A comparative study of scalpel versus electrocautary with reference to seroma after modified radical mastectomy at tertiary health care center
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 3
Abstract
Background: Breast cancer is the most common malignancy and the major cause of cancer-related death in female population around the world. Besides breast conversation surgery modified radical mastectomy (MRM) still plays an important role in the operation for breast cancer. This study was conducted to compare two methods of tissue dissection in MRM i.e. harmonic scalpel and electrocautary. Aim and Objective: To study the comparison between Modified Radical Mastectomy performed by scalpel and electrocautary with reference to seroma formation. Methodology: prospective study carried out in 80 patients of breast cancer. Study was done in a tertiary care centre. Modified Radical Mastectomy was done by using harmonic scalpel in one group and by using electrocautary in other group. Boh the groups are compared for intraoperative and postoperative outcome specially seroma formation. Results and Discussion: The mean operation time for harmonic scalpel group (120.5±15.46min) was significantly more than for electrocautary group (90.4±12.07min) (p<0.05). Blood loss during operative procedure and drain volume was significantly lower in the harmonic scalpel group than the electrocautary group. The incidence of seroma formation was less in harmonic scalpel group (10%) than in electrocautery group (12.5%).
Authors and Affiliations
Pandit Shamrao Powar
Keywords
Related Articles
- EP ID EP361614
- DOI -
- Views 145
- Downloads 0
Study of clinical, laboratory and imaging parameters in diagnosing acute appendicitis
Objective: Aim of the study was to evaluate accuracy of Clinical, Laboratory and Imaging parameters in Diagnosing Acute Appendicitis Methods: A prospective study of 160 patients who were admitted to the Surgery Departmen...
Use of percutaneous nephrostomy tube for antegrade flushing during ureteroscopy
Background: Ureteroscopy(URS) is the first line treatment for most ureteric stones more than 1 cm in size. While performing URS for impacted stones with obstructive uropathy, the major problems encountered include poor v...
Safety and effectiveness of ultrasound-guided suprapubic cystolithotripsy for vesical calculi - A chart review
Background: We evaluated safety and effectiveness of a minimally invasive surgical technique involving ultrasound guided supra-pubic percutaneous access with desired size amplatz sheath placement under direct- vision for...
Failed back surgery syndrome:An update
The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar s...
Comprehensive study of blunt abdominal Injuries and its management
Background: The abdomen is a Pandora’s box and is commonly involved following blunt trauma. The trauma can be either from road traffic accidents, accidental fall from height, sports injury or violence. Blunt trauma can r...