ABSTRACT

Objective: To determine the efficacy of electrosurgical vessel sealer (LigaSure^TM) devices in modified radical mastectomy in primary breast carcinoma at LUMHS, Jamshoro.

Material and Method:

Study design: Randomized control trial.

Setting: The study was done at Department of General Surgery Liaquat University and Medical Health Sciences (LUMHS) Jamshoro.

Duration of study: Study duration was six months from April 2020 to September 2020.

Methods: All the female patients with Primary Breast Carcinoma of Stage I and II disease were included. The patients were divided into two groups. Patients of group-A were operated with conventional electrocautery device and patients of group B were operated with ligasure devices. All the data regarding age, operative details, postoperative pain, seroma formation, flap necrosis, hospital stay and follow-up was recorded via study proforma.

Results: Total 60 patients of breast carcinoma were studied. Average age of the conventional group (group A) and ligasure group (group B) were 50.3±10.8 years & 47.2±10.2 years respectively (p-0.266).  However mean operative time, average blood loss, average weight of tissue and average pain (VAS) were significantly lower among patients of ligasure group as compared  to conventional group (p-<0.001). 1st to 3rd post-operative day, drain outcome was significantly high in conventional group as compared to ligasure group (p-<0.001).

Conclusion: The electrosurgical vessel sealer (LigaSure^TM) device in modified radical mastectomy was found to be effective, reliable and non-invasive in primary breast carcinoma, in terms of shorter operative time, less pain, less blood loss and shorter Hospital stay.

Keywords: Primary breast carcinoma, Electrosurgical vessel sealer devices, Electrocautery