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Modified radical mastectomy with axillary dissection using the electrothermal bipolar vessel sealing system
Andreas Manouras1, Haridimos Markogiannakis, Michael Genetzakis
1First Department of Propaedeutic Surgery, Hippokrateion Hospital, Athens Medical School, University of Athens, Athens, Greece.
Archives of Surgery (Chicago, Ill. : 1960)
|June 19, 2008
Summary
The electrothermal bipolar vessel sealing system is a safe and effective tool for modified radical mastectomy with axillary dissection. This method simplifies surgery, reduces complications like seroma and lymphedema, and shortens recovery time.
Area of Science:
- Surgical Oncology
- Medical Devices
- Breast Cancer Surgery
Background:
- Modified radical mastectomy with axillary dissection is a standard procedure for locally advanced breast cancer.
- Minimizing perioperative complications and optimizing surgical efficiency are key goals in breast cancer surgery.
Purpose of the Study:
- To evaluate the feasibility, safety, and effectiveness of the electrothermal bipolar vessel sealing system in modified radical mastectomy with axillary dissection.
- To assess lymph vessel sealing, hemostasis, and perioperative outcomes using this novel system.
Main Methods:
- A prospective study was conducted involving 60 patients with locally advanced breast cancer (T2 or T3).
- All procedures were performed by a single surgical team using the electrothermal bipolar vessel sealing system.
- Outcomes measured included operative time, blood loss, drainage, hospital stay, and complications.
Main Results:
- The mean operative time was 105 minutes with a mean blood loss of 45 mL.
- No significant postoperative complications such as bleeding, seroma, or lymphedema were reported.
- Mean drainage volume and duration were reduced compared to historical data, with a mean hospital stay of 3.7 days.
Conclusions:
- The electrothermal bipolar vessel sealing system is a feasible, safe, and effective technology for modified radical mastectomy with axillary dissection.
- The system simplifies the surgical procedure, ensuring efficient lymph vessel sealing and hemostasis.
- Further prospective randomized controlled studies are recommended to confirm these findings and evaluate long-term effects.
