{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T22:41:53Z","timestamp":1788043313292,"version":"build-2784847793"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The purpose of this prospective cohort study was to evaluate the risk of lymphedema and perioperative complications in patients undergoing elective upper-extremity surgery with a history of breast cancer and ipsilateral lumpectomy\/mastectomy with axillary lymph node sampling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Validated volumetric measurements of the limb were obtained presurgery and postsurgery. All complications were recorded. A total of 104 patients enrolled prospectively, and 78 met inclusion criteria with 30 patients in the no tourniquet group and 48 in the tourniquet group. Patients were followed up at 2-week, 6-week, 3-month, 6-month and 12-month intervals. The median number of lymph nodes dissected was 8 (no tourniquet), compared to 7 (tourniquet). Sixty-six percent (no tourniquet) and 58% (tourniquet) had previous radiation. Twenty-eight percent (no tourniquet) and 31% (tourniquet) had previous history of lymphedema. Eight patients (9%) had been previously advised to never have surgery on the involved limb.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 3 cases of lymphedema at 2 weeks: 2 patients (no tourniquet) and 1 patient (tourniquet). One patient (no tourniquet) had lymphedema at 2 weeks; only that resolved at 6 weeks. Additional complications include 1 patient (no tourniquet) had pin displacement after distal radius fixation at 2 weeks, 1 patient (tourniquet) had postoperative hematoma after a mass excision, and 1 patient (tourniquet) had hand stiffness following carpal tunnel release. Patient satisfaction between the two groups was high and not statistically different at any time point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Surgery in patients with a history of breast cancer with lymph node sampling appears to be equally safe with or without the use of a tourniquet and carries a low rate of overall complications, including exacerbation of their lymphedema.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447261428585","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T06:35:07Z","timestamp":1774679707000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Risk of Lymphedema in Elective Hand Surgery After Axillary Lymph Node Sampling: A Prospective, Cohort Study"],"prefix":"10.1177","author":[{"given":"Susan M.","family":"Odum","sequence":"first","affiliation":[{"name":"Atrium Health, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Sabbag","sequence":"additional","affiliation":[{"name":"Brooke Army Medical Center, San Antonio, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7767-4124","authenticated-orcid":false,"given":"Warren","family":"Hammert","sequence":"additional","affiliation":[{"name":"University of Rochester, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel R.","family":"Lewis","sequence":"additional","affiliation":[{"name":"OrthoCarolina Hand Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan J.","family":"Loeffler","sequence":"additional","affiliation":[{"name":"OrthoCarolina Hand Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8646-9584","authenticated-orcid":false,"given":"Christopher","family":"Chadderdon","sequence":"additional","affiliation":[{"name":"OrthoCarolina Hand Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C.","family":"Chung","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School, Ann Arbor, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lehman","sequence":"additional","affiliation":[{"name":"OU Health University of Oklahoma Medical Center, Oklahoma City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7601-8571","authenticated-orcid":false,"given":"R. Glenn","family":"Gaston","sequence":"additional","affiliation":[{"name":"OrthoCarolina Hand Center, Charlotte, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"For people with lymphedema. American Cancer Society May 25 2021. Accessed February 21 2026. https:\/\/www.cancer.org\/content\/dam\/CRC\/PDF\/Public\/8903.00.pdf"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2016.07.021"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jassh.2005.08.005"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4741.2007.00423.x"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-821060"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20150504-52"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/83.2.134"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/bf02303628"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447261428585","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447261428585","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447261428585","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:30:57Z","timestamp":1777447857000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447261428585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,27]]},"references-count":10,"alternative-id":["10.1177\/15589447261428585"],"URL":"https:\/\/doi.org\/10.1177\/15589447261428585","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,27]]},"article-number":"15589447261428585"}}