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Ultrasonic dissection versus electrocautery for immediate prosthetic breast reconstruction

 Dongeun Lee 1  ;  Bok Ki Jung 1  ;  Tai Suk Roh 1  ;  Young Seok Kim 1 
 Archives of Plastic Surgery, Vol.47(1) : 20-25, 2020-01 
Journal Title
Archives of Plastic Surgery
Issue Date
Breast ; Breast implants ; Electrocoagulation ; High-intensity focused ultrasound ablation ; Mammaplasty
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.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Seok(김영석) ORCID logo https://orcid.org/0000-0002-0981-2107
Roh, Tai Suk(노태석) ORCID logo https://orcid.org/0000-0001-8681-159X
Jung, Bok Ki(정복기) ORCID logo https://orcid.org/0000-0002-4347-560X
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