Is ultracision knife safe and efficient for breast capsulectomy? A preliminary study.

Details

Serval ID
serval:BIB_0C2E99CA79CA
Type
Article: article from journal or magazin.
Collection
Publications
Title
Is ultracision knife safe and efficient for breast capsulectomy? A preliminary study.
Journal
Aesthetic Plastic Surgery
Author(s)
Tremp M., di Summa P.G., Schaakxs D., Rieger U., Raffoul W., Schaefer D.J., Kalbermatten D.F.
ISSN
1432-5241 (Electronic)
ISSN-L
0364-216X
Publication state
Published
Issued date
2012
Volume
36
Number
4
Pages
888-893
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
Abstract
BACKGROUND: Silicone breast implants are used to a wide extent in the field of plastic surgery. However, capsular contracture remains a considerable concern. This study aimed to analyze the effectiveness and applicability of an ultracision knife for capsulectomy breast surgery.
METHODS: A prospective, single-center, randomized study was performed in 2009. The inclusion criteria specified female patients 20-80 years of age with capsular contracture (Baker 3-4). Ventral capsulectomy was performed using an ultracision knife on one side and the conventional Metzenbaum-type scissors and surgical knife on the collateral side of the breast. Measurements of the resected capsular ventral fragment, operative time, remaining breast tissue, drainage time, seroma and hematoma formation, visual analog scale pain score, and sensory function of the nipple-areola complex were assessed. In addition, histologic analysis of the resected capsule was performed.
RESULTS: Five patients (median age, 59.2 years) were included in this study with a mean follow-up period of 6 months. Three patients had Baker grade 3 capsular contracture, and two patients had Baker grade 4 capsular contracture. The ultracision knife was associated with a significantly lower pain score, shorter operative time, smaller drainage volume, and shorter drainage time and resulted in a larger amount of remaining breast tissue. Histologic analysis of the resected capsule showed no apoptotic cells in the study group or control group.
CONCLUSIONS: The results suggest that ventral capsulectomy with Baker grade 3 or 4 contracture using the ultracision knife is feasible, safe, and more efficient than blunt dissection and monopolar cutting diathermy and has a short learning curve.
LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.
Keywords
Adult, Aged, Aged, 80 and over, Breast/pathology, Breast/surgery, Breast Diseases/etiology, Breast Diseases/surgery, Breast Implants/adverse effects, Contracture/etiology, Contracture/surgery, Female, Follow-Up Studies, Humans, Middle Aged, Prospective Studies, Treatment Outcome, Ultrasonic Surgical Procedures/methods, Young Adult
Pubmed
Web of science
Create date
10/10/2016 7:59
Last modification date
02/06/2020 5:26
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