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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Breast Cancer Society
2013
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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. |
format | Online Article Text |
id | pubmed-3706866 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Korean Breast Cancer Society |
record_format | MEDLINE/PubMed |
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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