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

Abstract

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.

Comparative analysis on the effect of low‐thermal plasma dissection device (PEAK PlasmaBlade) vs conventional electrosurgery in post‐bariatric abdominoplasty: A retrospective randomised clinical study

“…Also, Dogan et al found 35% less drainage volume in patients undergoing modified radical mastectomy and using PlasmaBlade compared with conventional electrosurgery. 19 These findings are consistent with lower seroma incidence and can result from the lower PEAK PlasmaBlade temperature and reduced thermal injury to adjacent structures, such as small vessels and lymphatics.…”

“…In a prospective, randomised, and controlled clinical study of 20 patients undergoing abdominoplasty using scalpel, PlasmaBlade, and conventional electrosurgery for full‐thickness skin incisions, results of the PlasmaBlade showed 74% less thermal injury depth and 65% and 42% stronger healed wound strength at 3 and 6 weeks compared with conventional electrosurgery . In patients undergoing mastectomy, PlasmaBlade also shortened the drainage duration time and reduced the drainage amount compared with electrocautery . As recently shown, PEAK PlasmaBlade, used in patients undergoing post‐bariatric body‐contouring procedures, such as brachioplasty and thighplasty, caused significantly less total volume of drain output and fewer postoperative seroma compared with conventional electrosurgery …”

“…3 In patients undergoing mastectomy, PlasmaBlade also shortened the drainage duration time and reduced the drainage amount compared with electrocautery. 19 As recently shown, PEAK PlasmaBlade, used in patients undergoing post-bariatric body-contouring procedures, such as brachioplasty and thighplasty, caused significantly less total volume of drain output and fewer postoperative seroma compared with conventional electrosurgery. 4 In this retrospective clinical study, two groups of postbariatric patients undergoing body-contouring abdominoplasties, using PEAK PlasmaBlade and conventional electrosurgery, were compared to demonstrate that decreased thermal injury by PEAK PlasmaBlade can lead to improved human wound healing in this special patient population.…”

Wound healing and postsurgical complications in breast cancer surgery: a comparison between PEAK PlasmaBlade and conventional electrosurgery – a preliminary report of a case series

“…An interesting study, conducted by Dogan et al [9], showed that plasmakinetic surgery in mastectomy shortens the drainage amount and duration compared to electrocautery.…”

Comparative Morphological Effects of Cold-Blade, Electrosurgical, and Plasma Scalpels on Dog Skin

“…The technology on which Onemytis ® is based is the transformation of the air into an energy conductor thanks to the generation of high-voltage pulses through a high-frequency sinusoidal oscillator. In this way, the device can also operate without direct contact, using the air column interposed between the handpiece and the tip as an energy conductor, and not exceeding an average dissipation temperature of 50 °C [14]. In addition, the plasma scalpel confines its effect on the target tissue or vessel without carbonization, and with minimal The data show that for the ES, the effects of the plasma and electric scalpels were significantly higher than the cold blade up to 600 µm (p < 0.05), with a greater difference for the electric scalpel compared to the plasma.…”