Comparison of Energy-Based Tissue Dissection Techniques in Abdominoplasty: A Randomized, Open-Label Study Including Economic Aspects.

Duscher, Dominik; Aitzetmueller, Matthias M; Shan, Jing-Jing; Wenny, Raphael; Brett, Elizabeth A; Staud, Clement Johannes; Kiesl, David; Huemer, Georg M

doi:10.1093/asj/sjy177

journal article

Titel:: Comparison of Energy-Based Tissue Dissection Techniques in Abdominoplasty: A Randomized, Open-Label Study Including Economic Aspects.
Dokumenttyp:: Journal Article
Autor(en):: Duscher, Dominik; Aitzetmueller, Matthias M; Shan, Jing-Jing; Wenny, Raphael; Brett, Elizabeth A; Staud, Clement Johannes; Kiesl, David; Huemer, Georg M
Abstract:: Abdominoplasty is one of the most common procedures in plastic surgery, and energy-based tissue dissection techniques have become the gold standard. Despite its frequency, abdominoplasty is still associated with high complication rates.The authors compared clinical and economic data of 4 methods of energy-based tissue dissection in a randomized, open-label study.A total of 57 patients were preoperatively randomized into 4 groups: electrocautery, Ultracision Harmonic Scalpel, argon plasma coagulation, and PEAK-Plasmablade. Demographic and operational data as well as information on the postoperative course and complications were collected. For economic analysis, quotes were obtained from the device companies or official suppliers.Duration of surgery, drainage quantity, and wound healing complications did not differ significantly between groups. The Ultracision method caused significantly greater blood loss compared with all other techniques (P < 0.01). PEAK and Ultracision devices entailed greater surgical costs compared with APC and electrocautery.All methods evaluated can be applied safely and effectively in abdominoplasty procedures. However, these data demonstrate a significantly higher blood loss for the Ultracision Harmonic Scalpel. Considering the clinical data, the higher costs of PEAK and Ultracision methods appear unjustified.
Zeitschriftentitel:: Aesthet Surg J
Jahr:: 2019
Band / Volume:: 39
Heft / Issue:: 5
Seitenangaben Beitrag:: 536-543
Sprache:: eng
Volltext / DOI:: doi:10.1093/asj/sjy177
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/30016404
Print-ISSN:: 1090-820X
TUM Einrichtung:: Lehrstuhl für Plastische Chirurgie und Handchirurgie (Prof. Machens)
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mediaTUM Gesamtbestand Einrichtungen Schools TUM School of Medicine and Health Departments Clinical Medicine Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie (Prof. Machens)Lehrstuhl für Plastische Chirurgie und Handchirurgie (Prof. Machens)2019