Comparison of Energy-Based Tissue Dissection Techniques in Abdominoplasty: A Randomized, Open-Label Study Including Economic Aspects

Abstract

All methods evaluated can be applied safely and effectively in abdominoplasty procedures. However, our data demonstrate a significantly higher blood loss for the Ultracision Harmonic Scalpel. Considering our clinical data, we are unable to find justification for the higher costs of PEAK and Ultracision methods.

Bilateral reduction mammaplasty with pulsed electron avalanche knife PlasmaBlade™ and conventional electrosurgical surgery: A retrospective, randomised controlled clinical trial

“…22 A randomised controlled trial comparing four different energy-based tissue dissection techniques for abdominoplasty calculated much higher costs for the PEAK PlasmaBlade™, with no significant differences in wound-healing complications and drainage quantity. 23 In contrast, Kypta et al found significantly reduced procedure times and hospital stays for the PEAK PlasmaBlade™, as well as a cost savings of approximately €120 per patient in a retrospective analysis of techniques used for cardiovascular device replacement. 24 A review suggested that these results may be largely dependent on the nature of the operation and inconsistencies in evidence.…”

“…However, the same study found average overall procedural costs for the PEAK PlasmaBlade™ to be more than eight times as high as for monopolar electrocautery ($30.04 vs $246.95) 22 . A randomised controlled trial comparing four different energy‐based tissue dissection techniques for abdominoplasty calculated much higher costs for the PEAK PlasmaBlade™, with no significant differences in wound‐healing complications and drainage quantity 23 . In contrast, Kypta et al found significantly reduced procedure times and hospital stays for the PEAK PlasmaBlade™, as well as a cost savings of approximately €120 per patient in a retrospective analysis of techniques used for cardiovascular device replacement 24 .…”

Comparison of PEAK PlasmaBlade™ to conventional diathermy in abdominal-based free-flap breast reconstruction surgery—A single-centre double-blinded randomised controlled trial

“…The favorable wound healing profile and reduced zone of thermal injury shown in the experimental studies was at low energy settings (3 = 6-Watt) in the cut mode. Clinical studies published in recent years show inconsistent results for both drain requirement and total drain output which could be due to poor study designs and other confounding factors [25][26][27]37].…”

Comparative healing of swine skin following incisions with different surgical devices

“…A prospective double-blinded randomized controlled trial showed that PB tonsillectomy achieved a faster postoperative recovery in terms of the time taken to achieve pain-free swallowing (31). However, no significant differences were found between PB and ES regarding postoperative bleeding (11,32,33), postoperative hematoma (9,11,14), and inflammatory responses (13). Therefore, more improvements should be made for better clinical effectiveness.…”

“…At present, this technology is widely used in surgical procedures abroad (9,10). However, there has been inconsistent evidence regarding the comparative effectiveness of PB and ES in terms of the length of procedure time, drainage volume (11,12), postoperative seroma (11,12), and postoperative infection rates (9,13,14). Therefore, more improvements should be made for better clinical effectiveness.…”