Mastectomy using ultrasonic dissection: effect on seroma formation

Galatius, Hanne; Okholm, Mette; Hoffmann, J

doi:10.1016/s0960-9776(03)00110-3

Cited by 101 publications

(84 citation statements)

References 11 publications

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“…Kontos et al [12] reported low incidence of seroma accumulation in patients where harmonic scalpel was used. Galatius et al [13] showed that the time to removal of drain was significantly lower in the ultrasonic dissection group as a result of reduction in the total amount of drainage after axillary dissection. Wyman and Rogers [14] reported reduced blood loss using laser scalpel for MRM but has no other overall advantage over the conventional surgical technique for mastectomy.…”

Section: Tissue Dissection Techniquesmentioning

confidence: 98%

Seroma Formation after Mastectomy: Pathogenesis and Prevention

Sampathraju

Rodrigues

2010

Indian J Surg Oncol

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Post mastectomy seroma remains an unresolved quandary as the risk factors for its formation have still not been identified. Seromas of the axillary space following breast surgery can lead to significant morbidity and delay in the initiation of adjuvant therapy. Various techniques and their modifications have been practiced and published in English literature, but there seems to be no consensus. In this article, all aspects of seroma formation from pathogenesis to prevention including drug therapies have been discussed.

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Section: Tissue Dissection Techniquesmentioning

confidence: 98%

Seroma Formation after Mastectomy: Pathogenesis and Prevention

Sampathraju

Rodrigues

2010

Indian J Surg Oncol

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“…69 70 71 However studies comparing removal after max 3 days postoperative, with removal ranging form 6 until 16 days postoperative, have not been associated with significant decrease of seroma formation. 45 Shoulder immobilisation has been thought to decrease seroma formation. Multiple studies however have shown that immobilisation of the shoulder does not correlate with a decrease in seroma formation.…”

Section: Preventive Measuresmentioning

confidence: 99%

Prevention of seroma formation after axillary dissection in breast cancer: A systematic review

Bemmel

Velde

Schmitz

et al. 2011

European Journal of Surgical Oncology (EJSO)

160

133

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Background:The most common complication after breast cancer surgery is seroma formation. It is a source of significant morbidity and discomfort. Many articles have been published describing risk factors and preventive measures. The aim of this paper is to provide a systematic review of studies and reports on risk factors and preventive measures. Surgery lies at the core of seroma formation; therefore focus will be placed on surgical ways of reducing seroma. Methods: A computer assisted medline search was carried out, followed by manual retrieval of relevant articles found in the reference listings of original articles. Results: 136 relevant articles were reviewed. Though the level of evidence remain varied several factors,type of dissection, tools with wich dissection is carried out, reduction of dead space, suction drainage, use of fibrin glue and octreotide usage, have been found to correlate with seroma formation and have been shown to significantly reduce seroma rates. Conclusion: Seroma formation after breast cancer surgery can not be avoided at present. There are however several methods to minimize seroma and associated morbidity. Future research should be directed toward the best ways of reducing seroma by combining proven methods.

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“…Deo SV et al [2002] [4] and Galatius H [3][4][5][6]. There studies have shown to reduce the axillary drainage.…”

Section: Discussionmentioning

confidence: 99%

“…Although different instruments are used for doing dissection like scalpel, monopolar, cautery, bipolar cautery, scissors etc.-there is no reduction in the amount of axillary drainage [1,2]. There are studies showing use of ultrasound shears reducing axillary drainage after axillary surgery for breast cancer [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Use of Ultrasonic Shears in Patients with Breast Cancer Undergoing Axillary Dissection—A Pilot Study

Ramesh

Manjunath

Shivakumar

et al. 2011

Indian J Surg Oncol

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Patients with breast cancer and positive sentinel node biopsy usually require axillary dissection. Different instruments are used for axillary dissection like regular scalpel,monopolar cautery, bipolar cautery etc. All these instruments are having its advantages and disadvantages. Our dept did a pilot study to know the efficacy of ultrasonic shears over cautery for axillary dissection. Parameters considered were cumulative drain amount, number of days with the drain and number of lymphnodes harvested. Ultrasonic shear machine delivers precisely directed mechanical energy with an ultrasonic vibrating blade.A single device dissects, cuts, grasps, spot coagulates. This machine was used for doing axillary dissection in one group and regular cautery in the other group. Study period was from April 2011 to June 2011 at Dept of Surgical Oncology, St Johns Hospital, Bangalore. Nine people in the ultrasonic shear group and 11 people in the cautery group were included in the pilot study. No significant difference were noticed in the cumulative drain amount, number of days with the drain, and number of lymphnodes harvested in both the groups. Axillary dissection using ultrasonic shears do not show any significant difference in the cumulative drain amount, number of days with the drain, and number of lymphnodes harvested. These are the findings of the pilot study, further prospective randomized studies are required for substantiating the findings.

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Mastectomy using ultrasonic dissection: effect on seroma formation

Cited by 101 publications

References 11 publications

Seroma Formation after Mastectomy: Pathogenesis and Prevention

Seroma Formation after Mastectomy: Pathogenesis and Prevention

Prevention of seroma formation after axillary dissection in breast cancer: A systematic review

Use of Ultrasonic Shears in Patients with Breast Cancer Undergoing Axillary Dissection—A Pilot Study

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