Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Traditional electrosurgery and a low thermal injury dissection device yield different outcomes following bilateral skin-sparing mastectomy: a case report. | Fine and Vose Journal of Medical Case Reports 2011 5 212 http content 5 1 212 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Traditional electrosurgery and a low thermal injury dissection device yield different outcomes following bilateral skin-sparing mastectomy a case report Richard E Fine1 and Joshua G Vose2 Abstract Introduction Although a skin- and nipple-sparing mastectomy technique offers distinct cosmetic and reconstructive advantages over traditional methods partial skin flap and nipple necrosis remain a significant source of post-operative morbidity. Prior work has suggested that collateral thermal damage resulting from electrocautery use during skin flap development is a potential source of this complication. This report describes the case of a smoker with recurrent ductal carcinoma in situ DCIS who experienced significant unilateral skin necrosis following bilateral skin-sparing mastectomy while participating in a clinical trial examining mastectomy outcomes with two different surgical devices. This unexpected complication has implications for the choice of dissection devices in procedures requiring skin flap preservation. Case presentation The patient was a 61-year-old Caucasian woman who was a smoker with recurrent DCIS of her right breast. As part of the clinical trial each breast was randomized to either the standard of care treatment group a scalpel and a traditional electrosurgical device or treatment with a novel low thermal injury dissection device allowing for a direct internally controlled comparison of surgical outcomes. Post-operative follow-up at six days was unremarkable for both operative sites. At 16 days post-surgery the patient presented with a significant wound necrosis in the mastectomy site randomized to the control study group. Following debridement and closure this site progressively healed over 10 weeks. The contralateral mastectomy randomized to the alternative device healed normally. .
