Management of a patient with secondary lymphoedema
Intended for healthcare professionals
A&S Science Previous     Next

Management of a patient with secondary lymphoedema

Denise Hardy Clinical nurse specialist lymphoedema, Kendal Lymphology Centre, Cumbria, and Lymphoedema Support Network nurse adviser

Denise Hardy emphasises the importance of patient education on the risks of post-operative complications and describes the use of a compression system to treat a woman who developed problems after surgery for gynaecological cancer

Women undergoing surgery and/or radiotherapy for treatment of gynaecological cancers are at risk of developing lower limb lymphoedema. However, unlike patients undergoing treatment for breast cancer, specific information and advice to reduce the risk of developing this condition is rarely discussed pre- or post-operatively. Moreover, referral for early and effective treatment to reduce the swelling is often left too late, further affecting the physical and psychological distress often seen after such cancer treatment. This article illustrates the significant effect that lower limb lymphoedema can have on quality of life after surgery for gynaecological carcinoma. It demonstrates the benefit of lymphoedema treatments, including the introduction of a new bandaging system to minimise distressing symptoms and urges early referral for assessment. The importance of patient education for those at risk is also stressed.

Cancer Nursing Practice. 11, 2, 21-26. doi: 10.7748/cnp2012.03.11.2.21.c8987

Correspondence

denise.hardy@kendal-lymphology.org

Conflict of interest

The author was involved in the randomised controlled trial for the two-layer bandage system discussed in the article

Peer review

This article has been subject to double blind peer review

Want to read more?

RCNi-Plus
Already have access? Log in

or

3-month trial offer for £5.25/month

Subscribe today and save 50% on your first three months
RCNi Plus users have full access to the following benefits:
  • Unlimited access to all 10 RCNi Journals
  • RCNi Learning featuring over 175 modules to easily earn CPD time
  • NMC-compliant RCNi Revalidation Portfolio to stay on track with your progress
  • Personalised newsletters tailored to your interests
  • A customisable dashboard with over 200 topics
Subscribe

Alternatively, you can purchase access to this article for the next seven days. Buy now


Are you a student? Our student subscription has content especially for you.
Find out more