Reabilitação do linfedema em pacientes no pós-operatório de mastectomia radical: uma revisão integrativa

Abstract

Breast cancer is a public health concern, with mastectomy being a common intervention for its treatment. However, this surgery can trigger complications, including the risk of developing lymphedema, which is characterized as a chronic state of accumulation of lymphatic fluid caused by through oncological surgery, given this, physiotherapy acts in the rehabilitation of

this condition, restoring the functional independence of patients and treating the kinetic- functional changes caused by the pathological process. This work is an integrative literature

review, with a qualitative and exploratory approach. Research data were obtained through an electronic search for studies in the databases: SciELO, BVS and PubMed, in Portuguese, Spanish and English, in the publication period from 2019 to 2024, with free electronic access. The aim was to analyze lymphedema rehabilitation strategies in patients after radical mastectomy for breast cancer. Among the most used techniques in the postoperative period of radical mastectomy, TCD was observed in 55.5% of the selected studies, physical exercise in 44.4%, CPI in 33.3%, DLM in 22.2% , and the application of therapeutic laser in 22.2% of the works analyzed. The results obtained indicated that TCD is one of the best techniques to be used in the rehabilitation of lymphedema, considered the gold standard in this aspect, but its effects are better when associated with other techniques, such as electrotherapy, resulting in more significant benefits in circumference. and lymphedema volume than when using TCD alone.