A Randomised Two-way Comparison of Mastectomy Performed Using Harmonic Scalpel or Monopolar DiathermyReportar como inadecuado




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Collegium antropologicum, Vol.34 supplement 1 No.1 March 2010. -

The purpose of this study was to perform an overall evaluation and comparison of the success rate of modified radical mastectomy by harmonic scalpel and monopolar electrocauter. The prospective study included all of the patients that were planned for and mastectiomized because of breast carcinoma during July 1st 2008 until December 21 st 2008 at the Department of Surgery and Urology, University Hospital Mostar. Duration of the surgical procedure, intraoperative blood loss and operational drain secretion was measured and registered. Leukocyte number Le, interleukin 6 IL-6, C-reactive protein CRP and erythrocyte sedimentation rate was tested and registered out of peripheral venous blood before the operation, 4 hrs after it, as well as on the first, second and third day after the operation. Every patient was tested for postoperative pain intensity, amount of administered analgesics during hospital stay, number and types of postoperative complications; also the time needed for return to everyday activities was registered. 61 patients were included in the study. 31 patients were operated with the harmonic scalpel, and 30 of them with the monopolar electrocauter. There is no statistically significant difference between the operation time in the two groups: 78.50±17.50 minutes by harmonic scalpel and 82.50±18.50 minutes by electrocauter p=0.796. The smaller amount of intraoperative blood loss is statistically significant in the group of patients mastectomized by harmonic scalpel 78±31 ml compared to 256±112 ml in the group mastectomized by electrocauter p



Autor: Davorin Kozomara - ; Department of Surgery, University Hospital Mostar, Mostar, Bosnia and Herzegovina Gordan Galić - ; Departme

Fuente: http://hrcak.srce.hr/



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