Pengaruh Manual Lymph Drainage Vodder (MLDV) Terhadap Lymphedema Lengan Pasca Operasi Carcinoma Mammae Di Rumah Sakit X Surabaya


  • ignatius heri dwianto Departemen Fisioterapi Muskuloskeletal, Prodi Fisioterapi, Stikes Katolik St. Vincetius a Paulo Surabaya, Surabaya, Indonesia
  • Arief Widya Prasetya Stikes Katolik St. Vincetius a Paulo Surabaya


Kata Kunci:

Manual Lymphatic Drainage Vodder, arm segment volume, lymphedema


Objective:  Breast cancer in adult women as much as 16% causes death. The mastectomy method is the most widely used because it has the highest cure rate. The results of the study found that of 360 patients undergoing breast cancer therapy, 42% were found to have lymphedema in their arms. Lymphedema is the accumulation of high-protein fluid in the interstitium due to failure of lymphatic transport or dysfunction of interstitial protein processing. Manual Lymphatic Drainage (MLD) is one of the modalities to reduce edema in the arms after mastectomy or postoperative Ca. MLDV (Manual Lymphatic Drainage Vodder) is a gentle yet very specific type of massage designed to improve lymph drainage, remove excess fluid from tissues, reduce inflammation and relieve symptoms such as pain and this method is an extension of MLD.

Methods: The study design used a Quasi experimental pretest and posttest one group design with subjects taken from secondary data of 30 medical record data, then divided into the pretest group (measurement of arm segment volume before MLDV intervention) and the posttest group (measurement of arm segment volume after MLDV was performed). each session is 45 minutes, a week 2-3 times up to 10 sessions). Furthermore, data was collected and analyzed statistically

Results: The results of the data normality test on the volume of the pre MLDV segment and the volume of the post MLDV segment all show a value of p> 0.05, so the data is normally distributed. The results of the paired t-test showed the volume of the pre MLDV segment and the volume of the post MLDV segment with a significance value of 0.040. Because both showed a p value <0.05, there was a significant difference before and after the MLDV intervention

Conclusion: Manual Lymphatic Drainage Vodder (MLDV) each session is 45 minutes, 2-3 times a week for up to 10 sessions can reduce edema in the arms after mastectomy or post-Ca mammae surgery.

Biografi Penulis

ignatius heri dwianto, Departemen Fisioterapi Muskuloskeletal, Prodi Fisioterapi, Stikes Katolik St. Vincetius a Paulo Surabaya, Surabaya, Indonesia

Dosen pengajar di Departemen Fisioterapi Muskuloskeletal, Prodi Fisioterapi, Stikes Katolik St. Vincetius a Paulo Surabaya, Surabaya, Indonesia


Abe, K., & Tsuji, T. 2021. Postural differences in the immediate effects of active exercise with compression therapy on lower limb lymphedema, 6535–6543.

Arikan Dönmez, A., & Kapucu, S. 2016. Management of breast cancer-related lymphedema. Turk Onkoloji Dergisi, 31(4), 138–148.

Bustan, M. 2007. Epidemiologi Penyakit Tidak Menular (2nd ed., p. 127). Rineka Cipta.

Claire Davies, Kimberly Levenhagen, Kathryn Ryans, Marisa Perdomo, Laura Gilchrist, 2020; Interventions for Breast Cancer–Related Lymphedema: Clinical Practice Guideline from the Academy of Oncologic Physical Therapy of APTA Physical Therapy, Volume 100, Issue 7, July 2020, Pages 1163–1179

DATA, Pusat. Informasi Kementerian Kesehatan RI. 2015. Situasi Penyakit Kanker. Buletin Jendela Data & Informasi Kesehatan. Semester, 2016

Hayes S, Janda M, Cornish B, Battistutta D, Newman B. 2008. Lymphedema secondary to breast cancer: how choice of measure influences diagnosis, prevalence,and identifable risk factors. Lymphology; 41(1):18-28.

Kemenkes RI. Infodatin: Bulan Peduli Kanker Payudara Jakarta Kemenkes

RI; 2016

Nelson, L. Skely, J & Beaty, D. 2008. Knowledge about preventing and managing lymphedema: a survey of recently diagnosed and treated breast cancer patients. Patient Education and Counseling, 47, 155-163

Pangribowo, S. 2019. Beban Kanker di Indonesia. Pusat Data Dan Informasi Kesehatan Kementerian Kesehatan RI, 1–16.

Pusat Data dan Informasi Kementerian. 2015. Situasi Penyakit Kanker. Journal of Chemical Information and Modeling, 53(9), 1689–1699.

Ridner, S. 2006. Pretreatment lymphedema education and identified educational resources in breast cancer patients. Patient Educational and Conselling. 61(1) : 72-79

Smeltzer, S. C., & Bare, B. G. 2015. Buku Ajar Asuhan Keperawatan Medikal Bedah.(vol. 2). Jakarta: EGC.

Tantawy, S. A., Abdelbasset, W. K., Nambi, G., & Kamel, D. M. 2019. Comparative Study Between the Effects of Kinesio Taping and Pressure Garment on Secondary Upper Extremity Lymphedema and Quality of Life Following Mastectomy: A Randomized Controlled Trial. Integrative Cancer Therapies

Thompson B, Gaitatzis K, Janse de Jonge X, Blackwell R, Manual lymphatic drainage treatment for lymphedema: a systematic review of the literature Journal of Cancer Survivorship: Research and Practice

Uzkeser, H., Karatay, S., Erdemci, B., Koc, M., & Senel, K. 2015. Efficacy of manual lymphatic drainage and intermittent pneumatic compression pump use in the treatment of lymphedema after mastectomy: a randomized controlled trial. Breast Cancer, 22(3), 300–307.

Williams, A. 2010. Manual lymphatic drainage: Exploring the history and evidence base. British Journal of Community Nursing, 15(4 SUPPL.).

Winer EP, GoldhirschA,CoatesAS,et al. 2013; personalizing the treatment of women with early breast cancer:highlights of the stgallen international expert consencus on the primary therapy of early breast cancer.AnnOnc.

World Health Organization. (2008). World Health Statistics 2008.