A prospective randomized study comparing ultrasonic dissector with monopolar electrocautery for dissection in modified radical mastectomy

Abstract

Aim: The present study is designed to compare the efficacy and safety of ultrasonic dissector with monopolar electrocautery for dissection in modified radical mastectomy in terms of lymph vessels sealing, haemostasis, intra-operative and post-operative complications and hospital stay in patients of carcinoma breast.Method: A prospective randomized controlled study of 70 patients of carcinoma breast was conducted at J.L.N. Medical College, Ajmer. The patients assigned in to two groups (35 in each) through randomization. Dissection in modified radical mastectomy was done by either ultrasonic dissector or monopolar electrocautery according to group allocation. Data was collected prospectively and analysed.Results: Time for dissection and total duration of surgery, intra-operative blood loss, drainage volume, duration of drain and stay in hospital was significantly less while using ultrasonic dissector compared to using electrocautery. This was found statistically significant (p