A Comparative Study of the Use of Harmonic Scalpel versus Unipolar Cautery in Modified Radical Mastectomy.
Identifieur interne : 000161 ( PubMed/Corpus ); précédent : 000160; suivant : 000162A Comparative Study of the Use of Harmonic Scalpel versus Unipolar Cautery in Modified Radical Mastectomy.
Auteurs : Pallavi Mittal ; Ashwani Kumar ; Sunmeet Kaur ; Paras Kumar Pandove ; Rachan Lal Singla ; Jagpal SinghSource :
- Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society [ 1117-6806 ]
Abstract
Oncosurgery is an emerging branch with the set goals of prolonging the life and ensuring the best possible quality of life to the surviving patient. The use of harmonic scalpel has proved to be beneficial in a variety of surgeries but its role in breast surgery is still controversial.
DOI: 10.4103/1117-6806.199962
PubMed: 28584507
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Comparative Study of the Use of Harmonic Scalpel versus Unipolar Cautery in Modified Radical Mastectomy.</title><author><name sortKey="Mittal, Pallavi" sort="Mittal, Pallavi" uniqKey="Mittal P" first="Pallavi" last="Mittal">Pallavi Mittal</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Kumar, Ashwani" sort="Kumar, Ashwani" uniqKey="Kumar A" first="Ashwani" last="Kumar">Ashwani Kumar</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Kaur, Sunmeet" sort="Kaur, Sunmeet" uniqKey="Kaur S" first="Sunmeet" last="Kaur">Sunmeet Kaur</name><affiliation><nlm:affiliation>Medical Student, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Pandove, Paras Kumar" sort="Pandove, Paras Kumar" uniqKey="Pandove P" first="Paras Kumar" last="Pandove">Paras Kumar Pandove</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Singla, Rachan Lal" sort="Singla, Rachan Lal" uniqKey="Singla R" first="Rachan Lal" last="Singla">Rachan Lal Singla</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Singh, Jagpal" sort="Singh, Jagpal" uniqKey="Singh J" first="Jagpal" last="Singh">Jagpal Singh</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2017 Jan-Jun</MedlineDate></PubDate></date><idno type="RBID">pubmed:28584507</idno><idno type="pmid">28584507</idno><idno type="doi">10.4103/1117-6806.199962</idno><idno type="wicri:Area/PubMed/Corpus">000161</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000161</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A Comparative Study of the Use of Harmonic Scalpel versus Unipolar Cautery in Modified Radical Mastectomy.</title><author><name sortKey="Mittal, Pallavi" sort="Mittal, Pallavi" uniqKey="Mittal P" first="Pallavi" last="Mittal">Pallavi Mittal</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Kumar, Ashwani" sort="Kumar, Ashwani" uniqKey="Kumar A" first="Ashwani" last="Kumar">Ashwani Kumar</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Kaur, Sunmeet" sort="Kaur, Sunmeet" uniqKey="Kaur S" first="Sunmeet" last="Kaur">Sunmeet Kaur</name><affiliation><nlm:affiliation>Medical Student, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation></affiliation></author><author><name sortKey="Pandove, Paras Kumar" sort="Pandove, Paras Kumar" uniqKey="Pandove P" first="Paras Kumar" last="Pandove">Paras Kumar Pandove</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Singla, Rachan Lal" sort="Singla, Rachan Lal" uniqKey="Singla R" first="Rachan Lal" last="Singla">Rachan Lal Singla</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author><author><name sortKey="Singh, Jagpal" sort="Singh, Jagpal" uniqKey="Singh J" first="Jagpal" last="Singh">Jagpal Singh</name><affiliation><nlm:affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society</title><idno type="ISSN">1117-6806</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Oncosurgery is an emerging branch with the set goals of prolonging the life and ensuring the best possible quality of life to the surviving patient. The use of harmonic scalpel has proved to be beneficial in a variety of surgeries but its role in breast surgery is still controversial.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28584507</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>06</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1117-6806</ISSN><JournalIssue CitedMedium="Print"><Volume>23</Volume><Issue>1</Issue><PubDate><MedlineDate>2017 Jan-Jun</MedlineDate></PubDate></JournalIssue><Title>Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society</Title><ISOAbbreviation>Niger J Surg</ISOAbbreviation></Journal><ArticleTitle>A Comparative Study of the Use of Harmonic Scalpel versus Unipolar Cautery in Modified Radical Mastectomy.</ArticleTitle><Pagination><MedlinePgn>20-25</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/1117-6806.199962</ELocationID><Abstract><AbstractText Label="CONTEXT" NlmCategory="BACKGROUND">Oncosurgery is an emerging branch with the set goals of prolonging the life and ensuring the best possible quality of life to the surviving patient. The use of harmonic scalpel has proved to be beneficial in a variety of surgeries but its role in breast surgery is still controversial.</AbstractText><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">We conducted this study to compare the intraoperative and postoperative outcomes in modified radical mastectomy using harmonic scalpel versus electrocautery.</AbstractText><AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Fifty female patients with confirmed diagnosis of breast carcinoma and planned for modified radical mastectomy were taken up for surgery. Twenty-five patients were operated using harmonic scalpel (Group A) and another 25 were operated using unipolar cautery (Group B).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean operative time was significantly longer with harmonic scalpel when compared to that with electrocautery (140.40 ± 29.96 vs. 99.80 ± 24.00 min, P < 0.001). The smaller amount of drainage content (431.60 ± 145.94 vs. 594.20 ± 278.63, P = 0.013) and intraoperative blood loss (426.00 ± 76.54 vs. 502.00 ± 104.56, P = 0.005) in the group operated with the ultrasound harmonic scalpel was statistically significant. There was no significant difference between the groups with regard to drain duration (5.24 ± 0.97, P = 0.127), seroma (12% vs. 16%, P = 0.684), hematoma (4% vs. 4%, P = 1.000), wound infection (24% vs. 32%, P = 0.529), flap necrosis (8% vs. 28%, P = 0.066), pain intensity (measured on visual analog scale) (5.08 ± 1.29 vs. 5.20 ± 1.68, P = 0.778), and lymphedema (4% vs. 8%, P = 0.552). The length of hospital stay could not be compared effectively because all the patients were discharged on the 10(th) or 11(th) postoperative day. The cost of the equipment used in the electrocautery group was almost negligible as compared to the harmonic group.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of harmonic scalpel versus electrocautery is somewhat advantageous but not cost-effective.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mittal</LastName><ForeName>Pallavi</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kumar</LastName><ForeName>Ashwani</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaur</LastName><ForeName>Sunmeet</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Medical Student, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pandove</LastName><ForeName>Paras Kumar</ForeName><Initials>PK</Initials><AffiliationInfo><Affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singla</LastName><ForeName>Rachan Lal</ForeName><Initials>RL</Initials><AffiliationInfo><Affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singh</LastName><ForeName>Jagpal</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Surgery, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Niger J Surg</MedlineTA><NlmUniqueID>101189891</NlmUniqueID><ISSNLinking>1117-6806</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Med J Malaysia. 2013 Jun;68(3):204-7</RefSource><PMID Version="1">23749007</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Surg Oncol. 2000 Jul;74(3):204-7</RefSource><PMID Version="1">10951418</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Pak Med Assoc. 2000 Jun;50(6):174-7</RefSource><PMID Version="1">10979621</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg Oncol. 2014 Mar;21(3):808-14</RefSource><PMID Version="1">24232511</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 1998 Jul;176(1):8-11</RefSource><PMID 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