Outpatient reduction mammaplasty: An eleven-year experience

Stevens, W. Grant; Gear, Andrew J.L.; Stoker, David A.; Hirsch, Elliot M.; Cohen, Robert; Spring, Michelle A.; Vath, Steve D; Schantz, Steve A; Heck, Robert

doi:10.1016/j.asj.2008.01.001

Cited by 56 publications

(31 citation statements)

References 24 publications

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“…Prolonged drainage period diminishes patient comfort, causes a delay in the starting of arm exercises as well as discharge from hospital [9]. Although the drainage period was statistically significant in the plasmacautery group, this did not affect hospital stay and the starting of arm exercises.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy

Doğan¹,

Gülçelik²,

Yuksel³

et al. 2013

J Breast Cancer

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PurposeSurgical equipment used in breast cancer surgery that affects wound healing and minimizes complications seems to be a popular investigation topic. The aim of this study is to evaluate the effect of plasmakinetic cautery on wound healing in patients receiving mastectomy.MethodsForty-six consecutive breast cancer patients receiving modified radical mastectomy were evaluated prospectively. Plasmakinetic cautery was used in 24 operations and electrocautery was used in 22 operations in random order to manage skin flaps and excise breast tissue. In the postoperative period, vacuum drainage amount and duration time as well as the start time of arm exercises were recorded. Complications like seroma, surgical site infection, hematoma, and flap necrosis were determined.ResultsAge, body mass index, breast volume and flap area parameters were similar in each group. Mean drainage duration was found to be 5.5 days in the plasmacautery group and 7.9 days in the electrocautery group (p=0.020). In the plasmacautery and electrocautery groups, mean drainage volume was 707 and 1,093 mL, respectively (p=0.025). There was no statistical significance between the groups when operation duration, amount of blood loss, time to start arm exercises, seroma, hematoma, surgical site infection, and flap necrosis were considered.ConclusionPlasmakinetic cautery is a promising new surgical instrument that provides atraumatic, scalpel-like cutting precision and electrosurgical-like hemostasis, resulting in minimal tissue injury. So, plasmacautery shortens the drainage amount and duration time compared to electrocautery without elongating operation duration or increasing the amount of blood loss.

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Section: Discussionmentioning

confidence: 99%

The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy

Doğan¹,

Gülçelik²,

Yuksel³

et al. 2013

J Breast Cancer

View full text Add to dashboard Cite

show abstract

“…Prolonged drainage period diminishes patient comfort, causes a delay in the starting of arm exercises as well as dis charge from hospital [9]. Although the drainage period was statistically significant in the plasmacautery group, this did not affect hospital stay and the starting of arm exercises.…”

Section: Discussionmentioning

confidence: 71%

229. The effect of plasmakinetic cautery on wound healing and complications in mastectomy

Doğan

Gülçelik

Yüksel

et al. 2012

European Journal of Surgical Oncology

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“…When the complications occurring in the patients in the present study were examined, it was observed that there were complications at the rate of 4.7% in all patients, and there was no statistical difference among the groups in terms of the prevalence of complications. In previous studies in the literature in which infiltration was performed, Steven et al [9] reported complications at the rate of 14%, Kaplan et al [2] reported complications at the rate of 4%, DeBono et al [5] reported complications at the rate of 12.5%, Mandrekas et al [10] reported complications at the rate of 5.7% in their studies. These results indicate that increasing the adrenaline level in the tissue by increasing the amount of the fluid infiltrated does not increase the rates of complications.…”

Section: Discussionmentioning

confidence: 98%

The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

Orhan¹

2018

Ann Clin Anal Med

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Aim: One of the important complications during and after the reduction mammoplasty operation is blood loss. The most implemented method to decrease the amount of bleeding is adrenaline infiltration, but adrenalin is mostly infiltrated with the fluid in the volume less than 250cc in the clinic. It is expected that adrenaline will accumulate more in the tissue and thus, exhibit more bleeding-reducing effect by increasing the fluid volume used in the infiltration. In this study, it is aimed to indicate the effect of the infiltration of adrenaline with the high volume fluid, on the amount of blood loss occurring due to the reduction mammoplasty operation. Material and Method: Patients who had undergone bilateral reduction mammoplasty between July 2013 and August 2017 were retrospectively examined. Patients not subjected to infiltration were described as Group 1, patients infiltrated with adrenalin 100cc were described as Group 2, and patients infiltrated with adrenalin 500cc were described as Group 3. Results: The average decrease in the hemoglobin level (bleeding) after the operation was calculated to be 3.4±0.97 in Group 1, 2.8±0.83 in Group 2, 1.0±0.46 in Group 3 and the average amount of bleeding in Group 2 and Group 3 in comparison with Group 1 and the average amount of bleeding in Group 3 in comparison with Group 2 were statistically significantly lower (p<0.001). Discussion: The infiltration of adrenaline in the same concentration with a fluid of a higher volume decreases blood loss after the reduction mammoplasty operation.

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Outpatient reduction mammaplasty: An eleven-year experience

Cited by 56 publications

References 24 publications

The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy

The Effect of Plasmakinetic Cautery on Wound Healing and Complications in Mastectomy

229. The effect of plasmakinetic cautery on wound healing and complications in mastectomy

The effect of high volume adrenalin solution infiltration on blood loss in reduction mammaplasty

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