Yıl: 2008 Cilt: 38 Sayı: 2 Sayfa Aralığı: 111 - 116 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid

Öz:
Amaç: Elektrokoter kullanımın yara iyileşmesi açısından bir risk faktörü olduğu bildirilmiştir. Bu çalışma elektrokoter ve keskin diseksiyon kullanımın yara komplikasyonları ve lokal sitokin düzeyleri üzerine etkilerini karşılaştırmak amacıyla düzenlenmiştir. Yöntem ve Gereç: Modifıye radikal mastektomi yapılan hastalar flep disseksiyonu için elektroketer (n = 18) ve bisturi (n = 20) kullanılanlar şeklinde iki gruba ayrıldı. Tüm hastaların peroperatif kan kayıpları, drenaj süreleri ve miktarları, seroma oluşumu ve diğer komplikasyonları kaydedildi. Tüm hastaların postoperatif 24. saatte dren sıvılarından alınan örneklerde. Tumor necrosis factor-alpha ve interleukin-6 düzeyleri ölçüldü. Bulgular: Elektrokoter kullnılan grupta kan kaybı ve toplam drenaj miktarları açısından anlamlı düşüklük saptanırken sreoma oluşumu ve dren sıvılarında ölçülen Tumor necrosis factor-alpha açısından anlamlı artış tespit edildi. Sonuç: Flep diseksiyonunda elektrokoter kullanımı kanama ve toplam drenaj miktarında azalmaya neden olurken seroma oluşumunu arttırmaktadır. Bununla birlikte yara sıvısındaki proinflamatuvar sitokin cevabının da artmış olması elektrokoter kullanımın inflamasyonda artışa neden olduğunu ve doku hasarında artış yarattığını düşündürmektedir.
Anahtar Kelime: Komplikasyonlar Mastektomi Sitokinler Tümör nekrozis faktör-alfa İnterlökin-6 Cerrahi yara enfeksiyonu Seroma Ameliyat sonrası komplikasyonlar Elektrokoagülasyon

Konular: Cerrahi

Mastektomide keskin diseksiyon ve koter diseksiyonu tekniklerinin postoperatif yara komplikasyonları ve yara sıvısındaki sitokin düzeyleri üzerine etkileri

Öz:
Aim: Electrocautery has been postulated as a risk factor for wound complications. This study was conducted to evaluate the effects of electrocautery and scalpel dissections on wound complications and local cytokine levels. Materials and Methods: Patients undergoing modified radical mastectomy were assigned to flap dissection with either electrocautery (n = 18) or scalpel (n = 20). Blood loss, drain volume and duration, seroma formation and wound complications were recorded. Tumor necrosis factor-alpha (TNF-a) and interleukin (IL)- 6 levels were measured in drain fluids at postoperative 24 hours. Results: The electrocautery group had significantly reduced blood loss and total drain volume, but increased seroma formation rate. Significantly elevated levels of TNF-a were measured in drain fluids of patients with electrocautery dissection. Conclusions: The use of electrocautery causes less bleeding and total drain output with an increased rate of seroma formation. Electrocautery dissection increases pro-inflammatory cytokine response in wound fluid, which may reflect an aggravated inflammation and increased potential for tissue damage.
Anahtar Kelime: Seroma Postoperative Complications Electrocoagulation Complications Mastectomy Cytokines Tumor Necrosis Factor-alpha Interleukin-6 Surgical Wound Infection

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ÖZDOĞAN M, YILMAZ K, Ozaslan C, gürer a, Gülbahar Ö, Ersoy P (2008). Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. , 111 - 116.
Chicago ÖZDOĞAN Mehmet,YILMAZ Kerim Bora,Ozaslan Cihangir,gürer ahmet,Gülbahar Özlem,Ersoy Pamir Eren Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. (2008): 111 - 116.
MLA ÖZDOĞAN Mehmet,YILMAZ Kerim Bora,Ozaslan Cihangir,gürer ahmet,Gülbahar Özlem,Ersoy Pamir Eren Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. , 2008, ss.111 - 116.
AMA ÖZDOĞAN M,YILMAZ K,Ozaslan C,gürer a,Gülbahar Ö,Ersoy P Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. . 2008; 111 - 116.
Vancouver ÖZDOĞAN M,YILMAZ K,Ozaslan C,gürer a,Gülbahar Ö,Ersoy P Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. . 2008; 111 - 116.
IEEE ÖZDOĞAN M,YILMAZ K,Ozaslan C,gürer a,Gülbahar Ö,Ersoy P "Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid." , ss.111 - 116, 2008.
ISNAD ÖZDOĞAN, Mehmet vd. "Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid". (2008), 111-116.
APA ÖZDOĞAN M, YILMAZ K, Ozaslan C, gürer a, Gülbahar Ö, Ersoy P (2008). Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. Turkish Journal of Medical Sciences, 38(2), 111 - 116.
Chicago ÖZDOĞAN Mehmet,YILMAZ Kerim Bora,Ozaslan Cihangir,gürer ahmet,Gülbahar Özlem,Ersoy Pamir Eren Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. Turkish Journal of Medical Sciences 38, no.2 (2008): 111 - 116.
MLA ÖZDOĞAN Mehmet,YILMAZ Kerim Bora,Ozaslan Cihangir,gürer ahmet,Gülbahar Özlem,Ersoy Pamir Eren Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. Turkish Journal of Medical Sciences, vol.38, no.2, 2008, ss.111 - 116.
AMA ÖZDOĞAN M,YILMAZ K,Ozaslan C,gürer a,Gülbahar Ö,Ersoy P Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. Turkish Journal of Medical Sciences. 2008; 38(2): 111 - 116.
Vancouver ÖZDOĞAN M,YILMAZ K,Ozaslan C,gürer a,Gülbahar Ö,Ersoy P Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid. Turkish Journal of Medical Sciences. 2008; 38(2): 111 - 116.
IEEE ÖZDOĞAN M,YILMAZ K,Ozaslan C,gürer a,Gülbahar Ö,Ersoy P "Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid." Turkish Journal of Medical Sciences, 38, ss.111 - 116, 2008.
ISNAD ÖZDOĞAN, Mehmet vd. "Scalpel versus electrocautery dissections: the effect on wound complications and pro-ınflammatory cytokine levels in wound fluid". Turkish Journal of Medical Sciences 38/2 (2008), 111-116.