Novel use of LigaSure Impact™ electrosurgical bipolar vessel sealing system in skin-sparing mastectomy

Miyagi, Kana; Rossi, Sabrina; Malata, Charles M.; Forouhi, Parto

doi:10.1016/j.bjps.2015.01.005

Cited by 6 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other studies reported the benefits of electrosurgical bipolar devices for breast surgery in reducing blood loss, drainage volume, and length of hospital stay [ 4 10 18 ]. Furthermore, a recent study reported that skin-sparing mastectomy with electrosurgical bipolar devices could be performed in patients with breast cancer [ 10 19 ]. These findings are consistent with those of the present study.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Study to Compare Postoperative Drainage After Mastectomy Using Electrosurgical Bipolar Systems and Conventional Electro-Cautery

et al. 2022

View full text Add to dashboard Cite

Purpose Advanced energy devices, including electrosurgical bipolar systems or ultrasonic shears, are widely used in various surgeries. An electrosurgical bipolar device allows surgeons to grasp and dissect tissues, as well as simultaneously ligate and cut vessels and lymphatics during surgery. This study aimed to evaluate the effects of advanced bipolar energy devices on the reduction in seroma formation during mastectomy, axillary staging, and/or reconstruction. Methods This prospective randomized clinical trial with a 1:1 ratio compared the use of an electrosurgical bipolar device, LigaSure TM (LGS), against conventional cut-and-ligate techniques in mastectomy with axillary procedures for patients with breast cancer. A total of 82 patients with breast cancer who underwent definitive surgery were enrolled in this study. The primary endpoint was the total drainage volume after surgery. Results The clinicopathological characteristics of the two groups were not significantly different. The total postoperative drainage volume was significantly lower in the LGS group than in the control group (756.26 mL vs. 1,167.74 mL, p = 0.009). The actual postoperative drainage volume and duration also decreased significantly in the LGS group compared with those in the control group (all p < 0.05). The rate of postoperative complications was lower in the LGS group than in the control group (9.8% vs. 27.5%, p = 0.05). Conclusion Electrosurgical bipolar devices showed better performance in terms of decreasing postoperative drainage during mastectomy and axillary staging and/or reconstruction.

show abstract

Section: Discussionmentioning

confidence: 99%

A Prospective Randomized Study to Compare Postoperative Drainage After Mastectomy Using Electrosurgical Bipolar Systems and Conventional Electro-Cautery

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Other Authors proposed LS to be the superior device in breast surgery and ALND, but also in these cases, the results are not conclusive. In fact, even if pro studies underlined how the LS utilization led to reduced intraoperative time [ 59 – 61 ], reduction of drainage output [ 60 , 62 ], conversely, several Authors showed no substantial difference when compared to EC [ 63 – 66 ], underlining also a not significant reduction of the cost of hospitalization [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

Advanced hemostasis in axillary lymph node dissection for locally advanced breast cancer: new technology devices compared in the prevention of seroma formation

et al. 2019

View full text Add to dashboard Cite

Background: Breast cancer is the most frequent neoplasm in women. Axillary lymph nodes dissection represents the treatment of choice in locally advanced breast cancer for prognostic and curative purposes. Seroma formation, an abnormal collection of fluid in the dead space of the axilla, is described in Literature with a wide range of incidence (3-85%). It is a source of significant morbidity and discomfort. The aim of the study is to compare the different haemostasis devices used in breast surgery, investigating the eventual superiority of an instrument among the others in terms of intraoperative and postoperative outcome, especially of seroma formation. Methods: Clinical cases of female patients undergone axillary lymph nodes dissection for local advanced breast cancer between January 2013 and July 2017 at the Surgery Unit of University of Campania "Luigi Vanvitelli" were retrospectively reviewed. Patients were divided into four groups, according to device utilized during surgery: Electrocautery, Harmonic Scalpel, LigaSure and Thunderbeat. All patients underwent II level axillary lymph nodes dissection associated to radical mastectomy or quadrantectomy. Results: One hundred consecutives patients were enrolled in the study. Intra-operative blood loss resulted statistically significant different (P < 0,01) between the Electrocautery group (94,7 ml) and the Thunderbeat group (57,2 ml), while the Harmonic Scalpel group and the Ligasure group, despite presented a lower amount of blood loss, did not differ significantly. Drainage volume resulted significantly lower (P = 0,002) in the comparison between the Electrocautery group and the Thunderbeat group; the Ligasure group and Harmonic Scapel group showed no difference between them and Electrocautery group. About the seroma formation, the Electrocautery group resulted affected by the highest seroma formation rate (64%). Seroma incidence in Harmonic Scalpel group was 24%, in Ligasure group was 44%, while Thunderbeat group showed the lowest presentation of seroma with 16%. Conclusions: In patients affected by breast cancer requiring axillary lymphnodes dissection, the use of advanced hemostasis devices is highly desirable. Among the non-traditional tools, Thunderbeat resulted to be superior in terms of reduction of intra-operative blood loss and post-operative drainage output, moreover associated to a substantial reduction of postoperative seroma incidence.

show abstract

“…5 Judicious use of energy devices would be a solution but choice of best energy devices is still a question of great concern. 6 A study compared the conventional electrocautery and LigaSure system in terms of wound drainage in patients undergoing mastectomy. They found that LigaSure system produced less drain output as compared to conventional electrocautery (809 ± 380 ml versus 620 ± 469 ml for electrocautery and LigaSure groups respectively, p value = 0.047).…”

Section: Introductionmentioning

confidence: 99%

Comparison of outcomes of LigaSure system and conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer.

Zia

Malik

Anum

et al. 2023

TPMJ

View full text Add to dashboard Cite

Objective: To compare LigaSure system and conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer in terms of mean wound drainage. Study Design: Randomized Controlled Trial. Setting: Department of Surgery, of Allama Iqbal Medical College, Jinnah Hospital Lahore. Period: April 2019 to Mar 2020. Material & Methods: Total of 162 patients were selected. Patients divided in two group A & B for Ligasure and electrocautery group respectively. Two drains placed, one in each flap and axilla after surgery. The drains were removed when the output was less than 30ml/ 24 hours. All patients were discharged after the drain removal. Results: The mean age in Ligasure group was 56.16 ± 7.87 years and in Electrocautery group was 55.00 ± 8.38 years. The mean wound drainage output in Ligasure group was 652.67 ± 93.05 ml and in Electrocautery group was 973.91 ± 87.84 ml. The mean drainage output was statistically lower in Ligasure group as compared to Electrocautery group, p-value < 0.001. Conclusion: Through the findings of current study it is concluded that LigaSure system leads less mean wound drainage than conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer. So, in future therapeutic efficacy of LigaSure system can be opted to minimized the risk related wound drainage in patients undergoing modified radical mastectomy for breast cancer in terms of mean wound drainage.

show abstract

Novel use of LigaSure Impact™ electrosurgical bipolar vessel sealing system in skin-sparing mastectomy

Cited by 6 publications

References 5 publications

A Prospective Randomized Study to Compare Postoperative Drainage After Mastectomy Using Electrosurgical Bipolar Systems and Conventional Electro-Cautery

A Prospective Randomized Study to Compare Postoperative Drainage After Mastectomy Using Electrosurgical Bipolar Systems and Conventional Electro-Cautery

Advanced hemostasis in axillary lymph node dissection for locally advanced breast cancer: new technology devices compared in the prevention of seroma formation

Comparison of outcomes of LigaSure system and conventional electrocautery in patients undergoing modified radical mastectomy for breast cancer.

Contact Info

Product

Resources

About