Bibliographic citations
Murga, Y., Pariona, A., Roman, F. (2024). Efectividad del tratamiento rehabilitador a través del drenaje linfático manual en comparación con la terapia descongestiva compleja en pacientes con linfedema post mastectomía por cáncer de mama: revisión de alcance [Universidad Peruana Cayetano Heredia]. https://hdl.handle.net/20.500.12866/16551
Murga, Y., Pariona, A., Roman, F. Efectividad del tratamiento rehabilitador a través del drenaje linfático manual en comparación con la terapia descongestiva compleja en pacientes con linfedema post mastectomía por cáncer de mama: revisión de alcance []. PE: Universidad Peruana Cayetano Heredia; 2024. https://hdl.handle.net/20.500.12866/16551
@misc{renati/1281977,
title = "Efectividad del tratamiento rehabilitador a través del drenaje linfático manual en comparación con la terapia descongestiva compleja en pacientes con linfedema post mastectomía por cáncer de mama: revisión de alcance",
author = "Roman Sarmiento, Flavia Alejandra",
publisher = "Universidad Peruana Cayetano Heredia",
year = "2024"
}
Introduction: Breast cancer is a public health problem with a high incidence worldwide, with mastectomy being the usual treatment. However, one of the most common complications after surgery is the appearance of lymphedema, significantly affecting the quality of life of patients. Given this problem, it is important to analyze the evidence on rehabilitative treatments such as Complex Decongestive Therapy (CDT) and Manual Lymphatic Drainage (MLD). Objective: To determine the evidence of the effectiveness of rehabilitative treatment through Manual Lymphatic Drainage compared to Complex Decongestive Therapy in patients with post-mastectomy lymphedema due to breast cancer. Materials and Methods: A search was conducted in the PubMed, Embase, Cochrane, SciELO, LILACS, PEDro, and Clinical Trials databases. Duplicated studies were removed using Zotero, and after reviewing titles and abstracts, relevant studies were selected. These were evaluated in full text according to inclusion criteria. The final study selection was made following the guidelines (PRISMA-ScR Extension for Scoping Reviews). Results: Six studies with 272 participants were included: three open clinical trials and three single-blind clinical trials. The studies were analyzed considering aspects such as study design, objective, sample size, intervention duration, methods for evaluating lymphedema, and volume reduction values. Significant variations were identified in the interventions, treatment duration, and evaluated samples. Conclusions: Complex Decongestive Therapy (CDT) is more effective than isolated Manual Lymphatic Drainage (MLD) in the treatment of post-mastectomy lymphedema. The combination with other therapies and home-based programs optimize the results.
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