A Prospective Randomised Controlled Study Comparing Ultrasonic Dissector with Electrocautery for Axillary Dissection in Patients of Carcinoma Breast
| Autor: | Arun Kumar Gupta, C. K. Durga, Nikhil Gupta, Raghav Yelamanchi, Ananya Deori, Himanshu Agrawal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry modified radical mastectomy ultrasonic dissector axillary dissection monopolar electrocautery General Medicine Modified Radical Mastectomy medicine.disease Group B Surgery post-mastectomy seroma Sample size determination Seroma medicine Axillary Dissection Ultrasonic sensor In patient Original Article business Breast carcinoma |
| Zdroj: | The Malaysian Journal of Medical Sciences : MJMS |
| ISSN: | 2180-4303 1394-195X |
| Popis: | Background: Axillary dissection is one of the important components of modified radical mastectomy (MRM). The present study was conducted to compare surgical outcomes by using monopolar electrocautery and ultrasonic dissector for axillary dissection in MRM. Methods: A parallel randomised controlled single blinded study was conducted with a sample size of 70 patients who were randomised into two groups. One group underwent MRM using ultrasonic dissector (Group A) and the other one using electrocautery (Group B). Intra- and post-operative outcomes were compared. Results: Group A had an average operating time of 30.86 min, which was statistically less than that of Group B. The mean mop count and the daily drain output in Group A were less as compared to Group B and the differences were statistically significant. Drain was removed early in Group A as compared to Group B. However, post-operative pain scores and seroma formation were not statistically significant among the two groups. Conclusion: Ultrasonic dissector group had significantly lesser intra-operative bleeding, operating time and post-operative drain output when compared to electrocautery group. However, the two groups had no significant difference in post-operative pain scores and seroma formation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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