Long-term prospective assessment of shoulder function after breast reconstruction involving a latissimus dorsi muscle flap transfer and postoperative radiotherapy

Abstract

A combination of the LDM flap procedure and PRT could be associated with a higher incidence of tissue adhesions in both flexion and abduction and muscle deficit both in adduction and in the 2nd medial rotation.

Nurse‐led post‐thoracic surgery pain management programme: its outcomes in a Nigerian Hospital

“…Consistent with previous study findings, the utilization of preoperative education and non-pharmacological therapy play a vital role in decreasing pain intensity after thoracic surgery (Chou et al 2016;Schug et al 2015). A similar pattern of results was obtained for SROM and LOSAS as there was no difference in the improvement in SROM (Barrett et al 2017;Bunchungmongkol et al 2014;Ohmori et al 2013;Sowa et al 2017) and LOSAS (Giambrone et al 2016;Meyenfeldt et al 2018). These findings might be attributed to the consequence of pain after thoracic surgery, which can impede the SROM for more than 3 days after surgery (Barrett et al 2017;Blichfeldt-Eckhardt et al 2017;Bunchungmongkol et al 2014;Garusi et al 2016;Giambrone et al 2016;Meyenfeldt et al 2018;Sowa et al 2017).…”

“…A similar pattern of results was obtained for SROM and LOSAS as there was no difference in the improvement in SROM (Barrett et al 2017;Bunchungmongkol et al 2014;Ohmori et al 2013;Sowa et al 2017) and LOSAS (Giambrone et al 2016;Meyenfeldt et al 2018). These findings might be attributed to the consequence of pain after thoracic surgery, which can impede the SROM for more than 3 days after surgery (Barrett et al 2017;Blichfeldt-Eckhardt et al 2017;Bunchungmongkol et al 2014;Garusi et al 2016;Giambrone et al 2016;Meyenfeldt et al 2018;Sowa et al 2017). It is notable from previous studies that comorbidities, post-operative complications, age and surgical approach impact the length of stay in the hospital after lung cancer surgery (Meyenfeldt et al 2018) and uncomplicated pulmonary lobectomy (Giambrone et al 2016).…”

“…; Sowa et al. ). It is notable from previous studies that comorbidities, post‐operative complications, age and surgical approach impact the length of stay in the hospital after lung cancer surgery (Meyenfeldt et al.…”

The musculoskeletal consequences of breast reconstruction using the latissimus dorsi muscle for women following mastectomy for breast cancer: A critical review

“…The LD muscle is a fundamental component involved in shoulder function, essential in internal rotation, extension and shoulder adduction (Bhatt et al, 2013;Forthomme et al, 2010;Giordano et al, 2011;Sowa et al, 2016). The LD muscle is a fundamental component involved in shoulder function, essential in internal rotation, extension and shoulder adduction (Bhatt et al, 2013;Forthomme et al, 2010;Giordano et al, 2011;Sowa et al, 2016).…”

“…Following mastectomy, the LD is dissected along with a skin paddle and overlying fat (de Oliveira, Pinto e Silva, Gurgel, Pastori-Filho, & Sarian, 2010;Kim et al, 2013;Smith, 2014). The LD is the largest muscle in the human body (Ciesla & Bak, 2012;Forthomme et al, 2010) and acts on the shoulder during adduction, medial rotation, extension and assists the scapula in depression (Bhatt et al, 2013;Forthomme et al, 2010;Giordano, Kaariainen, Alavaikko, Kaistila, & Kuokkanen, 2011;Sowa et al, 2016;Spear & Hess, 2005). The LD is a large flat muscle and is therefore often further augmented with implants or fat grafting to provide adequate symmetry and cosmesis (Fraser et al, 2013;Smith, 2014;Teymouri et al, 2006).…”