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Ligasure Impact™ to Reduce Complications After Abdominoplasty: A Meta-Analysis of Comparative Studies.

Surgical innovation 2026 Vol.33(1) p. 71-80

Giordano S, Korhonen V, Salval A, di Summa PG, Oranges CM

PMC 전문 ↗ 원문 ↗ DOI ↗

관련 도메인

복부성형술 Abdominoplasty 피판재건술 Flap Reconstruction 혈종 Hematoma 장액종 Seroma 감염 Infection 괴사 Necrosis 상처열개 Dehiscence

Abstract

BackgroundThe optimal dissection technique for flap elevation in abdominoplasty remains debated, particularly in high-risk patients after massive weight loss. The LigaSure Impact™ (LS) vessel-sealing system (Medtronic, Dublin, Ireland) is an advanced energy device used across surgical disciplines to reduce morbidity. This meta-analysis compares LS with conventional techniques to assess its effectiveness in abdominoplasty.MethodA systematic literature search identified relevant studies comparing LS with standard methods. Primary outcome was the overall postoperative complications' rate; secondary outcomes included specific wound complications, operative time, and hospital stay.StatisticsA random-effects model was used for pooled analysis. Risk differences (RD) and 95% confidence intervals (CI) were calculated for categorical outcomes; mean differences (MD) for continuous outcomes. Heterogeneity was assessed using the I statistic.ResultsThe search yielded 3 studies totaling 205 patients. LS significantly reduced overall complication rates compared to controls (RD = -0.46, 95% CI: -0.60 to -0.32, < 0.001). Hematoma and wound dehiscence incidences were significantly lower ( = 0.03 and = 0.01, respectively). No significant differences were observed for seroma, infection, or fat/flap necrosis. LS use was also associated with reduced re-operation rates and shorter hospital stays, though operative time was comparable.DiscussionLS may improve surgical outcomes in post-weight-loss abdominoplasty patients by reducing complications and hospitalization. However, the limited number of studies and small sample size warrant cautious interpretation.ConclusionPreliminary evidence suggests that LS may offer potential benefits in abdominoplasty; however, current findings should be interpreted with caution because of limited quality and heterogeneity of available studies. Further research is needed.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 abdominoplasty 복부성형술 dict 5
시술 flap 피판재건술 dict 2
합병증 wound scispacy 1
합병증 hematoma 혈종 dict 1
합병증 seroma 장액종 dict 1
합병증 infection 감염 dict 1
합병증 flap necrosis 괴사 dict 1
합병증 wound dehiscence 상처열개 dict 1
질환 weight loss C1262477
Weight Loss
 scispacy 1
질환 necrosis C0027540
Necrosis
 scispacy 1
질환 abdominoplasty patients scispacy 1
기타 patients scispacy 1
기타 Dublin scispacy 1
기타 fat/flap scispacy 1

MeSH Terms

Humans; Abdominoplasty; Postoperative Complications; Operative Time; Length of Stay

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외부 PMID 15건 (DB 미수집)

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