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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Iovino, Francesco Auriemma, Pasquale Pio Ferraraccio, Francesca Antoniol, Giulio Barbarisi, Alfonso |
| Description | Country affiliation: Italy Author Affiliation: Iovino F ( Department of Surgery, Second University of Naples, Piazza Miraglia 1, 80138 Naples, Italy. francesco.iovino@unina2.it) |
| Abstract | BACKGROUND: Seroma formation after axillary dissection remains the most common early sequel to breast cancer surgery. Different surgical approaches have been performed to reduce seroma collection. Therefore, we aimed to assess the outcome of patients operated on using an ultrasound scalpel according to a standardized operative technique before accepting it as a routine procedure. METHODS: A randomized controlled trial was designed to compare the outcome of patients undergoing breast surgery and axillary dissection using either standard scalpel blades, scissors, ligations, and electrocautery or the ultrasound scalpel only. Each arm of the trial consisted of 30 patients. RESULTS: A statistically significant benefit in terms of axillary and chest wall drainage volume, the number of axilla seromas, intraoperative bleeding, and hospitalization stay was recorded in the harmonic scalpel group. No significant differences were found between the 2 groups in terms of operative time. Finally, no postoperative hematoma, wound infections, and chest wall seroma were observed. CONCLUSIONS: The use of the harmonic scalpel was shown to reduce the magnitude of seromas in axilla and hospitalization stay. The harmonic scalpel can be used alone in axillary dissection with a safe and effective hemostasis. Our results must be confirmed by larger series. |
| File Format | HTM / HTML |
| ISSN | 00029610 |
| Issue Number | 6 |
| Volume Number | 203 |
| e-ISSN | 18791883 |
| Journal | The American Journal of Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-06-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Lymph Node Excision Comparative Study Humans Middle Aged Instrumentation Length Of Stay Breast Neoplasms Journal Article Blood Loss, Surgical Hemostasis, Surgical Discipline General Surgery Etiology Surgery Axilla Mastectomy Adult Female Postoperative Complications Seroma Prevention & Control Treatment Outcome Aged, 80 And Over Randomized Controlled Trial Ultrasonic Surgical Procedures Single-blind Method Aged Statistics & Numerical Data Methods |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
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