Results of abdominoplasty by electrodissection and short- term complications
Keywords:Abdominoplasty, electrodissection, bleeding, complications, seroma
Objective: To describe abdominoplasty by electrodissection technique for improving short-term complications.
Design: A prospective controlled study consisting of 100 consecutive female candidates for abdominoplasty by electrodissection employing spray-coagulation was conducted . The technique and electrical current used are described in detail.
Results: Intraoperative bleeding ranged from 25 to 160 ml, (median 85 ml). The short-term specific and general complication rates were very low, not exceeding the rates observed using cold scalpel. The frequency of seroma was 24% and the occurrence of seroma, total seroma volume, and total suction tube discharge were correlated to the area of dissection or depth of electrical tissue injury.
Conclusion: Despite the relatively high frequency of seroma, we recommend the use of spray-coagulation for abdominoplasty because bleeding is minimized, visibility during dissection is highly increased and the rate of short-term complications is very low.
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