Abstract:
:Subcutaneous mastectomy, the first step in sexual reassignment surgery of female-to-male transsexuals, is associated with high rates of complication and revision surgery. Also, conventional electrosurgery and the associated thermal tissue damage may compromise outcome. This retrospective randomised clinical study evaluated the effect of low-thermal plasma dissection device (PEAK PlasmaBlade, Medtronic, Minneapolis, Minnesota) in comparison with conventional electrosurgery. A total of 17 female-to-male transsexuals undergoing mastectomy were randomised to PEAK PlasmaBlade on one breast side and to monopolar electrosurgery on the other side of the same patient. Wounds of 17 patients were examined histologically for acute thermal injury. Significantly less total volume of drain output (58.8 ± 37.4 mL vs 98.5 ± 76.4 mL; P = .012) was found on the PEAK PlasmaBlade side compared with the electrosurgery side. Duration of drain was significantly shorter on the PEAK PlasmaBlade side (2.5 ± 0.7 days vs 3.2 ± 0.6 days; P = .010). Furthermore, the PEAK PlasmaBlade side showed fewer thermal damages (41.2% vs 82.4%; P = .039) and thermal injury depth from PEAK PlasmaBlade side was less (3170 vs 4060 μm). PEAK PlasmaBlade appears to be superior to monopolar electrosurgery for mastectomy in female-to-male transsexuals, because it demonstrated less thermal tissue damage, less total volume of drain output, and shorter duration of drain, resulting in faster wound healing.
journal_name
Int Wound Jjournal_title
International wound journalauthors
Schlosshauer T,Kiehlmann M,Riener MO,Rothenberger J,Sader R,Rieger UMdoi
10.1111/iwj.13382subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1239-1245issue
5eissn
1742-4801issn
1742-481Xjournal_volume
17pub_type
杂志文章abstract::Negative pressure wound therapy with instillation and dwell time (NPWTi-d) is an automated system used to deliver, dwell, and remove topical solutions from the wound bed. Recently, a reticulated open cell foam dressing with through holes (ROCF-CC) was developed, which assists with wound cleansing by removing thick exu...
journal_title:International wound journal
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journal_title:International wound journal
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journal_title:International wound journal
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pub_type: 杂志文章,评审
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journal_title:International wound journal
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journal_title:International wound journal
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journal_title:International wound journal
pub_type: 杂志文章
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journal_title:International wound journal
pub_type: 杂志文章
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journal_title:International wound journal
pub_type: 杂志文章
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journal_title:International wound journal
pub_type: 杂志文章,meta分析
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journal_title:International wound journal
pub_type: 杂志文章,随机对照试验
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更新日期:2015-06-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章
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journal_title:International wound journal
pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章,评审
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更新日期:2015-06-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章
doi:10.1111/j.1742-481X.2012.01084.x
更新日期:2014-06-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章
doi:10.1111/iwj.12693
更新日期:2017-10-01 00:00:00
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journal_title:International wound journal
pub_type: 杂志文章,多中心研究
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journal_title:International wound journal
pub_type: 杂志文章,评审
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journal_title:International wound journal
pub_type: 杂志文章,评审
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更新日期:2020-06-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:International wound journal
pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究
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journal_title:International wound journal
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pub_type: 杂志文章,评审
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