[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.146.184.210. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 1947

TREATMENT OF POSTOPERATIVE SWELLING OF THE ARM FOLLOWING MASTECTOMYPreliminary Report

Author Affiliations

CHICAGO; WASHINGTON, D. C.; OAK PARK, ILL.; CHICAGO
From the Breast Tumor Section and the Neurosurgical Section, Bernard Fantus Clinics, Cook County Hospital, Chicago.

Arch Surg. 1947;55(6):723-731. doi:10.1001/archsurg.1947.01230080734008
Abstract

THE subject of postoperative swelling of the upper extremity following mastectomy has not been sufficiently discussed in the literature presumably because of the incomplete knowledge or confusing clinicopathologic explanations based entirely on organic or pathologic evidence. However, in view of the increasing knowledge being accumulated on the interrelationships of the circulatory system and its neurovascular components, namely, the sympathetic ganglions that arise at the various levels of the nervous system, it is only fitting that a better understanding of the functions of the sympathetic nervous system be set forth in a discussion of the treatment of this most distressing, disfiguring and, at times, dangerous complication.

In discussing the subject of surgical elephantiasis, especially that following mastectomy, Homans1 stated that the swelling occurs in a freakish way and that an axillary dissection alone in the event of a mistaken diagnosis of cancer is capable of producing it, though not in

First Page Preview View Large
First page PDF preview
First page PDF preview
×