Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.

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Version: Final published version
License: Not specified
Serval ID
serval:BIB_7BED446D87DF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.
Journal
BMC surgery
Author(s)
Gié O., Matthey-Gié M.L., Marques-Vidal P.M., Demartines N., Matter M.
ISSN
1471-2482 (Electronic)
ISSN-L
1471-2482
Publication state
Published
Issued date
21/03/2017
Peer-reviewed
Oui
Volume
17
Number
1
Pages
27
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Randomized Controlled Trial
Publication Status: epublish
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.
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).
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).
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.
Clinical Trial NCT02476357 . Registered 20 of February 2015.
Keywords
Adult, Aged, Axilla, Drainage, Female, Groin, Humans, Lymph, Lymph Node Excision/adverse effects, Lymph Node Excision/instrumentation, Male, Middle Aged, Prospective Studies, Seroma/etiology, Seroma/therapy, Ultrasonic Surgical Procedures/instrumentation
Pubmed
Open Access
Yes
Create date
28/03/2017 16:40
Last modification date
29/03/2020 5:20
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