Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.
Identifieur interne : 000297 ( PubMed/Corpus ); précédent : 000296; suivant : 000298Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.
Auteurs : Olivier Gié ; Marie-Laure Matthey-Gié ; Pedro-Manuel Marques-Vidal ; Nicolas Demartines ; Maurice MatterSource :
- BMC surgery [ 1471-2482 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Seroma.
- instrumentation : Lymph Node Excision, Ultrasonic Surgical Procedures.
- therapy : Seroma.
- Adult, Aged, Axilla, Drainage, Female, Groin, Humans, Lymph, Male, Middle Aged, Prospective Studies.
Abstract
Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection.
DOI: 10.1186/s12893-017-0222-1
PubMed: 28327108
Links to Exploration step
pubmed:28327108Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.</title><author><name sortKey="Gie, Olivier" sort="Gie, Olivier" uniqKey="Gie O" first="Olivier" last="Gié">Olivier Gié</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland. olivier.gie@chuv.ch.</nlm:affiliation></affiliation></author><author><name sortKey="Matthey Gie, Marie Laure" sort="Matthey Gie, Marie Laure" uniqKey="Matthey Gie M" first="Marie-Laure" last="Matthey-Gié">Marie-Laure Matthey-Gié</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Marques Vidal, Pedro Manuel" sort="Marques Vidal, Pedro Manuel" uniqKey="Marques Vidal P" first="Pedro-Manuel" last="Marques-Vidal">Pedro-Manuel Marques-Vidal</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Demartines, Nicolas" sort="Demartines, Nicolas" uniqKey="Demartines N" first="Nicolas" last="Demartines">Nicolas Demartines</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Matter, Maurice" sort="Matter, Maurice" uniqKey="Matter M" first="Maurice" last="Matter">Maurice Matter</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28327108</idno><idno type="pmid">28327108</idno><idno type="doi">10.1186/s12893-017-0222-1</idno><idno type="wicri:Area/PubMed/Corpus">000297</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000297</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.</title><author><name sortKey="Gie, Olivier" sort="Gie, Olivier" uniqKey="Gie O" first="Olivier" last="Gié">Olivier Gié</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland. olivier.gie@chuv.ch.</nlm:affiliation></affiliation></author><author><name sortKey="Matthey Gie, Marie Laure" sort="Matthey Gie, Marie Laure" uniqKey="Matthey Gie M" first="Marie-Laure" last="Matthey-Gié">Marie-Laure Matthey-Gié</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Marques Vidal, Pedro Manuel" sort="Marques Vidal, Pedro Manuel" uniqKey="Marques Vidal P" first="Pedro-Manuel" last="Marques-Vidal">Pedro-Manuel Marques-Vidal</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Demartines, Nicolas" sort="Demartines, Nicolas" uniqKey="Demartines N" first="Nicolas" last="Demartines">Nicolas Demartines</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Matter, Maurice" sort="Matter, Maurice" uniqKey="Matter M" first="Maurice" last="Matter">Maurice Matter</name><affiliation><nlm:affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</nlm:affiliation></affiliation></author></analytic><series><title level="j">BMC surgery</title><idno type="eISSN">1471-2482</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Drainage</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymph</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (instrumentation)</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Seroma (etiology)</term><term>Seroma (therapy)</term><term>Ultrasonic Surgical Procedures (instrumentation)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Seroma</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Lymph Node Excision</term><term>Ultrasonic Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Seroma</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Drainage</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymph</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28327108</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>22</Day></DateCreated><DateCompleted><Year>2017</Year><Month>05</Month><Day>02</Day></DateCompleted><DateRevised><Year>2017</Year><Month>05</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2482</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Mar</Month><Day>21</Day></PubDate></JournalIssue><Title>BMC surgery</Title><ISOAbbreviation>BMC Surg</ISOAbbreviation></Journal><ArticleTitle>Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.</ArticleTitle><Pagination><MedlinePgn>27</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12893-017-0222-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Patients listed for a RLND or completion lymph node dissection (CLND) were enrolled in a prospective randomized trial to compare the impact of two surgical dissection techniques (USS versus control) on the amount of drained lymph. The lymph drained in 24 h was collected. Our primary endpoint was to compare the daily amount of drained lymph between the two groups. Secondary endpoints were the comparison of drained lymph with the BMI of the patients, the gender and the surgical site (axilla, groin).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighty patients were randomly assigned to the USS group or the Control (C) group. No difference was measured in the total amount of lymph drained (USS: 2908 ± 2453 ml vs. C: 3898 ± 5791 ml; p-value = 0.382). The result was also similar after adjusting for gender, age, and BMI. A significant higher amount of lymph was measured after inguinal dissection with USS compared to axillary (p < 0.001).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The study suggests that the use of Harmonic scalpel did not influence the amount of lymph drained after RLND and not support the theory that USS induces oversealing of lymphatics.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">Clinical Trial NCT02476357 . Registered 20 of February 2015.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gié</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland. olivier.gie@chuv.ch.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matthey-Gié</LastName><ForeName>Marie-Laure</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marques-Vidal</LastName><ForeName>Pedro-Manuel</ForeName><Initials>PM</Initials><AffiliationInfo><Affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Demartines</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matter</LastName><ForeName>Maurice</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Surg</MedlineTA><NlmUniqueID>100968567</NlmUniqueID><ISSNLinking>1471-2482</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Jpn J Clin Oncol. 2006 Apr;36(4):197-206</RefSource><PMID Version="1">16684859</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast. 2009 Apr;18(2):109-14</RefSource><PMID Version="1">19289285</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Breast Cancer. 2011 Mar;14(1):58-63</RefSource><PMID Version="1">21847396</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Singapore Med J. 2002 May;43(5):226-8</RefSource><PMID Version="1">12188072</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg. 2008 Apr;247(4):687-93</RefSource><PMID Version="1">18362633</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Breast Cancer Res Treat. 2013 Nov;142(2):399-404</RefSource><PMID Version="1">24186056</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Surg Oncol. 2013 Jun;20(6):2056-64</RefSource><PMID Version="1">23370671</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>CA Cancer J Clin. 2000 Sep-Oct;50(5):292-307; 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discussion 1184</RefSource><PMID Version="1">26482511</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008196" MajorTopicYN="N">Lymph</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D049291" MajorTopicYN="N">Seroma</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059708" MajorTopicYN="N">Ultrasonic Surgical Procedures</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Harmonic scalpel</Keyword><Keyword MajorTopicYN="Y">Lymphatics</Keyword><Keyword MajorTopicYN="Y">Radical lymph node dissection</Keyword><Keyword MajorTopicYN="Y">Surgical morbidity</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>10</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>03</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28327108</ArticleId><ArticleId IdType="doi">10.1186/s12893-017-0222-1</ArticleId><ArticleId IdType="pii">10.1186/s12893-017-0222-1</ArticleId><ArticleId IdType="pmc">PMC5360050</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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