Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction
Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-01-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00759 |
| _version_ | 1817991231531122688 |
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| author | Dongeun Lee Bok Ki Jung Tai Suk Roh Young Seok Kim |
| author_facet | Dongeun Lee Bok Ki Jung Tai Suk Roh Young Seok Kim |
| author_sort | Dongeun Lee |
| collection | DOAJ |
| description | Background Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications.
Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups.
Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242–8.516; P=0.016).
Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique. |
| first_indexed | 2024-04-14T01:10:37Z |
| format | Article |
| id | doaj.art-c07d2d0ff6214f2c8222b5de5f61e313 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-14T01:10:37Z |
| publishDate | 2020-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-c07d2d0ff6214f2c8222b5de5f61e3132022-12-22T02:21:06ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712020-01-014701202510.5999/aps.2019.007593694Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstructionDongeun Lee0Bok Ki Jung1Tai Suk Roh2Young Seok Kim3Department of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaBackground Ultrasonic dissection devices cause less thermal damage to the surrounding tissue than monopolar electrosurgical devices. We compared the effects of using an ultrasonic dissection device or an electrocautery device during prosthetic breast reconstruction on seroma development and short-term postoperative complications. Methods We retrospectively reviewed the medical records of patients who underwent implant-based reconstruction following mastectomy between March 2017 and September 2018. Mastectomy was performed by general surgeons and reconstruction by plastic surgeons. From March 2017 to January 2018, a monopolar electrosurgical device was used, and an ultrasonic dissection device was used thereafter. The other surgical methods were the same in both groups. Results The incidence of seroma was lower in the ultrasonic dissection device group than in the electrocautery group (11 [17.2%] vs. 18 [31.0%]; P=0.090). The duration of surgery, total drainage volume, duration of drainage, overall complication rate, surgical site infection rate, and flap necrosis rate were comparable between the groups. Multivariate analysis revealed that the risk of seroma development was significantly lower in the ultrasonic dissection device group than in the electrocautery group (odds ratio for electrocautery, 3.252; 95% confidence interval, 1.242–8.516; P=0.016). Conclusions The findings of this study suggest that the incidence of seroma can be reduced slightly by using an ultrasonic dissection device for prosthesis-based breast reconstruction. However, further randomized controlled studies are required to verify our results and to assess the cost-effectiveness of this technique.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00759breastmammaplastybreast implantselectrocoagulationhigh-intensity focused ultrasound ablation |
| spellingShingle | Dongeun Lee Bok Ki Jung Tai Suk Roh Young Seok Kim Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction Archives of Plastic Surgery breast mammaplasty breast implants electrocoagulation high-intensity focused ultrasound ablation |
| title | Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction |
| title_full | Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction |
| title_fullStr | Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction |
| title_full_unstemmed | Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction |
| title_short | Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction |
| title_sort | ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction |
| topic | breast mammaplasty breast implants electrocoagulation high-intensity focused ultrasound ablation |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00759 |
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