A COMPARATIVE STUDY OF USING LIGASURE VERSUS MONOPOLAR ELECTROCAUTERY IN BREAST CANCER PATIENTS
DOI:
https://doi.org/10.48047/Keywords:
Ligasure , Monopolar Electrocautery , Modified Radical Mastectomy.Abstract
Background: Breast cancer management has seen an evolution from the radical extirpation of the previous century
to current practice which aims at breast preservation.Despite the emergence of breast conservation surgery, modified
radical mastectomy (MRM) remains the most commonly performed operative procedure for breast cancer today.
Electrocautery is the most commonly used surgical device for dissection and hemostasis in standard mastectomy;
however, its wide thermal spread may lead to flap necrosis, wound infection, and prolonged drainage. This study
aimed to compare the use of monopolarelectrocautery and LigaSure™ Small Jaw to highlight which is more
effective in reducing the operative time and intraoperative blood loss in breast cancer patients undergoing modified
radical mastectomy. Patients and methods: Fourtyfemales with breast cancer attending for modified radical
mastectomy at Zagazig university hospital, were included in this study. They were divided into two groups: the
monopolarelectrocautery group and the LigaSure™ Small Jawgroup. Results: Forty female patients were included
in this study. The mean operative time in the monopolarelectrocauterygroup and the LigaSure™ Small Jawgroup
was 124.1 ± 14.6 and 109.4 ± 21.5 min, respectively (P < 0.05). The mean amount of blood loss in the
monopolarelectrocauterygroup and the LigaSure™ Small Jawgroup was 190± 21.3 and 117.5 ± 59.87ml,
respectively (P < 0.001). Conclusion: Using LigaSure™ Small Jaw technique showed less operative time, and less
blood loss than using monopolarelectrocautery.
