Swelling in the arm after breast cancer surgery is a fairly common condition experienced by patients. This condition is generally caused by disruption of lymphatic fluid flow, known as lymphedema, which can occur due to damage or removal of lymph nodes during surgery. If not properly managed, lymphedema can lead to discomfort, limited mobility, and a decline in overall quality of life.
To provide more optimal care, Mandaya Puri Hospital offers a dedicated service through its Lymphedema Center. This service is designed to help patients manage post-breast cancer surgery swelling using a comprehensive medical approach, from accurate diagnosis to targeted advanced therapies.
Contents
Management of Arm Swelling After Breast Cancer Surgery at the Lymphedema Center, Mandaya Royal Puri Hospital
Lymphedema treatment at Mandaya Royal Puri Hospital is carried out by a multidisciplinary team consisting of plastic reconstructive and aesthetic surgeons with subspecialties in microsurgery and oncoplastic surgery, along with medical rehabilitation specialists. This approach ensures comprehensive care tailored to each patient’s condition.
1. Lymphatic Bypass Procedure
One of the main methods for treating lymphedema is the lymphatic bypass procedure. This treatment is intended for patients who have developed swelling due to impaired lymphatic flow, with the goal of creating a new pathway so that lymph fluid can circulate more effectively.
According to dr. Sara, patients who begin to notice swelling are advised to seek medical evaluation early. In this procedure, lymphatic vessels are redirected to small blood vessels called venules, allowing lymphatic fluid to drain more efficiently.
This procedure is performed using highly precise supermicrosurgery techniques. Before surgery, doctors map the lymphatic vessels using contrast agents to identify affected areas. Based on this mapping, the surgeon can accurately determine the points where the bypass will be created.
The affected lymphatic vessels are then connected to venules, forming an alternative pathway for lymphatic drainage. With this new route, lymph fluid can flow directly into the venous system, significantly reducing swelling.
This procedure is known as Lymphaticovenular Anastomosis (LVA), a minimally invasive technique that treats lymphedema by connecting damaged lymphatic vessels to nearby small veins.
2. Rehabilitation
After undergoing lymphatic bypass surgery, patients are encouraged to continue therapy with the medical rehabilitation team to optimize treatment outcomes. One of the therapies used is compression devices, which are pneumatic pumps that apply alternating pressure to the swollen area.
These devices are used together with special sleeves worn on the patient’s arm. The pressure helps stimulate the movement of lymphatic fluid through the lymphatic and venous systems while preventing fluid accumulation.
The use of compression pumps not only helps reduce swelling but also lowers the risk of complications and supports overall recovery.
Lymphedema Center Medical Team at Mandaya Royal Puri Hospital
Lymphedema treatment at Mandaya Royal Puri Hospital is supported by an experienced team of doctors from various specialties, including:
1. dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K)
As a plastic reconstructive and aesthetic surgeon with subspecialties in microsurgical reconstruction and oncoplastic surgery, dr. Sara plays an important role in restoring both function and body shape. Her work goes beyond aesthetics, covering post-cancer reconstruction, tissue repair due to trauma, burn treatment, and correction of congenital abnormalities. With precise microsurgical techniques, she helps improve patients’ overall quality of life.
Schedule:
- Tuesday: 17:00 – 19:30 WIB
- Thursday: 17:00 – 19:30 WIB
2. dr. Andre Sugiyono, Sp.KFR
dr. Andre Sugiyono is a Physical Medicine and Rehabilitation specialist who completed his education at Atma Jaya Catholic University and the University of Indonesia. He is skilled in various therapies, including electrotherapy, physiotherapy, hydrotherapy, and post-stroke rehabilitation. His treatments aim to restore body function and improve patients’ quality of life.
Schedule:
- Monday: 08:30 – 15:30 WIB
- Tuesday: 08:30 – 15:30 WIB
- Wednesday: 08:30 – 15:30 WIB
- Thursday: 08:30 – 15:30 WIB
- Friday: 08:30 – 15:30 WIB
- Saturday: 14:30 – 19:00 WIB
3. dr. Eugene Nathania, Sp.KFR
dr. Eugene Nathania is a Physical Medicine and Rehabilitation specialist who graduated from the University of Indonesia. She has expertise in various therapy techniques such as obstetric rehabilitation, taping, manual therapy, and dry needling. She is also experienced in managing musculoskeletal pain and helping patients regain function and mobility.
Schedule:
- Monday: 08:00 – 14:00 WIB
- Tuesday: 08:00 – 14:00 WIB
- Wednesday: 08:00 – 14:00 WIB
- Thursday: 08:00 – 14:00 WIB
- Friday: 08:00 – 14:00 WIB
- Saturday: 08:00 – 14:00 WIB
4. dr. Johanes Putra, Sp.KFR
dr. Johanes Putra is a Physical Medicine and Rehabilitation specialist who completed his education at Atma Jaya University and the University of Indonesia. He specializes in musculoskeletal rehabilitation, including disorders of muscles, bones, and joints, and is also skilled in interventional pain management to help reduce patient discomfort more effectively.
Schedule:
- Monday: 14:30 – 20:00 WIB
- Tuesday: 14:30 – 20:00 WIB
- Wednesday: 14:30 – 20:00 WIB
- Thursday: 14:30 – 20:00 WIB
- Friday: 14:30 – 20:00 WIB
- Saturday: 08:00 – 14:00 WIB
At Mandaya Royal Puri Hospital, lymphedema treatment is supported not only by specialist doctors but also by trained and experienced nursing staff who provide optimal patient care.
To make hospital visits more convenient, patients can use the Chat via WhatsApp feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store. These services allow patients to schedule consultations, check queue numbers, and access important information about hospital services.
The information provided on this page is intended for educational purposes and general overview only, and does not represent the full scope of medical services offered by each doctor. To ensure appropriate treatment based on your condition, it is recommended to consult directly with the respective doctor. For further inquiries or assistance, please contact our call center at 0811-1900-2000.
