Sanches, Luiz Gustavo Oliveira Brito, Helio Humberto Angotti Carrara
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