Efficacy of endoscopic-assisted transaxillary breast augmentation with ultrasonic scalpel and electroscalpel
10.3760/cma.j.issn.1671-0290.2022.03.006
- VernacularTitle:腋窝入路内窥镜下超声刀与电刀分离假体隆乳术的效果
- Author:
He CHEN
1
;
Shu WANG
;
Wenwen ZHANG
;
Chao HU
;
Tong LU
;
Sheng GAO
;
Guoping WU
Author Information
1. 南京医科大学友谊整形外科医院整形外科，南京 210029
- Keywords:
Mammaplasty;
Prosthesis mplantation;
Ultrasonic scalpel;
Electroscalpel;
Endoscopic-assisted
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(3):189-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effects of the dissection of the implant pockets with ultrasonic scalpel or traditional electroscalpel through the axillary approach under endoscopic assistant.Methods:A total of 125 female patients with an average of 32.5 years, ranged from 21 to 44 years, underwent endoscopic-assisted transaxillary breast augmentation in the Department of Plastic Surgery, the Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, from January 2019 to December 2020, were analyzed retrospectively. The implant pockets were dissected with ultrasonic scalpel (ultrasonic scalpel group) in 64 patients or with traditional electroscalpel (electroscalpel group) in 61 patients. The operation time, operation speed, postoperative drainage, drainage tube removal time and hospital stay of the two groups were compared and analyzed statistically.Results:Compared with the electroscalpel group, the average operation time of the ultrasonic scalpel group 75(71-90) min was significantly shorter than that of the electroscalpel group 105(80-135) min ( t=4.10, P<0.001), the operation speed (3.27±0.44 ml/min) was faster than that of the electroscalpel group (2.52±0.72 ml/min) ( t=4.71, P<0.001), the postoperative drainage 130.5(98.8-193.3) ml was significantly less than that of the electroscalpel group 281.75(145.5-328.3) ml ( t=2.21, P<0.05), and the drainage tube removal time 3 (3-4) d and hospital stay 3 (3-4) d were remarkablely shorter than that of the electroscalpel group 4 (3-4) d, 5 (4-6) d ( t=3.58; t=4.06, P<0.05). Conclusions:The application of ultrasonic scalpel in endoscopic-assisted transaxillary breast augmentation is safe and reliable. In addtion to improving the surgical efficiency, ultrasonic scalpel can reduce blood loss, shorten the time of hospital stay and reduce complications, which is worthy of further promotion in clinical application.
