Healing comparison of porcine cutaneous incisions made with cold steel scalpel, standard electrosurgical blade, and a novel tissue dissector

Wu, Albert Y.; Baldwin, Thomas J.; Patel, Bhupendra C.; Clymer, Jeffrey W.

doi:10.15761/mri.1000124

Cited by 2 publications

(3 citation statements)

References 20 publications

(25 reference statements)

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“…Using the scalpel, a traditional instrument offers a relatively fast healing time, fewer scars, and almost no lateral tissue damage. 9 However, it does not provide hemostasis, causing difficulty in visualization during incision. Moreover, incision using a scalpel requires skin stretching and handheld pressure to ensure minimal slanting in complicated cases, especially in older patients with fragile outer skin layers, a thin and translucent epidermis, minimal dermis, and a hypodermis with weakened tissue support.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Moreover, incision using a scalpel requires skin stretching and handheld pressure to ensure minimal slanting in complicated cases, especially in older patients with fragile outer skin layers, a thin and translucent epidermis, minimal dermis, and a hypodermis with weakened tissue support. 9,10 Heat-producing incisional techniques such as electrocautery are better than scalpels in terms of hemostasis function; however, their effect on lateral tissue damage and scar formation remains a concern. Ammar et al 11 conducted a systematic review and meta-analysis review that compared cutting electrocautery with the scalpel in surgery.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Colorado Needle Electrocautery and Traditional Scalpel for Upper Eyelid Blepharoplasty Incision: A Randomized Controlled Trial and Systematic Review

Pruksapong,

Jankajorn,

Burusapat

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Upper eyelid blepharoplasty is a popular aesthetic surgery. Electrocautery provides a hemostatic benefit for skin incision; however, its effect on scar cosmesis remains unclear, especially in Asian skin types. We aimed to compare the Colorado needle electrocautery pure cutting mode and the traditional scalpel to determine their efficacy, complications, and cosmetic outcomes. Methods: A systematic review was performed to review the outcome with the conventional method (scalpel) and other methods in upper blepharoplasty procedures. Further, a prospective intraindividual randomized controlled trial was conducted to compare the efficacy of Colorado needle electrocautery and the scalpel in upper blepharoplasty. Study outcomes included scar quality at different times until 1-year postoperation, bleeding during incision, and postoperative ecchymosis. Results: Five articles met the inclusion criteria for this systematic review. The prospective randomized controlled trial study included 30 patients; the average incisional time on the electrocautery side was significantly longer than that on the scalpel side, and the electrocautery side had less blood loss during incision than the scalpel side (2.4 versus 3.27 using average cotton bud sticks, respectively) (P < 0.001). Hypopigmented scarring occurred more frequently on the scalpel side; however, the difference was not statistically significant. Conclusions: Colorado needle electrocautery pure cutting mode can be an alternative to traditional scalpel for upper eyelid blepharoplasty skin incision because of long-term scar quality. Electrocautery use has hemostatic benefits, leading to a decrease in bleeding that can obscure the incision site. However, the incision time on the electrocautery side was significantly longer than the scalpel side, which may be owing to an adaptation of surgical technique.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Colorado Needle Electrocautery and Traditional Scalpel for Upper Eyelid Blepharoplasty Incision: A Randomized Controlled Trial and Systematic Review

Pruksapong,

Jankajorn,

Burusapat

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Advances and safe use of energy devices in lung cancer surgery

Homma

2022

Gen Thorac Cardiovasc Surg

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Objectives A clear understanding of energy devices would help achieve high effectiveness and safety and guide the selection of devices. The present review aimed to elucidate the efficacy and adverse events of energy devices in lung cancer to guide the selection of appropriate devices depending on the situation. Methods Four major databases were searched electronically for relevant articles published until 16 April 2021. The reference lists of the identified papers were examined. We excluded (1) irrelevant studies, (2) manuscripts published in languages other than English and Japanese, (3) duplicates, and (4) studies for which the full text was not available in the databases. The results and key information obtained were summarized by means of a narrative approach. Results A total of 78 papers were included in the review and these were categorized according to the main topic of investigation as follows: (1) electrosurgery-related injuries, (2) fundamentals of electrosurgery, (3) monopolar devices, (4) bipolar electrosurgical devices, (5) ultrasonic energy devices, (6) energy devices in lung cancer surgery, (7) operating room fire risks, and (8) basic principles of surgery. Conclusions Understanding energy devices could help us use them in a more effective and safer manner. Knowledge of their selection criteria (suitability), merits, risks, and safety precautions relevant to each process of lung cancer surgery could guide appropriate selection.

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Healing comparison of porcine cutaneous incisions made with cold steel scalpel, standard electrosurgical blade, and a novel tissue dissector

Cited by 2 publications

References 20 publications

Comparison of Colorado Needle Electrocautery and Traditional Scalpel for Upper Eyelid Blepharoplasty Incision: A Randomized Controlled Trial and Systematic Review

Comparison of Colorado Needle Electrocautery and Traditional Scalpel for Upper Eyelid Blepharoplasty Incision: A Randomized Controlled Trial and Systematic Review

Advances and safe use of energy devices in lung cancer surgery

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