A novel treatment for postoperative mondor's disease: manual axial distraction.
Mondor's disease is an uncommon complication of breast and axillary surgery. Although self-limiting, the subcutaneous cords may be both painful and functionally limiting for the patient. Numerous pharmacologic approaches have been tried, but without widespread success, and we wished to evaluate the non-invasive technique of manual axial distraction in such patients. Thirty consecutive patients with axillary Mondor's disease following surgery were treated solely with this technique by the senior author (RJS) over a 24-month period. Mean age was 45 years (range 32-72) with 27 having undergone formal axillary dissection and three sentinel node biopsy. 25 (83.3%) were successfully treated with a single procedure, three (10%) with two and two (6.7%) with three procedures. we present the initial results of the novel technique of manual axial distraction that has been found to be efficacious and without adverse effect. It provides a rapid and definitive cure in postoperative Mondor's disease.
Salmon
Remy J
RJ
Department of Surgery, Institut Curie, Paris, France. remy.salmon@curie.net
Berry
Mg
M
Hamelin
Jean-Pierre
JP
D000328:Adult; D000368:Aged; D004890:Erythema / Q000209:etiology* / Q000628:therapy; D005260:Female; D005355:Fibrosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy*; D011312:Pressure; D021701:Sentinel Lymph Node Biopsy / Q000009:adverse effects*; D013924:Thrombophlebitis / Q000209:etiology* / Q000628:therapy*