Comparing a vessel sealing system with the conventional technique in axillary lymph node dissection for primary breast cancer

Document Type : Original Article

Authors

1 surgery, faculty of medicine, Minya university

2 General Surgery Department, Faculty of Medicine, Minia University

3 faculty of medicine, Minia University, Egypt

Abstract

Abstract:

Objective: This study aimed to compare the efficacy and safety of the newest bipolar vessel sealing system (BVSS; LigaSure™ Small Jaw) to that of conventional technique in axillary dissection.

Patient and Methods: Eighty-nine patients with breast cancer were randomized to a conventional dissection surgical technique (CONV group; n = 45) by scalpel and monopolar cautery or that using a vessel sealing system (BVSS group; n = 44).

Results: in conventional group, mean drain volume was 851.1±96.2 ml ml and 370±152 ml in ligasure group with a p-value <0.001, which is statistically significant. In conventional group, mean number of days till drain removal was 10.6 ± 1.9 days and 6.2 ± 0.8 days in ligasure group with a p-value of 0.001 which is statistically significant.

Conclusions: Our results suggest that BVSS is a more effective device when compared to the conventional techniques in axillary dissection.

Keywords: Breast cancer, Vessel sealing system, Axillary lymph node dissection, Randomized controlled trial

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 20 February 2023

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