How can post-operative breast cancer patients prevent or reduce upper extremity edema?

  Upper extremity edema is one of the most common complications in patients who have undergone axillary lymph node dissection for breast cancer, with an incidence of approximately 6% to 14% reported in the literature. It is generally considered as severe edema when the circumference of the affected upper extremity is <3 5="">5 cm longer than the circumference of the contralateral upper extremity in the same position. What should be done to prevent or reduce upper limb edema in these patients?  (1) Prevent infection: keep the skin on the affected side clean; do not perform invasive operations on the affected arm, such as blood sampling, infusion, blood pressure measurement, etc.; wear loose gloves when washing clothes and avoid prolonged contact with irritating washing solutions; avoid mosquito bites; dress, wear jewelry or watches in a loose manner.  (2) Avoid high temperature environment: avoid burns; do not apply hot compresses to the affected arm, do not overheat the water when bathing; avoid bright light exposure and high temperature environment.  (3) Avoid weight-bearing: avoid lifting, pulling or pushing overly heavy objects; avoid heavy physical labor or more strenuous sports activities.  (4) Other: restore arm function as soon as possible; wear elastic cuffs when traveling by airplane.  (5) Self-care methods for lymphedema: ①Mild or moderate lymphedema: elevate the arm; bottom-up centripetal massage along the lymphatic direction; do arm function restoration training; wear an elastic cuff.  ②Severe lymphedema: wear an elastic cuff; physiotherapy. If there are symptoms such as redness or abnormal hardness in the arm, or if the edema is severe, infection should be considered and anti-infection and symptomatic treatment should be given.