Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Use of Ultrasonic Shears in Patients with Breast Cancer Undergoing Axillary Dissection—A Pilot Study

Use of Ultrasonic Shears in Patients with Breast Cancer Undergoing Axillary Dissection—A Pilot Study Abstract Patients with breast cancer and positive sentinel node biopsy usually require axillary dissection. Different instruments are used for axillary dissection like regular scalpel,monopolar cautery, bipolar cautery etc. All these instruments are having its advantages and disadvantages. Our dept did a pilot study to know the efficacy of ultrasonic shears over cautery for axillary dissection. Parameters considered were cumulative drain amount, number of days with the drain and number of lymphnodes harvested. Ultrasonic shear machine delivers precisely directed mechanical energy with an ultrasonic vibrating blade.A single device dissects, cuts, grasps, spot coagulates. This machine was used for doing axillary dissection in one group and regular cautery in the other group. Study period was from April 2011 to June 2011 at Dept of Surgical Oncology, St Johns Hospital, Bangalore. Nine people in the ultrasonic shear group and 11 people in the cautery group were included in the pilot study. No significant difference were noticed in the cumulative drain amount, number of days with the drain, and number of lymphnodes harvested in both the groups. Axillary dissection using ultrasonic shears do not show any significant difference in the cumulative drain amount, number of days with the drain, and number of lymphnodes harvested. These are the findings of the pilot study, further prospective randomized studies are required for substantiating the findings. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Indian Journal of Surgical Oncology Springer Journals

Use of Ultrasonic Shears in Patients with Breast Cancer Undergoing Axillary Dissection—A Pilot Study

Download PDF
3 pages

Loading next page...
 
/lp/springer-journals/use-of-ultrasonic-shears-in-patients-with-breast-cancer-undergoing-WqJg0nSsmO
Publisher
Springer Journals
Copyright
2011 Indian Association of Surgical Oncology
ISSN
0975-7651
eISSN
0976-6952
DOI
10.1007/s13193-011-0106-2
Publisher site
See Article on Publisher Site

Abstract

Abstract Patients with breast cancer and positive sentinel node biopsy usually require axillary dissection. Different instruments are used for axillary dissection like regular scalpel,monopolar cautery, bipolar cautery etc. All these instruments are having its advantages and disadvantages. Our dept did a pilot study to know the efficacy of ultrasonic shears over cautery for axillary dissection. Parameters considered were cumulative drain amount, number of days with the drain and number of lymphnodes harvested. Ultrasonic shear machine delivers precisely directed mechanical energy with an ultrasonic vibrating blade.A single device dissects, cuts, grasps, spot coagulates. This machine was used for doing axillary dissection in one group and regular cautery in the other group. Study period was from April 2011 to June 2011 at Dept of Surgical Oncology, St Johns Hospital, Bangalore. Nine people in the ultrasonic shear group and 11 people in the cautery group were included in the pilot study. No significant difference were noticed in the cumulative drain amount, number of days with the drain, and number of lymphnodes harvested in both the groups. Axillary dissection using ultrasonic shears do not show any significant difference in the cumulative drain amount, number of days with the drain, and number of lymphnodes harvested. These are the findings of the pilot study, further prospective randomized studies are required for substantiating the findings.

Journal

Indian Journal of Surgical Oncology – Springer Journals

Published: Sep 1, 2011

Keywords: surgical oncology; oncology; surgery

References

  • Electrocautery as a factor in seroma formation following mastectomy
    KA Porter, S O’Connor, E Rimm, M Lopez
  • Seroma formation after breast cancer surgery: incidence and predicting factors
    PA Woodworth, MF McBoyle, SD Helmer, RL Beamer
  • Usefulness of ultrasound scissors in reducing serous drainage after axillary dissection for breast cancer: a prospective randomized clinical study
    F Lumachi, P Burelli, SMM Basso, M Iacobone, M Ermani
  • A comparative study of modified radical mastectomy using harmonic scalpel and electrocautery
    SV Deo, NK Shukla, S Asthana, B Niranjan, G Srinivas
  • Mastectomy using ultrasonic dissection: effect on seroma formation
    H Galatius, M Okholm, J Hoffmann
  • Seroma prevention following axillary dissection in patients with breast cancer by using ultrasound scissors : a prospective clinical study
    F Lumachi
  • Axillary node clearance: who wants to immobilize the shoulder?
    DJ Browse, D Goble, PA Jones
  • A prospective randomized trial of high versus low vacuum drainage after axillary dissection for breast cancer
    J Bonnema, AN Geel, DA Ligstein, PIM Schmitz, T Wiggers
  • Early removal of drains and discharge of breast cancer surgery patients: a controlled prospective clinical trial
    M Yii, N Orr, C Murphy
  • The effect of pressure garment on post-surgical drainage and seroma formation in breast cancer patients
    CY Chen, AL Hoe, CY Wong
  • Comparison between low and high pressure drainage following axillary clearance
    A Wedderburn, R Gupta, N Bell, G Royale
  • A comparison of 5-day and 8-day drainage following mastect¬omy and axillary clearance
    R Gupta, K Patel, S Varshney, J Goddart, GT Royle
  • Sealing of postoperative axillary leakage after axillary lymphadenectomy using fibrin glue collagen patch: aprospective randomised study
    A Berger, C Tempfer, B Hartmann, P Kornprat, A Rossmann, G Neuwirth
  • Evaluation of axillary lymphadenectomy without axillary drainage for patients undergoing breast-conserving therapy
    J Zavotsky, RC Jones, MB Brennan, AE Giuliano
  • Seroma formation after breast cancer surgery: incidence and predicting factors
    PA Woodworth, MF McBoyle, SD Helmer, RL Beamer
  • A prospective audit of the use of a buttress suture to reduce seroma formation following axillary node dissection without drains
    M Achuijtvlot, AK Sahu, SJ Cawthorn