caa a22 4500 60620718X CHVBK 20210128101015.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s10353-015-0334-8 doi (NATIONALLICENCE)springer-10.1007/s10353-015-0334-8 Morbidity reduction using the vessel sealing device LigaSure™ in breast cancer surgery [Elektronische Daten] [P. Panhofer, S. Rothe, M. Schütz, B. Grohmann-Izay, P. Dubsky, R. Jakesz, M. Gnant, F. Fitzal] Summary: Background: Seroma formation is the major morbidity nuisance after breast cancer surgery. It prolonges hospital stay and causes infections and wound healing problems. The aim of the study was to evaluate the impact of the vessel sealing device LigaSure™ on postoperative morbidity especially seroma formation. Methods: Between 2011 and 2012, data were retrospectively evaluated from 59 women with breast cancer who underwent axillary dissection at a university hospital. The Clavien Dindo Classification (CDC) was used to assess the severity of postoperative complications. Surgery was performed with LigaSure™ in 23 patients (39.0 %) compared with monopolar electrocautery in the control group. Results: A total of 36 patients (61.0 %) had breast conserving surgery, and 5 patients (8.5 %) underwent isolated axillary dissection. Morbidity-associated re-operations were reported in 5.1 %. Seroma rates were nearly twice as high in the control group compared with LigaSure™ patients (p = 0.056). Hospital stay was shortened by 1day using LigaSure™. The rate of punctures at the outpatient ward was half as high in the LigaSure™ cohort (21.7 vs. 41.7 %; p = 0.115). The frequency of aspirations (≤ 2 times) was lower in LigaSure™ patients. Despite this, the median puncture volume was higher (195ml; IQR: 112.5-265ml) in the LigaSure™ cohort as compared with the control group (100ml; IQR: 60-180ml). Overall, the CDC was significantly lower in the LigaSure™ group compared with the conventional cohort (p = 0.038). Conclusions: The vessel sealing device LigaSure™ leads to a reduction of postoperative morbidity, hospital stay, and puncture frequency, which is desirable in terms of cost-effectiveness. Springer-Verlag Wien, 2015 Breast cancer nationallicence Axillary dissection nationallicence Seroma nationallicence Vessel sealing device nationallicence Electrocautery nationallicence Panhofer P. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Rothe S. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Schütz M. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Grohmann-Izay B. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Dubsky P. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Jakesz R. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Gnant M. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut Fitzal F. Breast Health Center, Krankenhaus der Barmherzigen Schwestern, Seilerstätte 4, Linz, Austria aut European Surgery Springer Vienna 47/4(2015-08-01), 150-156 1682-8631 47:4<150 2015 47 10353 https://doi.org/10.1007/s10353-015-0334-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-015-0334-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Panhofer P. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Rothe S. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Schütz M. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Grohmann-Izay B. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Dubsky P. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Jakesz R. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Gnant M. Department of General Surgery, AKH—E 21 A, Breast Health Center, University Clinic of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria aut NATIONALLICENCE 700 1- Fitzal F. Breast Health Center, Krankenhaus der Barmherzigen Schwestern, Seilerstätte 4, Linz, Austria aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/4(2015-08-01), 150-156 1682-8631 47:4<150 2015 47 10353