Fulltext

Is Ultracision Knife Safe and Efficient for Breast Capsulectomy? A Preliminary Study

Tremp, Mathias ; di Summa, Pietro ; Schaakxs, Dominique ; Rieger, Ulrich ; Raffoul, Wassim ; Schaefer, Dirk ; Kalbermatten, Daniel

In: Aesthetic Plastic Surgery, 2012, vol. 36, no. 4, p. 888-893

Aggiungi alla tua lista
    Titre
    • Is Ultracision Knife Safe and Efficient for Breast Capsulectomy? A Preliminary Study
    Auteur
    • Tremp, Mathias. Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • di Summa, Pietro. Division of Plastic, Reconstructive, and Aesthetic Surgery CHUV, University Hospital of Lausanne, Lausanne, Switzerland
    • Schaakxs, Dominique. Division of Plastic, Reconstructive, and Aesthetic Surgery CHUV, University Hospital of Lausanne, Lausanne, Switzerland
    • Rieger, Ulrich. Department of Plastic, Reconstructive, and Aesthetic Surgery, University Innsbruck, Innsbruck, Austria
    • Raffoul, Wassim. Division of Plastic, Reconstructive, and Aesthetic Surgery CHUV, University Hospital of Lausanne, Lausanne, Switzerland
    • Schaefer, Dirk. Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Kalbermatten, Daniel. Department of Plastic, Reconstructive, Aesthetic, and Hand Surgery, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:318288
    Summary
    Background: Silicone breast implants are used to a wide extent in the field of plastic surgery. However, capsular contracture remains a considerable concern. This study aimed to analyze the effectiveness and applicability of an ultracision knife for capsulectomy breast surgery. Methods: A prospective, single-center, randomized study was performed in 2009. The inclusion criteria specified female patients 20-80years of age with capsular contracture (Baker 3-4). Ventral capsulectomy was performed using an ultracision knife on one side and the conventional Metzenbaum-type scissors and surgical knife on the collateral side of the breast. Measurements of the resected capsular ventral fragment, operative time, remaining breast tissue, drainage time, seroma and hematoma formation, visual analog scale pain score, and sensory function of the nipple-areola complex were assessed. In addition, histologic analysis of the resected capsule was performed. Results: Five patients (median age, 59.2years) were included in this study with a mean follow-up period of 6months. Three patients had Baker grade 3 capsular contracture, and two patients had Baker grade 4 capsular contracture. The ultracision knife was associated with a significantly lower pain score, shorter operative time, smaller drainage volume, and shorter drainage time and resulted in a larger amount of remaining breast tissue. Histologic analysis of the resected capsule showed no apoptotic cells in the study group or control group. Conclusions: The results suggest that ventral capsulectomy with Baker grade 3 or 4 contracture using the ultracision knife is feasible, safe, and more efficient than blunt dissection and monopolar cutting diathermy and has a short learning curve. 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 at www.springer.com/00266