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Usefulness of harmonic focus during axillary lymph node dissection: a prospective study
Giuseppe Cavallaro1, Andrea Polistena, Giuseppe D'Ermo
1Department of Surgery P. Valdoni, Sapienza University, Rome, Italy. giuseppe.cavallaro@uniroma1.it
Surgical Innovation
|February 11, 2011
Summary
Harmonic Focus (HF) reduces complications from axillary node dissection (ALND). This surgical technique shortens operation time and lowers drain volume, leading to fewer seromas and faster recovery.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Axillary node dissection (ALND) is associated with significant postoperative complications such as hematoma, seroma, lymphocele, and infections.
- Effective surgical techniques are crucial for minimizing morbidity following ALND.
Purpose of the Study:
- To evaluate the efficacy of Harmonic Focus (HF) energy device in reducing postoperative complications after ALND.
- To compare outcomes between patients undergoing ALND with HF versus conventional methods.
Main Methods:
- A prospective study involving 92 patients undergoing ALND.
- Patients were randomized into two groups: Group A (33 women, 14 men) using Harmonic Focus, and Group B (28 women, 17 men) serving as the control group.
Main Results:
- Group A demonstrated a significantly lower operating time compared to Group B.
- Reduced drain volume and earlier drain removal were observed in Group A.
- The incidence of seroma formation was lower in the Harmonic Focus group.
Conclusions:
- Harmonic Focus is an effective tool for reducing operative time and drain volume during ALND.
- Utilizing Harmonic Focus during ALND leads to a decrease in postoperative complications, including seroma formation.
