Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1089
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dc.contributorKiyingi, Andrew K.en_US
dc.contributorMacdonald, Leigh J.en_US
dc.contributorShugg, Sarah A.en_US
dc.contributorBollard, Ruthen_US
dc.date.accessioned2018-01-09T05:49:59Z-
dc.date.available2018-01-09T05:49:59Z-
dc.date.issued2015-
dc.identifier.govdoc01008en_US
dc.identifier.issn1445-1433en_US
dc.identifier.urihttp://hdl.handle.net/11054/1089-
dc.description.abstractBackground: Harmonic instruments are an alternative tool for surgical dissection. The aim of this study is to evaluate differences in clinical outcomes relating to harmonic dissection when compared with electrocautery in patients undergoing major breast surgery in a regional centre over a 3-year period. Methods: Retrospective chart analysis was conducted of 52 patients undergoing major breast surgery for carcinoma or ductal carcinoma in situ by a single surgeon in a regional centre from May 2008 to January 2011. Analysis involved the extraction of qualitative data relating to patient demographics, surgery type and specimen histopa- thology. Quantitative data were extracted relating to duration of surgery, duration of patient-controlled analgesia (PCA) use, length of hospital admission, drainage output and presence of infection, haematoma or seroma. Results: Fifty-two patients underwent major breast surgery; harmonic dissection n = 32 and electrocautery n = 20. The two groups were comparable. There was no significant difference identified relating the outcome measures. The median operative duration was shorter in the harmonic dissection group, however, was not of statistical significance. No significant difference was identified between groups relating to length of inpatient stay, duration of PCA use and total volume wound drainage and total days of drainage. Incidence of seroma and infection in the groups was not significantly different. Conclusion: The harmonic dissection is safe and effective in major breast surgery. The study did not demonstrate any clinical advantage from the use of harmonic dissection in major breast surgery compared with electrocautery, nor was there any difference in the complication rates measured Background: Harmonic instruments are an alternative tool for surgical dissection. The aim of this study is to evaluate differences in clinical outcomes relating to harmonic dissection when compared with electrocautery in patients undergoing major breast surgery in a regional centre over a 3-year period. Methods: Retrospective chart analysis was conducted of 52 patients undergoing major breast surgery for carcinoma or ductal carcinoma in situ by a single surgeon in a regional centre from May 2008 to January 2011. Analysis involved the extraction of qualitative data relating to patient demographics, surgery type and specimen histopa- thology. Quantitative data were extracted relating to duration of surgery, duration of patient-controlled analgesia (PCA) use, length of hospital admission, drainage output and presence of infection, haematoma or seroma. Results: Fifty-two patients underwent major breast surgery; harmonic dissection n = 32 and electrocautery n = 20. The two groups were comparable. There was no significant difference identified relating the outcome measures. The median operative duration was shorter in the harmonic dissection group, however, was not of statistical significance. No significant difference was identified between groups relating to length of inpatient stay, duration of PCA use and total volume wound drainage and total days of drainage. Incidence of seroma and infection in the groups was not significantly different. Conclusion: The harmonic dissection is safe and effective in major breast surgery. The study did not demonstrate any clinical advantage from the use of harmonic dissection in major breast surgery compared with electrocautery, nor was there any difference in the complication rates measured Background Harmonic instruments are an alternative tool for surgical dissection. The aim of this study is to evaluate differences in clinical outcomes relating to harmonic dissection when compared with electrocautery in patients undergoing major breast surgery in a regional centre over a 3-year period. Methods Retrospective chart analysis was conducted of 52 patients undergoing major breast surgery for carcinoma or ductal carcinoma in situ by a single surgeon in a regional centre from May 2008 to January 2011. Analysis involved the extraction of qualitative data relating to patient demographics, surgery type and specimen histopathology. Quantitative data were extracted relating to duration of surgery, duration of patient-controlled analgesia (PCA) use, length of hospital admission, drainage output and presence of infection, haematoma or seroma. Results Fifty-two patients underwent major breast surgery; harmonic dissection n = 32 and electrocautery n = 20. The two groups were comparable. There was no significant difference identified relating the outcome measures. The median operative duration was shorter in the harmonic dissection group, however, was not of statistical significance. No significant difference was identified between groups relating to length of inpatient stay, duration of PCA use and total volume wound drainage and total days of drainage. Incidence of seroma and infection in the groups was not significantly different. Conclusion The harmonic dissection is safe and effective in major breast surgery. The study did not demonstrate any clinical advantage from the use of harmonic dissection in major breast surgery compared with electrocautery, nor was there any difference in the complication rates measured.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2017-11-14T04:45:02Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2018-01-09T05:49:59Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2018-01-09T05:49:59Z (GMT). No. of bitstreams: 0 Previous issue date: 2015en
dc.titleHarmonic dissection versus electrocautery in breast surgery in regional Victoria.en_US
dc.typeJournal Articleen_US
dc.type.specifiedArticleen_US
dc.bibliographicCitation.titleANZ Journal of Surgeryen_US
dc.bibliographicCitation.volume85en_US
dc.bibliographicCitation.issue5en_US
dc.bibliographicCitation.stpage358en_US
dc.bibliographicCitation.endpage362en_US
dc.subject.healththesaurusBREASTen_US
dc.subject.healththesaurusCARCINOMA, DUCTALen_US
dc.subject.healththesaurusELECTROCOAGULATIONen_US
dc.subject.healththesaurusHARMONIC DISSECTIONen_US
dc.subject.healththesaurusMASTECTOMYen_US
dc.subject.healththesaurusSURGICAL TECHNIQUEen_US
dc.subject.healththesaurusRETROSPECTIVE STUDIESen_US
dc.identifier.doi10.1111/ans.12594en_US
Appears in Collections:Research Output

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