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Surgical Techniques Development
Volume 7
Issue 1
10.4081/std.2017.7011
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Surgical Techniques Development is published by MDPI from Volume 11 Issue 1 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

Comparison of Electrocautery and Plasmablade on Ischemia and Seroma Formation after Modified Radical Mastectomy for Locally Advanced Breast Cancer

by
Husnu Alptekin
1,
Huseyin Yılmaz
1,
Bahadir Ozturk
2,
Ilhan Ece
1,*,
Mehmet Ertugrul Kafali
1 and
Fahrettin Acar
1
1
Department of Surgery, Faculty of Medicine, Selcuk University, Konya 42075, Turkey
2
Department of Biochemistry, Faculty of Medicine, Selcuk University, Konya 42075, Turkey
*
Author to whom correspondence should be addressed.
Surg. Tech. Dev. 2017, 7(1), 7011; https://doi.org/10.4081/std.2017.7011
Submission received: 18 December 2016 / Revised: 27 February 2017 / Accepted: 28 February 2017 / Published: 9 August 2017

Abstract

The aim of this study was to compare postoperative drainage volumes and IMA levels in patients who underwent modified radical mastectomy (MRM) with using PlasmaBlade (PB) or electrocautery (EC). A total of 36 patients who underwent MRM with PB or EC in our clinic between August 2012 to February 2013 were enrolled. Number of removed and positive lymph nodes, duration of drainage and total drainage volume was recorded. Seroma formation after drain removal and number of aspirations were also recorded. Serum ischemia modified albümine (IMA) levels were analysed before surgery, 1 h and 24 h after surgery. In total, 36 patients were treated with MRM in the study period. Of the 36 patients, 16 underwent MRM with PB, and 20 underwent MRM with EC. The patients demographics were similar in both groups. The mean drainage volume and seroma formation were significantly higher in the PB group when compared with EC group (p < 0.05). Number of aspirations due to the seroma were also high in PB group. The total aspiration volume of seroma was not different in both groups. IMA levels 24 h after surgery in the PB group was significantly higher than EC group. There was no statistical significance between the groups for IMA levels at 1st hour. PB is a monopolar energy device and is associated with increased levels of ischemia. This situation resulted with an increased volume of total axillary drainage and elevated risk of seroma formation.
Keywords: ischemia modified albumin; breast; cancer; surgery; morbidity ischemia modified albumin; breast; cancer; surgery; morbidity

Share and Cite

MDPI and ACS Style

Alptekin, H.; Yılmaz, H.; Ozturk, B.; Ece, I.; Kafali, M.E.; Acar, F. Comparison of Electrocautery and Plasmablade on Ischemia and Seroma Formation after Modified Radical Mastectomy for Locally Advanced Breast Cancer. Surg. Tech. Dev. 2017, 7, 7011. https://doi.org/10.4081/std.2017.7011

AMA Style

Alptekin H, Yılmaz H, Ozturk B, Ece I, Kafali ME, Acar F. Comparison of Electrocautery and Plasmablade on Ischemia and Seroma Formation after Modified Radical Mastectomy for Locally Advanced Breast Cancer. Surgical Techniques Development. 2017; 7(1):7011. https://doi.org/10.4081/std.2017.7011

Chicago/Turabian Style

Alptekin, Husnu, Huseyin Yılmaz, Bahadir Ozturk, Ilhan Ece, Mehmet Ertugrul Kafali, and Fahrettin Acar. 2017. "Comparison of Electrocautery and Plasmablade on Ischemia and Seroma Formation after Modified Radical Mastectomy for Locally Advanced Breast Cancer" Surgical Techniques Development 7, no. 1: 7011. https://doi.org/10.4081/std.2017.7011

APA Style

Alptekin, H., Yılmaz, H., Ozturk, B., Ece, I., Kafali, M. E., & Acar, F. (2017). Comparison of Electrocautery and Plasmablade on Ischemia and Seroma Formation after Modified Radical Mastectomy for Locally Advanced Breast Cancer. Surgical Techniques Development, 7(1), 7011. https://doi.org/10.4081/std.2017.7011

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