Prospective randomized comparison of conventional instruments and the Harmonic Focus® device in breast-conserving therapy for primary breast cancer

Böhm, Daniel; Kubitza, A; Lebrecht, Antje; Schmidt, Marcus; Gerhold‐Ay, Aslihan; Battista, MJ; Stewen, Kathrin; Solbach, Christine; Kölbl, H.

doi:10.1016/j.ejso.2011.11.003

Cited by 24 publications

(24 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In their prospective randomized trial, Böhm et al found no difference regarding the operative time, but less drainage volume in the breast and the axilla, less intramammary seroma and hematoma, less axillary seroma and less pain in the Harmonic surgery arm. These differences were all statistically significant and the risk of an axillary seroma was even lowered by 70% using the Harmonic scalpel [27]. In contrast to these findings, a recently published meta-analysis including 6 studies comparing electrocautery with ultrasonic dissection in mastectomy did not find any differences [28].…”

Section: Ultrasonic Dissection -The Harmonic Focuscontrasting

confidence: 40%

“…The use in breast surgery was evaluated in different studies that focused on mastectomies or axillary dissection (summarized in [27], meta-analysis [28]), but a recently published study by Böhm et al [27] evaluated the use of ultrasonic dissection in BCS. The authors used the Harmonic Focus ® Curved Shears (Ethicon Endo-Surgery, Norderstedt, Germany) ( fig.…”

Section: Ultrasonic Dissection -The Harmonic Focusmentioning

confidence: 99%

See 1 more Smart Citation

New Technologies in Breast Cancer Surgery

Thill

Baumann

2012

Breast Care

View full text Add to dashboard Cite

Since breast-conserving surgery has become the gold standard for early breast cancer, the development of less radical or less burdensome technologies has been pressed for in order to preserve the patient from unnecessary harm through the operative procedure. Different technical approaches are under evaluation, and some of them are already being used in the clinical setting. The aim of this article is to present a perspective on future breast cancer surgery by shedding light on the current innovative and new techniques.

show abstract

Section: Ultrasonic Dissection -The Harmonic Focuscontrasting

confidence: 40%

Section: Ultrasonic Dissection -The Harmonic Focusmentioning

confidence: 99%

New Technologies in Breast Cancer Surgery

Thill

Baumann

2012

Breast Care

View full text Add to dashboard Cite

show abstract

“…1). Articles investigating different instruments/surgical techniques [25,26,27], postsurgical physiotherapy [28], or breast infections without relation to the insertion of drains [29,30] were excluded. This left the 3 articles from Taylor et al [5], Andeweg et al [31], and Garbay et al [32].…”

Section: Resultsmentioning

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

“…Among the Harmonic instruments available, the CS-14-C® and the Ace® are the most frequently used for abdominal procedures. The Focus device was originally designed for head and neck surgery or breast surgery with axillary lymph node dissection [2,5]. However, in our opinion, the CS-14-C and Ace devices are cumbersome and are less ergonomic than the Focus shears, especially for the fine grasping and careful dissection required for resection in cancer of the pancreas head.…”

Section: Discussionmentioning

confidence: 95%

Pancreaticoduodenectomy with Harmonic Focust Curved Shears for Cancer

et al. 2014

View full text Add to dashboard Cite

Ultrasonically activated shears enable the effective cutting and hemostasis of tissue, and have been shown to offer significant benefits in surgical procedures requiring fine dissection. Harmonic Focust, one of the latest ultrasonic devices, is a clip-like, light-weight, hand-held instrument with curved thin shears. Experience with Harmonic Focus in pancreatic surgery is limited. We have performed more than 1,000 pancreatic resections with this device. It may well represent a valuable tool for the extensive tissue and vascular dissection that is required in pancreaticoduodenectomy. In particular, Harmonic Focus performs very well in lymph node dissection, which is central in cancer surgery. In this report, we describe pancreaticoduodenectomy for pancreatic-head and periampullary cancer with the Harmonic Focus device. i 2014 S. Karger AG, Basel

show abstract

Prospective randomized comparison of conventional instruments and the Harmonic Focus® device in breast-conserving therapy for primary breast cancer

Cited by 24 publications

References 25 publications

New Technologies in Breast Cancer Surgery

New Technologies in Breast Cancer Surgery

Should a Drain Be Placed in Early Breast Cancer Surgery?

Pancreaticoduodenectomy with Harmonic Focust Curved Shears for Cancer

Contact Info

Product

Resources

About