Electrothermal bipolar vessel sealing system in axillary dissection: A prospective randomized clinical study

Cortadellas, T.; Córdoba, Octavi; Espinosa-Bravo, Martín; Mendoza-Santin, César; Rodriguez-Fernandez, J.; Esgueva, Antonio; Álvarez-Vinuesa, María; Rubio, Isabel T.; Xercavins, Jordi

doi:10.1016/j.ijsu.2011.08.002

Cited by 37 publications

(53 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surgeons should reduce the use of electrocautery in order to reduce seroma formation [3]. New surgical devices, like the electrothermal bipolar vessel sealing system, show promising results but need to be evaluated with a ‘no-drain' control group [40,55,56]. …”

Section: Discussionmentioning

confidence: 99%

Should a Drain Be Placed in Early Breast Cancer Surgery?

et al. 2014

View full text Add to dashboard Cite

Background: The current surgical debate has led to a reduction in the extent of surgery performed and thereby to a reduced occurrence of surgical trauma and, over the recent years, reduced seroma formation. This reduction in surgical procedures calls the need for a drain into question. Method: Using Google Scholar and the National Library of Medicine (PubMed), a literature review was performed on systematic reviews and meta-analyses regarding breast cancer surgery ± axillary dissection. Additionally, randomized trials for the time period after the last systematic review were included and evaluated according to the Jadad score. Results: The search returned 5 systematic reviews, in which a total of 1,075 patients were included (537 cases and 538 controls). Since the last review, no prospective randomized trial meeting the inclusion criteria has been published. The current reviews conclude that insertion of a drain is associated with a longer hospital stay and reduced seroma formation. The data regarding wound infection and drain insertion is inconclusive. The omission of a drain is associated with early discharge, reduced postsurgical pain, and early mobilization, but also with an increase in out-patient seroma aspirations. Conclusion: The omission of a drain is possible in early breast cancer surgery (wide local excision and sentinel node biopsy) with adequate surgical techniques and instruments.

show abstract

Section: Discussionmentioning

confidence: 99%

Should a Drain Be Placed in Early Breast Cancer Surgery?

et al. 2014

View full text Add to dashboard Cite

show abstract

“…e conclusion of one review is that UD does not improve outcome [92], compared to ES; in another review there is a 70% lower risk of axillary seroma formation a er surgery with UD than with ES [93], and in axillary dissection, EVS reduces operating time, days of suction drain, and length of hospital stay, without increasing complication rate, compared with conventional ES [94] Operations in the pelvis e sympathetic nerves derive from T10-L2 and form a series of ganglia consisting of the sympathetic chain just medial to the origin of the psoas muscle ( Figure 10). e bers supplying the bladder, rectum, and genital organs have their origin in the T12-L2 nerve roots, and enter the hypogastric plexus below the aortic bifurcation and form two bundles of bers just medial to the iliac vessels.…”

Section: Breast Cancer Surgerymentioning

confidence: 99%

Energy based surgical instruments : With particular focus on collateral thermal injury

Carlander¹

2015

View full text Add to dashboard Cite

“…Se ha demostrado que el volumen de débito del drenaje axilar y la aparición de seroma, si el drenaje es retirado de forma precoz, son independientes de la técnica quirúrgica realizada, de los instrumentos de disección y sellado utilizados [5][6][7][8] o de la adición de sellantes de fibrina 9 .…”

Section: Factores Asociados a Mayor Débito De Drenaje Tras Linfadenecunclassified

Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama

C³

et al. 2013

Rev Chil Cir

View full text Add to dashboard Cite

Factors associated with greater debit drainage after axillary lymphadenectomy for breast cancer Introduction: Axillary lymph node dissection (ALND) is still a usual procedure in the treatment of breast cancer. A drain is normally placed in the surgical bed and maintained several days until obtaining a daily discharge of 30-50 ml, in order to reduce the appearance of seroma. The aim of this study was to analyze possible factors associated with an increased drainage volume. Patients and Methods: A retrospective study of all the patients undergoing ALND for breasts cancer at our institution between 2011 and 2012 was performed. Results: 40 females were included. There were no complications or mortality. Median hospital stay was 2 days. Median day of drainage removal was the 5th postoperative day. Mean total drainage volume was 298.9 ± 240.1 ml. High blood pressure associated with an increased drainage volume (550 ml vs 217.5 ml; p = 0.001) and a later removal (8 th vs 4 th day; p = 0.002). Similar happened with age > 65 years (420.8 ml vs 24.6 ml; p = 0.003) and (7th vs 5 th day; p = 0.009). The number of metastatic lymph nodes showed a direct correlation with total drainage volume (Pearson 0.503; p = 0.017) and removal day (Spearman 0.563; p = 0.006), similar to the primary tumour size: Total drainage volume (Pearson 0.447; p = 0.042) and removal day (Spearman 0.556; p = 0.009). Conclusion: Age over 65 years, high blood pressure, number of metastatic lymph nodes and primary tumour size associated with a higher drainage volume and time to remove the drain.

show abstract

Electrothermal bipolar vessel sealing system in axillary dissection: A prospective randomized clinical study

Cited by 37 publications

References 24 publications

Should a Drain Be Placed in Early Breast Cancer Surgery?

Should a Drain Be Placed in Early Breast Cancer Surgery?

Energy based surgical instruments : With particular focus on collateral thermal injury

Factores asociados a mayor débito de drenaje tras linfadenectomía axilar por cáncer de mama

Contact Info

Product

Resources

About