Lymph nodes have been removed therefore hindering the lymph system from draining properly.
A mastectomy is the surgical removal of a breast. In a 'radical' mastectomy, the lymph nodes (or glands) in the nearby armpit are also removed as this is where cancer can sometimes spread to..... this causes a disruption of the flow of 'lymph' in the arm causing a back up and the arm swells. Lymph is the remainder of the fluid that has filtered out of the blood to bathe the cells of the arm and usually travels back up the lymphatic system, through the lymph nodes, to mix back into the blood stream near the base of the neck.
yes, cuz lymph nodes help to remove / drain fluid
Drawing blood from the same side as a mastectomy can increase the risk of lymphedema, a condition caused by the removal of lymph nodes during surgery. This can affect the flow of lymphatic fluid and lead to swelling in the arm, making it difficult to draw blood from that side. It is recommended to avoid drawing blood from the affected side to prevent complications.
After a mastectomy with axillary lymph node removal on the left side, a woman may experience lymphedema in her left arm, which is swelling due to fluid buildup. This can occur because the lymph nodes that helped drain fluid from the arm have been removed. She may also have limited range of motion and increased risk of infection in that arm. Physical therapy and precautions to prevent injury or infection can help manage these issues.
Because of vascular flow issues commonly seen with this procedure
Why not use the PICC for the blood draw?
Loss of lymph nodes from surgery on the affected side often causes poor drainage from the arm on that side. This is why there can be hand and arm swelling.
There may be scarring around where the lymph nodes were removed, resulting in decreased arm mobility and requiring more intense physical therapy.
Exercises to maintain shoulder and arm mobility may be prescribed as early as 24 hours after surgery.
When a breast is removed as part of breast cancer treatment, it is typically referred to as a mastectomy. A mastectomy may be recommended in cases where the cancer is large, aggressive, or has spread to surrounding tissues, or if the patient has a high risk of recurrence. There are different types of mastectomy procedures, including: Total (Simple) Mastectomy: In a total mastectomy, the entire breast tissue, including the nipple and areola, is removed, but the lymph nodes under the arm are left intact. Modified Radical Mastectomy: This procedure involves removing the entire breast tissue, as well as some of the lymph nodes under the arm (axillary lymph nodes). Radical Mastectomy: This less common procedure involves removing the entire breast tissue, as well as the chest muscles under the breast and lymph nodes in the armpit. Skin-Sparing Mastectomy: In this procedure, the breast tissue is removed, but the skin covering the breast is preserved to facilitate breast reconstruction. Nipple-Sparing Mastectomy: In a nipple-sparing mastectomy, the breast tissue is removed, but the nipple and areola are preserved. This approach is often used when breast reconstruction is planned. After a mastectomy, patients may undergo additional treatments such as chemotherapy, radiation therapy, hormone therapy, or targeted therapy depending on the characteristics of the cancer and the individual's overall health. Breast reconstruction may also be considered to restore the appearance of the breast after surgery. It's important for individuals undergoing mastectomy to discuss their treatment options and preferences with their healthcare team to make informed decisions about their care.
if you draw blood from the arm from the surgical side, they could get swelling of the arm from poor circulation, called lymphedema. so they cannot have any blood draws, iv's, injections or blood pressue taken on that arm at all.
Could be water retention, or hormone imbalance, from meds etc.