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17-06-2024 | Abdominoplasty | Review

Comparing the Outcomes of Scalpel and Diathermocoagulation Dissection in Abdominoplasty: A Systematic Review and Meta-Analysis

Authors: Zainah Abdulbari Alhebshi, Abdullah Nasser Almawash, Lujain Barkheel Albarkheel, Haya Abdulaziz Alzahrani, Ayman M. Albarrati, Abdulrahman E. Alghamdi, Amal Ali Alshehri, Yara Nasser Al Mazyad, Abdulaziz Al Hindi

Published in: Aesthetic Plastic Surgery

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Abstract

Background

Abdominoplasty, an emerging surgical procedure worldwide, associated with complications, as seroma, infection, and hematoma. This systematic review and meta-analysis compare the outcomes of abdominoplasty procedures performed using a scalpel versus a diathermocoagulation device (diathermy monopolar electrocautery), aiming to find a safer approach with fewer complications.

Methods

We conducted a systematic search in November 2023 using PubMed, Ovid Medline, and Ovid Chocrane databases. The methodological index for nonrandomized studies and the Revised Cochrane Risk of Bias assessment tools were used to assess risk of bias for observational studies and randomized controlled trials, respectively. The data were analyzed using RevMan software.

Results

Six articles (1135 patients) were included, 521 patients were operated using a scalpel and 614 using electrocautery. Our analysis suggests that both seroma and drain output were seen more among the electrocautery group, with an odds ratio (OR) of 0.62 (95% CI [0.39, 0.97], p = 0.04) and − 103.63 (95% CI [− 205.67, − 1.59], p = 0.05), respectively. It is important to note the high heterogeneity seen among the studies discussing the total drain output. Additionally, we did not find any statistical significance between both techniques in terms of the rate of hematoma, wound infection, operation time, and hospital stay length.

Conclusion

When comparing the use of scalpel and electrocautery dissection in abdominoplasty, higher rates of seroma and total drain output are significantly associated with electrocautery dissection.

Level of Evidence II

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.
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Metadata
Title
Comparing the Outcomes of Scalpel and Diathermocoagulation Dissection in Abdominoplasty: A Systematic Review and Meta-Analysis
Authors
Zainah Abdulbari Alhebshi
Abdullah Nasser Almawash
Lujain Barkheel Albarkheel
Haya Abdulaziz Alzahrani
Ayman M. Albarrati
Abdulrahman E. Alghamdi
Amal Ali Alshehri
Yara Nasser Al Mazyad
Abdulaziz Al Hindi
Publication date
17-06-2024
Publisher
Springer US
Published in
Aesthetic Plastic Surgery
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-024-04156-1