Seroma prevention following axillary dissection in patients with breast cancer by using ultrasound scissors: a prospective clinical study

Lumachi, Franco; Brandes, Alba A.; Burelli, Paolo; Basso, Stefano M.M.; Iacobone, Maurizio; Ermani, Mario

doi:10.1016/j.ejso.2004.03.003

Cited by 116 publications

(116 citation statements)

References 35 publications

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“…Browse et al practised shoulder immobilization vs free arm movements after axillary surgery [7]. Later Burak et al used Bovine thrombin application vs no application for controlling axillary drainage and seroma formation [6]. Some groups tried low vacuum drainage vs high vacuum drainage, long stay drain vs short stay drain, pressure garment vs non-pressure garment for reducing the axillary drainage [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Franco Lumanchi et al [2004] studied the usefulness of ultrasound scissors in reducing serous drainage after axillary dissection and found a significant [P < 0.05] reduction [3,6]. Deo SV et al [2002] [4] and Galatius H [3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasonic shear machine delivers precisely direct-ed mechanical energy with an ultrasonic vibrating blade. It has been proposed to seal lymphatics and there by reduce seroma formation and drain output [3,6].…”

Section: Methodsmentioning

confidence: 99%

“…Main parameters compared were cumulative drain amount and number of days with the drain. Since axillary drainage was directly proportional to the number of lymphnodes harvested, this parameter was also taken into consideration [3,6].…”

Section: Aimmentioning

confidence: 99%

“…Although different instruments are used for doing dissection like scalpel, monopolar, cautery, bipolar cautery, scissors etc.-there is no reduction in the amount of axillary drainage [1,2]. There are studies showing use of ultrasound shears reducing axillary drainage after axillary surgery for breast cancer [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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

Ramesh

Manjunath

Shivakumar

et al. 2011

Indian J Surg Oncol

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Aimmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Ramesh

Manjunath

Shivakumar

et al. 2011

Indian J Surg Oncol

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Modified Radical Mastectomy With Axillary Dissection Using the Electrothermal Bipolar Vessel Sealing System

Manouras

Markogiannakis²,

Genetzakis³

et al. 2008

Arch Surg

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Scientific surgery

2004

British Journal of Surgery

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Ninety-two women were randomized to undergo axillary dissection either with standard or ultrasound scissors. The rate of seroma formation was similar: 19/47 and 9/45, respectively (P = n.s.). In logistic regression analysis, size of tumour and total amount of drainage correlated with seroma rate. Switching to exemestane did not affect overall survival compared to maintenance tamoxifen in this trial that included 4742 women. Diseasefree survival after 3 years, however, was significantly improved: hazard ratio 0·68, 95 per cent confidence interval 0·56 to 0·82, P < 0·001, representing a 32 per cent reduction in risk.

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Seroma prevention following axillary dissection in patients with breast cancer by using ultrasound scissors: a prospective clinical study

Cited by 116 publications

References 35 publications

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

Modified Radical Mastectomy With Axillary Dissection Using the Electrothermal Bipolar Vessel Sealing System

Scientific surgery

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