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Examining the Value of Ultrasonic Scalpel in Endoscopy-Assisted Transaxillary Breast Augmentation Surgery: A
Danning Zheng1, Jiaming Sun1, Yuxin Liu1
1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, No. 639, Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China.
Background:
In recent years, some scholars have proposed the usage of ultrasonic scalpel in endoscopic transaxillary breast augmentation to achieve safer and more effective results. In order to compare electric cautery with ultrasonic scalpel on their effectiveness and safety in breast augmentation surgery, we performed a self-control study.
Methods:
From June 2022 to January 2025, a total of 45 cases of transaxillary endoscopic breast augmentation surgery were included in the study. All cases were performed by dual-plane technique. Drainage volume, surgical time, postoperative complications were compared and evaluated on both sides.
Results:
The total postoperative drainage volume in the electric cautery group and the ultrasonic scalpel group was as follows: 268.3±130.0 ml and 274.7±141.7 ml. The average number of drainage days was 4.2±0.9 days. The surgical time for the electric cautery (13.8±2.9 min) was shorter than that for ultrasonic scalpel (15.6±3.4 min). There is no significant difference between the use of electric cautery and ultrasonic scalpel in endoscopic breast augmentation surgery in terms of reducing postoperative bleeding, shortening drainage time, and hospital stay.
Conclusion:
There are no advantages to perform the endoscopic transaxillary breast augmentation surgery with the usage of ultrasonic scalpel, and even the operation time may be extended.
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 .
