Evidence map›Paper›PMID 38030915›Full record

ArticleAesthetic plastic surgery2024

Harmonic Scalpel Versus Monopolar Electrotome in Endoscopic-Assisted Transaxillary Dual-Plane Augmentation Mammaplasty: A Retrospective Study in 122 Patients.

Lu Lu, Qiang Hou, Zheyuan Hu, Zuochao Yao, Jiachao Xiong, Jianghui Ying, Meiqing Sun, Hui Wang, Hua Jiang

Abstract read
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In one paragraph

Article in Aesthetic plastic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Lu Lu *Department of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China.
Qiang Hou *Department of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China.
Zheyuan Hu *Department of Plastic and Reconstructive Surgery, Changzheng Hospital, Naval Medical University, Shanghai, 200003, China.
Zuochao YaoDepartment of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China.
Jiachao XiongDepartment of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China.
Jianghui YingDepartment of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China.
Meiqing SunDepartment of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China.
Hui WangDepartment of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China. pathology2000@163.com.
Hua JiangDepartment of Plastic and Reconstructive Surgery, Shanghai East Hospital, Tongji University School of Medicine, No.150, Jimo Rd, Shanghai, 200120, China. dosjh@126.com.
Shanghai East Hospital · CNShanghai Changzheng Hospital · CN

Funding

Shanghai Pudong New Area Health Commission PWYts2021-07
6 · The paper itself

Abstract

backgroundThe transaxillary approach of breast augmentation is the most popular method in Asia, but longer period of recovery was observed in spite of the assistance of endoscope.

objectivesIntroducing the ultrasonic dissection devices might be a solution to minimizing tisue damage thus relieving pain and shortening the period of recovery.

methodBetween March 2020 and September 2022, we retrospectively reviewed the cases of 122 patients underwent endoscopic augmentation mammoplasty via the transaxillary approach using either the monopolar electrotome (ME) alone or assisted with Harmonic Scalpel (HS) in defining the retropectoral pocket and severing the pectoralis major muscle.

resultThe total drainage volume was significantly lower in the HS group than ME group (74.33 ± 48.81 vs. 180.30 ± 125.10 mL; p < 0.0001). VAS score of the first 24 hour after surgery of the ME group was significantly higher than that of the HS group (6.10 ± 1.27 vs. 2.88 ± 1.29, p < 0.0001). Operation time in HS group was reduced compared to ME group (113.1 ± 14.46 mins vs. 131.3 ± 35.51 mins, p < 0.001). The duration of drainage placement (1.08 ± 0.27 vs. 2.72 ± 1.18 days) and hospital stay after surgery (3.08 ± 0.42 vs. 5.64 ± 2.78 days; p < 0.0001) were largely reduced in HS group.

conclusionThe assistance of Harmonic Scalpel significantly reduced total postoperative drainage, relieved pain and shortened operation time, length of drainage placement and hospital stay compared to using monopolar electrotome alone in endoscopic-assisted transaxillary dual-plane augmentation mammaplasty. LEVEL OF EVIDENCE IV: 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 .

Indexed as

Breast ImplantationBreast ImplantsMammaplastyDissectionEndoscopyEstheticsFemaleHumansPainRetrospective StudiesTreatment OutcomeDual plane breast augmentationEndoscopicERASTransaxillaryUltrasonic scalpel

Identifiers

PMID38030915
OpenAlexW4389131104

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.