High-Precision Electrosurgical Scalpel for Scarpa Sparing Abdominoplasty - Pilot Randomized Controlled Trial of Efficacy and Safety.
Abstract
[BACKGROUND] The dissection technique can influence abdominoplasty complication rates. New "bovie" tips have been developed to minimize thermal damage and optimize tissue dissection.
[OBJECTIVES] The purpose of the present study was to perform a randomized controlled trial to evaluate the effect of the dissection technique on several outcomes and complications after a Scarpa-sparing abdominoplasty, comparing a high-precision electrosurgical scalpel (HPES) with the conventional electroscalpel.
[METHODS] This prospective study was conducted at a single medical facility between June 2020 and February 2022 and enrolled patients who underwent Scarpa-sparing abdominoplasty. Forty female patients were included in the study and randomly assigned to either abdominoplasty performed using the conventional "bovie" tip (Group A) or a similar procedure using the HPES tip (Group B). The following variables were analyzed: patient characteristics, duration of suction drain use, drain output, complications (local and systemic), unscheduled visits, readmissions, and reoperation requirements.
[RESULTS] Both groups exhibited similar general characteristics, differing only in body mass index. The HPES group showed a 23.6% significant reduction in total drain output and a trend toward lower daily outputs, peaking on day two with a 60.0% reduction in drain output. Local and systemic complications were similar, except for a trend toward lower wound dehiscence in the HPES group. Notably, no systemic complications occurred in either group.
[CONCLUSION] Our findings support the safety and efficacy of the HPES tip for Scarpa-sparing abdominoplasty. This pilot randomized controlled trial demonstrated the benefits of substantially reducing drain output.
[LEVEL OF EVIDENCE II] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[OBJECTIVES] The purpose of the present study was to perform a randomized controlled trial to evaluate the effect of the dissection technique on several outcomes and complications after a Scarpa-sparing abdominoplasty, comparing a high-precision electrosurgical scalpel (HPES) with the conventional electroscalpel.
[METHODS] This prospective study was conducted at a single medical facility between June 2020 and February 2022 and enrolled patients who underwent Scarpa-sparing abdominoplasty. Forty female patients were included in the study and randomly assigned to either abdominoplasty performed using the conventional "bovie" tip (Group A) or a similar procedure using the HPES tip (Group B). The following variables were analyzed: patient characteristics, duration of suction drain use, drain output, complications (local and systemic), unscheduled visits, readmissions, and reoperation requirements.
[RESULTS] Both groups exhibited similar general characteristics, differing only in body mass index. The HPES group showed a 23.6% significant reduction in total drain output and a trend toward lower daily outputs, peaking on day two with a 60.0% reduction in drain output. Local and systemic complications were similar, except for a trend toward lower wound dehiscence in the HPES group. Notably, no systemic complications occurred in either group.
[CONCLUSION] Our findings support the safety and efficacy of the HPES tip for Scarpa-sparing abdominoplasty. This pilot randomized controlled trial demonstrated the benefits of substantially reducing drain output.
[LEVEL OF EVIDENCE II] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | abdominoplasty
|
복부성형술 | dict | 6 | |
| 해부 | tip
|
코끝 | dict | 3 | |
| 해부 | Scarpa
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 합병증 | wound dehiscence
|
상처열개 | dict | 1 | |
| 약물 | HPES
→ high-precision electrosurgical scalpel
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] The
|
scispacy | 1 | ||
| 약물 | [OBJECTIVES]
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Humans; Abdominoplasty; Female; Pilot Projects; Prospective Studies; Electrosurgery; Adult; Middle Aged; Treatment Outcome; Cicatrix; Postoperative Complications
📑 인용 관계
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