等离子体喷射系统在因减肥手术导致大量体重减轻后接受腹部脂肪切除术患者中的应用：早期经验

Use of PlasmaJet system in patients undergoing abdominal lipectomy following massive weight loss resulting from bariatric surgery: early experience.

作者信息

Iannelli Antonio, Bafghi Abdol Reza, Patrono Damiano, Sautot-Vial Nicolas, Gugenheim Jean

机构信息

Service de Chirurgie Digestive et Transplantation Hépatique, Hôpital Archet 2 Université de Nice Sophia Antipolis, Nice, France.

出版信息

Obes Surg. 2006 Nov;16(11):1504-7. doi: 10.1381/096089206778869979.

DOI:10.1381/096089206778869979

PMID:17132417

Abstract

BACKGROUND

Abdominoplasty has become a popular operation among patients seeking body contouring surgery due to the recent development of laparoscopic procedures in bariatric surgery and the epidemic diffusion of obesity. The wide surface of dissection is responsible for common postoperative complications such as seroma and hematoma.

METHODS

PlasmaJet system (PJS), a high energy flow of ionized gas, can be used to stop capillary bleeding from blood and lymph vessels. We tested the PJS in a prospective series of 15 consecutive patients undergoing abdominoplasty after bariatric surgery-induced weight loss.

RESULTS

14 women underwent abdominoplasty with the PlasmaJet system after a mean weight loss of 48 kg (range 37-53). Mean operative time was 73 min (range 60-87). There was no postoperative complication. Mean fluid output from drains was 351.1 ml/patient (range 60 to 568), and drains were removed at a mean time of 4.8 days (range 3 to 6).

CONCLUSION

These results are in favor of the efficacy of the PJS in reducing the amount of fluid production, and the rate of postoperative complications. However, this should be confirmed in a randomized trial comparing the PJS with standard technique.

摘要