Electrosurgical bipolar vessel sealing during axillary lymphadenectomy: A systematic review and meta-analysis

Pergialiotis, Vasilios; Kontzoglou, Konstantinos; Dimitroulis, Dimitirios; Vlachos, Dimitrios‐Efthymios; Routsolias, Panagiotis; Vlachos, Georgios

doi:10.3233/bd-140383

Cited by 7 publications

(3 citation statements)

References 16 publications

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“…To the best of our knowledge, there have been eight reports between 2007 and 2022 comparing LigaSure™ with conventional methods for axillary dissection in breast surgery; six of these were randomized controlled trials (RCTs) ( Table 5 ) [ 9 , 10 , [26] , [27] , [28] , [29] , [30] , [31] ]. Among these reports, a meta-analysis conducted by Pergialiotis et al based on three studies reported between 2007 and 2012 showed no significant difference in the overall effect between LigaSure™ and the conventional method in terms of total discharge and duration [ 32 ]. Even in previous models, LigaSure™ is designed to completely seal lymphatic vessels and therefore, when used appropriately, should result in less lymphatic leakage and drainage volume compared to the conventional method.…”

Section: Discussionmentioning

confidence: 99%

Total Sealing Technique (TST) with a bipolar vessel sealing system reduces lymphorrhea and seroma formation for axillary lymph node dissection in primary breast cancer

Ikeda,

Akahori,

Yokotani

et al. 2024

Surgery Open Science

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Section: Discussionmentioning

confidence: 99%

Total Sealing Technique (TST) with a bipolar vessel sealing system reduces lymphorrhea and seroma formation for axillary lymph node dissection in primary breast cancer

Ikeda,

Akahori,

Yokotani

et al. 2024

Surgery Open Science

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“…A previous meta-analysis of electrocauterization during axillary lymphadenectomy demonstrated it to be an equally safe option when compared to conventional suture ligation but also showed an increased incidence of seroma formation. This suggests a dependence on anatomical locality in regards to postoperative lymphatic complications [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Electrocauterization versus Ligation of Lymphatic Vessels to Prevent Lymphocele Development after Kidney Transplantation—A Meta-Analysis

Matrisch,

Lapshyn,

Nitschke

et al. 2024

JPM

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Background: Lymphoceles are amongst the most common complications following kidney transplantation. Therefore, effective strategies to prevent their development are needed. The ligation of lymphatic vessels has proven to be a successful concept for that purpose. However, whether electrocauterization or suture ligation is more effective is unclear. Methods: We conducted a meta-analysis using a random effects model with the log risk ratio as the primary outcome measure. Additionally, an analysis using a random effects model with the raw mean difference in lymphatic sealing time between suture ligation and electrocauterization was performed. Adequate studies were found in a literature search conducted in PubMed, CENTRAL and Web of Science as well as from independent sources. Results: A total of 8 studies including 601 patients were included in the analysis. The estimated average log risk ratio based on the random effects model was µ = −0.374 (95% CI: −0.949 to 0.201), which did not differ significantly from zero (z = −1.28, p = 0.2). The lymphatic sealing time was 7.28 (95% CI:1.25–13.3) minutes shorter in the electrocauterization group. Conclusions: We conclude that neither technique is superior for the purpose of lymphocele prevention post kidney transplantation, and secondary criteria like time savings, cost and surgeons’ preference should be considered in the decision for an optimal outcome.

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“…Several factors seem to contribute to the occurrence, extent, and severity of lymphedema, with obesity, the radicality of lymphadenectomy, and concurrent radiotherapy as the major risk factors. The adoption of precautionary measures, such as surgical ligation of lymphatic vessels at the lymphatic tissue dissection, has been reported to be preventative, even though larger prospective randomized studies are lacking [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Lower Limb Lymphedema Awareness among Gynecological Cancer Patients: An International Survey Supported by the European Network of Gynecological Cancer Advocacy Groups (ENGAGe) Group

Haidopoulos,

Pergialiotis,

Papageorgiou

et al. 2024

Cancers

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Introduction: Patient awareness of postoperative lymphedema in the field of gynecologic oncology has been poorly documented in the international literature. We wished to capture and document the awareness among gynecological cancer survivors about postoperative lymphedema, including aspects such as the adequacy of perioperative counseling, management, and quality of life. Methods: A web-based survey comprising 25 multiple-choice questions was distributed to gynecological cancer advocacy groups within the European Network of Gynecological Cancer Advocacy Groups (ENGAGe) group. The survey was validated in a pilot group of gynecological patients prior to distribution. Results: Overall, 386 women from 20 countries completed the questionnaire. Only half of the patients (n = 211) knew what lymphedema is, whereas 52% of the respondents stated that they were never informed at their pre-operative assessment about the potential risk of developing lymphedema. Fifty-three percent of those women who were informed about the risk and management of lymphedema received information through self-initiative, connecting mainly with patient groups or online. Approximately 84% of patients with lymphedema reported that they informed their doctor about their symptoms. Ninety-four patients (55.3%, which is not 55% of the 386) were treated for lymphedema. Forty-five women out of 136 reported that lymphedema significantly affected their everyday lives. Discussion: We report a large lack of awareness and a significant gap of knowledge about the risks and treatment options related to postoperative lymphedema among gynecological cancer survivors. Institutional practice routines and awareness among professionals need to be urgently recalled and adapted to adequately inform and support gynecological cancer patients.

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Electrosurgical bipolar vessel sealing during axillary lymphadenectomy: A systematic review and meta-analysis

Cited by 7 publications

References 16 publications

Total Sealing Technique (TST) with a bipolar vessel sealing system reduces lymphorrhea and seroma formation for axillary lymph node dissection in primary breast cancer

Total Sealing Technique (TST) with a bipolar vessel sealing system reduces lymphorrhea and seroma formation for axillary lymph node dissection in primary breast cancer

Electrocauterization versus Ligation of Lymphatic Vessels to Prevent Lymphocele Development after Kidney Transplantation—A Meta-Analysis

Lower Limb Lymphedema Awareness among Gynecological Cancer Patients: An International Survey Supported by the European Network of Gynecological Cancer Advocacy Groups (ENGAGe) Group

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