Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study
Background:. The extended latissimus dorsi (ELD) flap is a safe and aesthetically acceptable method to reconstruct small to medium-sized breasts. However, the long time required for flap elevation and intraoperative bleeding contributes to various postoperative complications. We investigated the use...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-08-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005163 |
| _version_ | 1797732725434613760 |
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| author | Kento Takaya, MD Miho Baba, MD Masaru Kuranami, MD Hirokazu Shido, MD Toru Asou, MD, PhD Kazuo Kishi, MD, PhD |
| author_facet | Kento Takaya, MD Miho Baba, MD Masaru Kuranami, MD Hirokazu Shido, MD Toru Asou, MD, PhD Kazuo Kishi, MD, PhD |
| author_sort | Kento Takaya, MD |
| collection | DOAJ |
| description | Background:. The extended latissimus dorsi (ELD) flap is a safe and aesthetically acceptable method to reconstruct small to medium-sized breasts. However, the long time required for flap elevation and intraoperative bleeding contributes to various postoperative complications. We investigated the use of alternative devices, such as the Harmonic ACE+7, which has a long arm that can help simultaneously detach and seal tissues to prevent such complications.
Methods:. We compared 27 patients who underwent breast reconstruction with the ELD flap using the Harmonic ACE +7 scalpel, and 28 patients who underwent breast reconstruction using an electrocautery scalpel, between May 2019 and March 2022. Data on patient demographics, surgery, and postoperative complications were collected. Surgical outcomes were compared between electrocautery (EC) and Harmonic ACE+7 (HA) groups.
Results:. The median age of the patients was 50.2 years. The patient demographics between the groups did not show significant differences. Flap necrosis and hematomas did not occur, and seroma was the major postoperative complication (65.7% in the EC group and 70% in the HA group). The time required for flap elevation was significantly shorter in the HA group than in the EC group (286.0 minutes and 179.0 minutes, respectively). Blood loss reduced significantly in the HA and EC groups (138.5 mL and 78.2 mL, respectively). Moreover, decreased drainage was observed for the breast area. There were no significant differences in other end points.
Conclusion:. In breast reconstruction with ELD flaps, using the Harmonic ACE+7 can help reduce the rate of seroma, operative time, and intraoperative bleeding without further disadvantages. |
| first_indexed | 2024-03-12T12:18:43Z |
| format | Article |
| id | doaj.art-64f1b816f2b645f48db5263ec5b84180 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-12T12:18:43Z |
| publishDate | 2023-08-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-64f1b816f2b645f48db5263ec5b841802023-08-30T06:13:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-08-01118e516310.1097/GOX.0000000000005163202308000-00006Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot StudyKento Takaya, MD0Miho Baba, MD1Masaru Kuranami, MD2Hirokazu Shido, MD3Toru Asou, MD, PhD4Kazuo Kishi, MD, PhD5From the * Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan† Yamato Municipal Hospital, Kanagawa, Japan.† Yamato Municipal Hospital, Kanagawa, Japan.From the * Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, JapanBackground:. The extended latissimus dorsi (ELD) flap is a safe and aesthetically acceptable method to reconstruct small to medium-sized breasts. However, the long time required for flap elevation and intraoperative bleeding contributes to various postoperative complications. We investigated the use of alternative devices, such as the Harmonic ACE+7, which has a long arm that can help simultaneously detach and seal tissues to prevent such complications. Methods:. We compared 27 patients who underwent breast reconstruction with the ELD flap using the Harmonic ACE +7 scalpel, and 28 patients who underwent breast reconstruction using an electrocautery scalpel, between May 2019 and March 2022. Data on patient demographics, surgery, and postoperative complications were collected. Surgical outcomes were compared between electrocautery (EC) and Harmonic ACE+7 (HA) groups. Results:. The median age of the patients was 50.2 years. The patient demographics between the groups did not show significant differences. Flap necrosis and hematomas did not occur, and seroma was the major postoperative complication (65.7% in the EC group and 70% in the HA group). The time required for flap elevation was significantly shorter in the HA group than in the EC group (286.0 minutes and 179.0 minutes, respectively). Blood loss reduced significantly in the HA and EC groups (138.5 mL and 78.2 mL, respectively). Moreover, decreased drainage was observed for the breast area. There were no significant differences in other end points. Conclusion:. In breast reconstruction with ELD flaps, using the Harmonic ACE+7 can help reduce the rate of seroma, operative time, and intraoperative bleeding without further disadvantages.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005163 |
| spellingShingle | Kento Takaya, MD Miho Baba, MD Masaru Kuranami, MD Hirokazu Shido, MD Toru Asou, MD, PhD Kazuo Kishi, MD, PhD Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study Plastic and Reconstructive Surgery, Global Open |
| title | Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study |
| title_full | Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study |
| title_fullStr | Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study |
| title_full_unstemmed | Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study |
| title_short | Usefulness of Harmonic ACE+7 Scalpel in Breast Reconstruction with Extended Latissimus Dorsi Flap: An Open-label Single Institution Pilot Study |
| title_sort | usefulness of harmonic ace 7 scalpel in breast reconstruction with extended latissimus dorsi flap an open label single institution pilot study |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005163 |
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