Comparison of PEAK PlasmaBlade™ to conventional diathermy in abdominal-based free-flap breast reconstruction surgery-A single-centre double-blinded randomised controlled trial.
J Plast Reconstr Aesthet Surg
; 74(8): 1731-1742, 2021 Aug.
Article
em En
| MEDLINE
| ID: mdl-33422499
ABSTRACT
BACKGROUND:
Electrosurgery makes dissection with simultaneous haemostasis possible. The produced heat can cause injury to the surrounding tissue. The PEAK PlasmaBlade™(PPB) is a new electrosurgery device which may overcome this by having the ability to operate on a lower temperature, therefore reducing collateral thermal damage.METHOD:
A single-centre, double-blinded, randomised controlled trial (RCT) was conducted which included 108 abdominal-based free-flap breast reconstruction patients who had their flap raise performed using either the PPB (nâ¯=â¯56) or the conventional diathermy (nâ¯=â¯52). Data were collected during their in-patient stay and out-patient appointments. The primary outcome value was the number of days the abdominal drains were required.RESULTS:
Baseline characteristics were similar between the groups, except a significantly lower flap weight in the PPB group. The median number of days the drains were required did not differ significantly (pâ¯=â¯0.48; 6.0 days for the diathermy and 5.0 days for the PPB). The total drain output (pâ¯=â¯0.68), the inflammatory cytokine in the drain fluid (p>0.054) and complications (p>0.24) did not differ significantly between the two groups. At the 2-week follow-up appointment, there was a trend towards less abdominal seromas on abdominal ultrasound (pâ¯=â¯0.09) in the PPB group which were significantly smaller (pâ¯=â¯0.04).CONCLUSION:
The use of the PPB did not result in a significant reduction of drain requirement, total drain output or inflammatory cytokines but did reduce the size of seroma collections at the 2-week follow-up appointment. Therefore, the use of the PPB device could reduce early seroma formation after drain removal.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
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Mamoplastia
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Diatermia
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Abdome
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Retalhos de Tecido Biológico
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Sítio Doador de Transplante
Tipo de estudo:
Clinical_trials
Limite:
Adult
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Female
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Humans
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Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article