Comparison of PEAK PlasmaBlade™ to conventional diathermy in abdominal based free flap breast reconstruction surgery - a single centre double blinded randomised controlled trial

Friebel, Thessa R. and Narayan, N. and Ramakrishnan, V. and Morgan, M. and Cellek, Selim and Griffiths, M. (2021) Comparison of PEAK PlasmaBlade™ to conventional diathermy in abdominal based free flap breast reconstruction surgery - a single centre double blinded randomised controlled trial. Journal of Plastic, Reconstructive & Aesthetic Surgery, 74 (8). pp. 1731-1742. ISSN 1878-0539

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Available under the following license: Creative Commons Attribution Non-commercial No Derivatives.

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Official URL: http://dx.doi.org/10.1016/j.bjps.2020.12.007

Abstract

Background: Electrosurgery makes dissection with simultaneous haemostasis possible. The produced heat can cause injury to the surrounding tissue. The PEAK PlasmaBlade™(PPB) is a new electrosurgery device which may overcome this by having the ability to operate on a lower temperature, therefore reducing collateral thermal damage. Method: A single-centre, double-blinded, randomised controlled trial (RCT) was conducted which included 108 abdominal-based free-flap breast reconstruction patients who had their flap raise performed using either the PPB (n = 56) or the conventional diathermy (n = 52). Data were collected during their in-patient stay and out-patient appointments. The primary outcome value was the number of days the abdominal drains were required. Results: Baseline characteristics were similar between the groups, except a significantly lower flap weight in the PPB group. The median number of days the drains were required did not differ significantly (p = 0.48; 6.0 days for the diathermy and 5.0 days for the PPB). The total drain output (p = 0.68), the inflammatory cytokine in the drain fluid (p>0.054) and complications (p>0.24) did not differ significantly between the two groups. At the 2-week follow-up appointment, there was a trend towards less abdominal seromas on abdominal ultrasound (p = 0.09) in the PPB group which were significantly smaller (p = 0.04). Conclusion: The use of the PPB did not result in a significant reduction of drain requirement, total drain output or inflammatory cytokines but did reduce the size of seroma collections at the 2-week follow-up appointment. Therefore, the use of the PPB device could reduce early seroma formation after drain removal.

Item Type: Journal Article
Keywords: Electrosurgery, conventional diathermy, PEAK PlasmaBlade™, abdominal based autologous breast reconstruction, inflammatory cytokines, seroma
Faculty: Faculty of Health, Education, Medicine & Social Care
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 05 Jan 2021 13:19
Last Modified: 09 Sep 2021 18:50
URI: https://arro.anglia.ac.uk/id/eprint/706140

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