COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY

Objective: To compare the frequency of seroma formation in harmonic scalpel vsunipolar electrocautery in post modified radical mastectomy (MRM). Study Design: Quasi experimental study. Place and Duration of Study: General Surgery Department, Pak Emirates Military Hospital Rawalpindi, from Jul...

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Autores principales: Muhammad Farooq Shahid, Taseer Ibrahim, Muhammad Ali Muazzam, Hummaira Chaudhry, Usman Shah Bukhari, Ghufran Ahmed
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Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doaj.org/article/5f07f21aeab94ddfb80a227e49589a0a
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spelling oai:doaj.org-article:5f07f21aeab94ddfb80a227e49589a0a2021-12-02T18:44:47ZCOMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY0030-96482411-884210.51253/pafmj.v71i2.2721https://doaj.org/article/5f07f21aeab94ddfb80a227e49589a0a2021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2721https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the frequency of seroma formation in harmonic scalpel vsunipolar electrocautery in post modified radical mastectomy (MRM). Study Design: Quasi experimental study. Place and Duration of Study: General Surgery Department, Pak Emirates Military Hospital Rawalpindi, from Jul to Dec 2017. Methodology: Eighty women with breast carcinoma planned for modified radical mastectomy were included in the study with inclusion and exclusion criteria and divided in equal group A (Harmonic) and group B (Unipolar cautery). Randomization was performed by lottery method for both groups. A standard level III clearance was performed. All patients were followed up on weekly basis and seroma formation was evaluated in both groups. Results: Mean age in group A and B was 51.36 ± 11.04 years vs 52 ± 11.19 years (p>0.05). Mean duration of complain in group A and B was 1.675 ± 0.47 months vs 1.775 ± 0.42 (p>0.05). Mean time of procedure in group A and B was 110.00 ± 4.71 mins vs 100.875 ± 5.14 (p>0.05). Mean body mass index in group A and B was 30.217 ± 4.99 kg/m2 vs 30.210 ± 5.31 kg/m2 (p>0.05). Seroma formation in group A and group B patients were found to be 5 (12.5%) vs 10 (25%) with (p>0.05). Conclusion: Frequency of seroma formation in harmonic scalpel is lower than electrocautery in post modified radical mastectomy, so it can be safely performed along with harmonic scalpel with reduced duration of drainage and seroma formation.Muhammad Farooq ShahidTaseer IbrahimMuhammad Ali MuazzamHummaira ChaudhryUsman Shah BukhariGhufran AhmedArmy Medical College Rawalpindiarticleharmonic scalpelmodified radical mastectomyunipolar cauteryMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 451-53 (2021)
institution DOAJ
collection DOAJ
language EN
topic harmonic scalpel
modified radical mastectomy
unipolar cautery
Medicine
R
Medicine (General)
R5-920
spellingShingle harmonic scalpel
modified radical mastectomy
unipolar cautery
Medicine
R
Medicine (General)
R5-920
Muhammad Farooq Shahid
Taseer Ibrahim
Muhammad Ali Muazzam
Hummaira Chaudhry
Usman Shah Bukhari
Ghufran Ahmed
COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY
description Objective: To compare the frequency of seroma formation in harmonic scalpel vsunipolar electrocautery in post modified radical mastectomy (MRM). Study Design: Quasi experimental study. Place and Duration of Study: General Surgery Department, Pak Emirates Military Hospital Rawalpindi, from Jul to Dec 2017. Methodology: Eighty women with breast carcinoma planned for modified radical mastectomy were included in the study with inclusion and exclusion criteria and divided in equal group A (Harmonic) and group B (Unipolar cautery). Randomization was performed by lottery method for both groups. A standard level III clearance was performed. All patients were followed up on weekly basis and seroma formation was evaluated in both groups. Results: Mean age in group A and B was 51.36 ± 11.04 years vs 52 ± 11.19 years (p>0.05). Mean duration of complain in group A and B was 1.675 ± 0.47 months vs 1.775 ± 0.42 (p>0.05). Mean time of procedure in group A and B was 110.00 ± 4.71 mins vs 100.875 ± 5.14 (p>0.05). Mean body mass index in group A and B was 30.217 ± 4.99 kg/m2 vs 30.210 ± 5.31 kg/m2 (p>0.05). Seroma formation in group A and group B patients were found to be 5 (12.5%) vs 10 (25%) with (p>0.05). Conclusion: Frequency of seroma formation in harmonic scalpel is lower than electrocautery in post modified radical mastectomy, so it can be safely performed along with harmonic scalpel with reduced duration of drainage and seroma formation.
format article
author Muhammad Farooq Shahid
Taseer Ibrahim
Muhammad Ali Muazzam
Hummaira Chaudhry
Usman Shah Bukhari
Ghufran Ahmed
author_facet Muhammad Farooq Shahid
Taseer Ibrahim
Muhammad Ali Muazzam
Hummaira Chaudhry
Usman Shah Bukhari
Ghufran Ahmed
author_sort Muhammad Farooq Shahid
title COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY
title_short COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY
title_full COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY
title_fullStr COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY
title_full_unstemmed COMPARATIVE STUDY OF SEROMA FORMATION IN HARMONIC SCALPEL VERSUS ELECTROCAUTERY IN POST MODIFIED RADICAL MASTECTOMY
title_sort comparative study of seroma formation in harmonic scalpel versus electrocautery in post modified radical mastectomy
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/5f07f21aeab94ddfb80a227e49589a0a
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