Reduction in drainage with the use of a lower temperature device in nipple sparing mastectomy

Nestle-Kraemling, Carolin; Sadat, F; Sauer, N

doi:10.1055/s-0036-1583414

Cited by 1 publication

(2 citation statements)

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“…11,12 The low-thermal energy dissection technique has produced excellent results and reduced postoperative wound pain and seroma incidence in breast cancer surgery 13,14 and is thought to have a preventive effect on seroma in latissimus dorsi breast reconstruction procedures 15 and reduced drainage volumes in nipple-sparing mastectomy. 16 Apart from a manufacturer-sponsored clinical trial, 17 we were unable to identify a single study examining the operative performance of PEAK PlasmaBlade™ in breast reduction surgery. The aim of this study was, therefore, to examine the operative performance of PEAK PlasmaBlade™ in patients having bilateral reduction mammaplasty and compare them with traditional electrosurgery.…”

Section: Introductionmentioning

confidence: 99%

“…The PEAK PlasmaBlade™ has significantly lower working temperatures than conventional electrosurgery devices but seems to demonstrate both the same level of accuracy as the scalpel and the same amount of bleeding control as traditional electrosurgery technologies 11,12 . The low‐thermal energy dissection technique has produced excellent results and reduced postoperative wound pain and seroma incidence in breast cancer surgery 13,14 and is thought to have a preventive effect on seroma in latissimus dorsi breast reconstruction procedures 15 and reduced drainage volumes in nipple‐sparing mastectomy 16 . Apart from a manufacturer‐sponsored clinical trial, 17 we were unable to identify a single study examining the operative performance of PEAK PlasmaBlade™ in breast reduction surgery.…”

Section: Introductionmentioning

confidence: 99%

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

Schlosshauer

Kiehlmann

Rothenberger

et al. 2020

International Wound Journal

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Wound‐healing disorders are common complications in bilateral reduction mammaplasty. Traditional electrosurgical devices generate large amounts of thermal energy, often causing extensive thermal‐related collateral tissue damage. This study aimed to retrospectively analyse the operative performance of a novel low‐thermal plasma dissection device (pulsed electron avalanche knife—PEAK PlasmaBlade™) compared with traditional electrosurgery. Twenty patients with breast hypertrophy were randomly treated with PEAK PlasmaBlade™ on one breast and conventional electrosurgery on the other. Primary outcome measures were resection weight, drain duration, total drainage volume, and drain output on the first postoperative day. Breasts treated with PEAK PlasmaBlade™ had significantly higher resection weights (728.0 ± 460.1 g vs 661.6 ± 463.4 g; P = .038), significantly lower drain output on the first postoperative day (15.9 ± 15.2 mL vs 27.6 ± 23.5 mL; P = .023), and significantly lower drain durations (2.8 ± 1.0 days vs 3.3 ± 1.0 days; P = .030). Mean total drainage volume was lower where breast reduction was performed with PEAK PlasmaBlade™, but this difference was not significant. No major complications occurred, but wound‐healing disorders were documented in almost one‐third of the patients (35.0%, n = 7). The PEAK PlasmaBlade™ seems to be superior to conventional electrosurgery for bilateral reduction mammaplasty in terms of tissue damage and wound healing.

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