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The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy

PURPOSE: Surgical equipment used in breast cancer surgery that affects wound healing and minimizes complications seems to be a popular investigation topic. The aim of this study is to evaluate the effect of plasmakinetic cautery on wound healing in patients receiving mastectomy. METHODS: Forty-six c...

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Autores principales: Dogan, Lutfi, Gulcelik, Mehmet Ali, Yuksel, Murat, Uyar, Osman, Erdogan, Osman, Reis, Erhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Breast Cancer Society 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706866/
https://www.ncbi.nlm.nih.gov/pubmed/23843853
http://dx.doi.org/10.4048/jbc.2013.16.2.198
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author Dogan, Lutfi
Gulcelik, Mehmet Ali
Yuksel, Murat
Uyar, Osman
Erdogan, Osman
Reis, Erhan
author_facet Dogan, Lutfi
Gulcelik, Mehmet Ali
Yuksel, Murat
Uyar, Osman
Erdogan, Osman
Reis, Erhan
author_sort Dogan, Lutfi
collection PubMed
description PURPOSE: Surgical equipment used in breast cancer surgery that affects wound healing and minimizes complications seems to be a popular investigation topic. The aim of this study is to evaluate the effect of plasmakinetic cautery on wound healing in patients receiving mastectomy. METHODS: Forty-six consecutive breast cancer patients receiving modified radical mastectomy were evaluated prospectively. Plasmakinetic cautery was used in 24 operations and electrocautery was used in 22 operations in random order to manage skin flaps and excise breast tissue. In the postoperative period, vacuum drainage amount and duration time as well as the start time of arm exercises were recorded. Complications like seroma, surgical site infection, hematoma, and flap necrosis were determined. RESULTS: Age, body mass index, breast volume and flap area parameters were similar in each group. Mean drainage duration was found to be 5.5 days in the plasmacautery group and 7.9 days in the electrocautery group (p=0.020). In the plasmacautery and electrocautery groups, mean drainage volume was 707 and 1,093 mL, respectively (p=0.025). There was no statistical significance between the groups when operation duration, amount of blood loss, time to start arm exercises, seroma, hematoma, surgical site infection, and flap necrosis were considered. CONCLUSION: Plasmakinetic cautery is a promising new surgical instrument that provides atraumatic, scalpel-like cutting precision and electrosurgical-like hemostasis, resulting in minimal tissue injury. So, plasmacautery shortens the drainage amount and duration time compared to electrocautery without elongating operation duration or increasing the amount of blood loss.
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spelling pubmed-37068662013-07-10 The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy Dogan, Lutfi Gulcelik, Mehmet Ali Yuksel, Murat Uyar, Osman Erdogan, Osman Reis, Erhan J Breast Cancer Original Article PURPOSE: Surgical equipment used in breast cancer surgery that affects wound healing and minimizes complications seems to be a popular investigation topic. The aim of this study is to evaluate the effect of plasmakinetic cautery on wound healing in patients receiving mastectomy. METHODS: Forty-six consecutive breast cancer patients receiving modified radical mastectomy were evaluated prospectively. Plasmakinetic cautery was used in 24 operations and electrocautery was used in 22 operations in random order to manage skin flaps and excise breast tissue. In the postoperative period, vacuum drainage amount and duration time as well as the start time of arm exercises were recorded. Complications like seroma, surgical site infection, hematoma, and flap necrosis were determined. RESULTS: Age, body mass index, breast volume and flap area parameters were similar in each group. Mean drainage duration was found to be 5.5 days in the plasmacautery group and 7.9 days in the electrocautery group (p=0.020). In the plasmacautery and electrocautery groups, mean drainage volume was 707 and 1,093 mL, respectively (p=0.025). There was no statistical significance between the groups when operation duration, amount of blood loss, time to start arm exercises, seroma, hematoma, surgical site infection, and flap necrosis were considered. CONCLUSION: Plasmakinetic cautery is a promising new surgical instrument that provides atraumatic, scalpel-like cutting precision and electrosurgical-like hemostasis, resulting in minimal tissue injury. So, plasmacautery shortens the drainage amount and duration time compared to electrocautery without elongating operation duration or increasing the amount of blood loss. Korean Breast Cancer Society 2013-06 2013-06-28 /pmc/articles/PMC3706866/ /pubmed/23843853 http://dx.doi.org/10.4048/jbc.2013.16.2.198 Text en © 2013 Korean Breast Cancer Society. All rights reserved. http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Dogan, Lutfi
Gulcelik, Mehmet Ali
Yuksel, Murat
Uyar, Osman
Erdogan, Osman
Reis, Erhan
The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy
title The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy
title_full The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy
title_fullStr The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy
title_full_unstemmed The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy
title_short The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy
title_sort effect of plasmakinetic cautery on wound healing and complications in mastectomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706866/
https://www.ncbi.nlm.nih.gov/pubmed/23843853
http://dx.doi.org/10.4048/jbc.2013.16.2.198
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