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Comparing the Outcomes of Scalpel and Diathermocoagulation Dissection in Abdominoplasty: A Systematic Review and Meta-Analysis.

Authors :
Alhebshi ZA
Almawash AN
Albarkheel LB
Alzahrani HA
Albarrati AM
Alghamdi AE
Alshehri AA
Al Mazyad YN
Al Hindi A
Source :
Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Sep; Vol. 48 (17), pp. 3413-3422. Date of Electronic Publication: 2024 Jun 17.
Publication Year :
2024

Abstract

Background: Abdominoplasty, an emerging surgical procedure worldwide, associated with complications, as seroma, infection, and hematoma. This systematic review and meta-analysis compare the outcomes of abdominoplasty procedures performed using a scalpel versus a diathermocoagulation device (diathermy monopolar electrocautery), aiming to find a safer approach with fewer complications.<br />Methods: We conducted a systematic search in November 2023 using PubMed, Ovid Medline, and Ovid Chocrane databases. The methodological index for nonrandomized studies and the Revised Cochrane Risk of Bias assessment tools were used to assess risk of bias for observational studies and randomized controlled trials, respectively. The data were analyzed using RevMan software.<br />Results: Six articles (1135 patients) were included, 521 patients were operated using a scalpel and 614 using electrocautery. Our analysis suggests that both seroma and drain output were seen more among the electrocautery group, with an odds ratio (OR) of 0.62 (95% CI [0.39, 0.97], p = 0.04) and - 103.63 (95% CI [- 205.67, - 1.59], p = 0.05), respectively. It is important to note the high heterogeneity seen among the studies discussing the total drain output. Additionally, we did not find any statistical significance between both techniques in terms of the rate of hematoma, wound infection, operation time, and hospital stay length.<br />Conclusion: When comparing the use of scalpel and electrocautery dissection in abdominoplasty, higher rates of seroma and total drain output are significantly associated with electrocautery dissection.<br />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 www.springer.com/00266 .<br /> (© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)

Details

Language :
English
ISSN :
1432-5241
Volume :
48
Issue :
17
Database :
MEDLINE
Journal :
Aesthetic plastic surgery
Publication Type :
Academic Journal
Accession number :
38886194
Full Text :
https://doi.org/10.1007/s00266-024-04156-1