Lymphedema
Conditions
Brief summary
This is a prospective, randomized, equivalence trial designed to evaluate postoperative complications following hand surgery with a brachial tourniquet and without a tourniquet in patients that have previously had a mastectomy with axillary node dissection with or without radiation treatment or history of lymphedema.
Interventions
Patients undergoing hand/wrist surgery with or without a tourniquet
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with a history of ipsilateral mastectomy with lymph node dissection with or without radiation treatment. * Patients ages 18 and over * Patients who have failed conservative, nonoperative treatment and present for an elective hand procedure with an anticipated tourniquet time of \< 20 minutes. * The subject is psychosocially, mentally, and physically able to understand and comply with the requirements of the study.
Exclusion criteria
* Patients that are not postoperative mastectomy with lymph node dissection with or without radiation treatment * Patients under the age of 18 * Patients who are pregnant * Patients presenting for an elective hand procedure with an anticipated tourniquet time of \> 20 minutes. * Patients who are on a blood thinner which cannot be stopped prior to surgery * The subject has another concurrent physical or mental condition that is likely to affect compliance with the study requirements.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lymphedema 15% change from pre-post in girth | Preoperative,10-14 days, 6 weeks, 3 months, 6 months, and 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Wound assessment,Patient Satisfaction (on a scale of 0-10,Surgical and postoperative complications | 10-14 days, 6 weeks, 3 months, 6 months, and 1 year |
Countries
United States