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VOLUME 2 , ISSUE 2 ( July-December, 2018 ) > List of Articles


Comparative Study of Complications Following Electrocautery Dissection vs Conventional Scalpel/Scissor Dissection in Modified Radical Mastectomy

Rajiv Sharma, Neeti Rajan Singh, Rachhpal Singh

Keywords : Electrocautery, Modified radical mastectomy (MRM), Seroma

Citation Information : Sharma R, Singh NR, Singh R. Comparative Study of Complications Following Electrocautery Dissection vs Conventional Scalpel/Scissor Dissection in Modified Radical Mastectomy. Curr Trends Diagn Treat 2018; 2 (2):98-101.

DOI: 10.5005/jp-journals-10055-0047

License: CC BY-NC 4.0

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2018; The Author(s).


Background: Early breast carcinoma is amenable to modified radical mastectomy (MRM) done either with electrocautery or scalpel dissection, following which seroma and other complications can arise. Methods: We performed a comparative study on the complications following dissection in MRM by electrocautery and scalpel dissection in a total of 70 patients in Sri Guru Ram Das Institute of Medical Sciences & Research (SGRDIMSR) over a period of 2 years. Results: The complications of seroma and flap necrosis were comparable in both the study groups, but the operative time period for electrocautery was shorter than that for scalpel dissection. Complications of seroma formation after 4 weeks of surgery as well as flap infection were comparable too. Conclusion: MRM done with the help of electrocautery takes shorter time and the patient has a shorter hospital stay.

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  1. Shamley DR, Barker K, Simonite V, et al. Delayed versus immediate exercises following surgery for breast cancer: a systematic review. Breast Cancer Res Treat 2005;90:263-271.
  2. Coveney EC, O'Dwyer PJ, Geraghty JG, et al. Effect of closing dead space on seroma formation after mastectomy-a prospective randomized clinical trial. Eur J Surg Oncol 1993;19(2):143-146
  3. Barwell J, Campbell L, Watkins RM, et al. How long should suction drains stay in after breast surgery with axillary dissection? Ann R Coll Surg Engl 1997;79(6):435-437
  4. Hoefer RA, Jr, DuBois JJ, Ostrow LB, et al. Wound complications following modified radical mastectomy: an analysis of perioperative factors. J Am Osteopath Assoc 1990;90:47-53
  5. O'Dwyer PJ, O'Higgins NJ, James AG. Effect of closing dead space on incidence of seroma after mastectomy. Surg Gynecol Obstet 1991;172(1):55-56.
  6. Porter KA, O'Connor S, Rimm E, et al. Electrocautery as a factor in seroma formation following mastectomy. Am J Surg 1998;176(1):8-11
  7. Groot G, Chappell EW. Electrocautery used to create incisions does not increase wound infection rates. Am J Surg 1994;167: 601-603.
  8. Chavan RN, Chikkala B, Mondal P, et al. Comparison Study Between Scalpel and Electrocautery, in Causation of Seroma After Modified Radical Mastectomy. Indian J Surg 2017;79(5):423-426.
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