Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective
Background The most effective dissection technique for elevating flaps in body contouring is still controversial, particularly in high-risk massive weight loss (MWL) patients. LigaSure (Medtronic, Dublin, Ireland) is an energy device commonly used among different surgical specialties to reduce morbi...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2022-02-01
|
| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/08941939.2021.1897714 |
| _version_ | 1827817110044147712 |
|---|---|
| author | Diletta Maria Pierazzi Edoardo Pica Alfieri Roberto Cuomo Maria Alessandra Bocchiotti Luca Grimaldi Aniello Donniacuo Irene Zerini Giuseppe Nisi |
| author_facet | Diletta Maria Pierazzi Edoardo Pica Alfieri Roberto Cuomo Maria Alessandra Bocchiotti Luca Grimaldi Aniello Donniacuo Irene Zerini Giuseppe Nisi |
| author_sort | Diletta Maria Pierazzi |
| collection | DOAJ |
| description | Background The most effective dissection technique for elevating flaps in body contouring is still controversial, particularly in high-risk massive weight loss (MWL) patients. LigaSure (Medtronic, Dublin, Ireland) is an energy device commonly used among different surgical specialties to reduce morbidity and improve outcomes. The aim of this study is to investigate the effectiveness of LigaSure Impact and LigaSure Small Jaw in body contouring after MWL compared with conventional technique. Material and methods Patients who underwent abdominoplasty, mastopexy, brachioplasty and thigh lift after MWL at a single center from 1 December 2018 to 1 March 2020 were retrospectively reviewed. In each procedure patients were divided into two groups according to the dissection technique: LigaSure group and monopolar electrosurgery group. Patients characteristics, perioperative details and postoperative complications were evaluated. Results Fourty-five patients underwent abdominoplasty, twenty-six mastopexy, twenty brachioplasty and sixteen medial thigh lift. Using LigaSure, operative time was longer in abdominoplasty and thigh lift, but shorter in mastopexy and brachioplasty. Although not statistically significant, the amount of blood and serum recorded from drains in the first 36 hours was reduced in LigaSure groups. Additional analgesic intake was reduced with LigaSure as well as postoperative subjective pain. In all body contouring procedures statistically significant difference was found in days of hospital stay favoring LigaSure groups. Complications occurred most frequently in control groups compared to LigaSure groups. Conclusion LigaSure Impact and LigaSure Small Jaw may be beneficial in improving outcomes because they might reduce fluids drainage, analgesics intake, hospital stay and postoperative complications. |
| first_indexed | 2024-03-12T00:30:47Z |
| format | Article |
| id | doaj.art-05f2d30899e741e4903e11ab95f71c38 |
| institution | Directory Open Access Journal |
| issn | 0894-1939 1521-0553 |
| language | English |
| last_indexed | 2024-03-12T00:30:47Z |
| publishDate | 2022-02-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj.art-05f2d30899e741e4903e11ab95f71c382023-09-15T10:21:28ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532022-02-0135365966610.1080/08941939.2021.18977141897714Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New PerspectiveDiletta Maria Pierazzi0Edoardo Pica Alfieri1Roberto Cuomo2Maria Alessandra Bocchiotti3Luca Grimaldi4Aniello Donniacuo5Irene Zerini6Giuseppe Nisi7Division of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, “Santa Maria alle Scotte” Hospital, University of SienaDivision of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, “Santa Maria alle Scotte” Hospital, University of SienaDivision of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, “Santa Maria alle Scotte” Hospital, University of SienaDivision of Plastic and Reconstructive Surgery; Department of Surgery, Città della Salute e della Scienza Hospital, Molinette Ospital Unit, University of TurinDivision of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, “Santa Maria alle Scotte” Hospital, University of SienaUniversity of SienaDivision of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, “Santa Maria alle Scotte” Hospital, University of SienaDivision of Plastic and Reconstructive Surgery; Department of Medicine, Surgery and Neuroscience, “Santa Maria alle Scotte” Hospital, University of SienaBackground The most effective dissection technique for elevating flaps in body contouring is still controversial, particularly in high-risk massive weight loss (MWL) patients. LigaSure (Medtronic, Dublin, Ireland) is an energy device commonly used among different surgical specialties to reduce morbidity and improve outcomes. The aim of this study is to investigate the effectiveness of LigaSure Impact and LigaSure Small Jaw in body contouring after MWL compared with conventional technique. Material and methods Patients who underwent abdominoplasty, mastopexy, brachioplasty and thigh lift after MWL at a single center from 1 December 2018 to 1 March 2020 were retrospectively reviewed. In each procedure patients were divided into two groups according to the dissection technique: LigaSure group and monopolar electrosurgery group. Patients characteristics, perioperative details and postoperative complications were evaluated. Results Fourty-five patients underwent abdominoplasty, twenty-six mastopexy, twenty brachioplasty and sixteen medial thigh lift. Using LigaSure, operative time was longer in abdominoplasty and thigh lift, but shorter in mastopexy and brachioplasty. Although not statistically significant, the amount of blood and serum recorded from drains in the first 36 hours was reduced in LigaSure groups. Additional analgesic intake was reduced with LigaSure as well as postoperative subjective pain. In all body contouring procedures statistically significant difference was found in days of hospital stay favoring LigaSure groups. Complications occurred most frequently in control groups compared to LigaSure groups. Conclusion LigaSure Impact and LigaSure Small Jaw may be beneficial in improving outcomes because they might reduce fluids drainage, analgesics intake, hospital stay and postoperative complications.http://dx.doi.org/10.1080/08941939.2021.1897714ligasure impactligasure small jawbody contouringmassive weight lossnew technologyabdominoplastymastopexybrachioplastymedial thigh lift |
| spellingShingle | Diletta Maria Pierazzi Edoardo Pica Alfieri Roberto Cuomo Maria Alessandra Bocchiotti Luca Grimaldi Aniello Donniacuo Irene Zerini Giuseppe Nisi Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective Journal of Investigative Surgery ligasure impact ligasure small jaw body contouring massive weight loss new technology abdominoplasty mastopexy brachioplasty medial thigh lift |
| title | Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective |
| title_full | Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective |
| title_fullStr | Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective |
| title_full_unstemmed | Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective |
| title_short | Ligasure™ Impact and Ligasure™ Small Jaw in Body Contouring after Massive Weight Loss: A New Perspective |
| title_sort | ligasure™ impact and ligasure™ small jaw in body contouring after massive weight loss a new perspective |
| topic | ligasure impact ligasure small jaw body contouring massive weight loss new technology abdominoplasty mastopexy brachioplasty medial thigh lift |
| url | http://dx.doi.org/10.1080/08941939.2021.1897714 |
| work_keys_str_mv | AT dilettamariapierazzi ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT edoardopicaalfieri ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT robertocuomo ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT mariaalessandrabocchiotti ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT lucagrimaldi ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT aniellodonniacuo ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT irenezerini ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective AT giuseppenisi ligasureimpactandligasuresmalljawinbodycontouringaftermassiveweightlossanewperspective |