Comparison of Electrocautery and LigaSure in terms of Per-operative Blood Loss in Modified Radical Mastectomy

Abstract

Background: Carcinoma breast is the second most commonly diagnosed cancer worldwide. Mastectomy is the most practiced surgical treatment for breast cancer patients; The LigaSure Small Jaw is the modern bipolar vessel sealing system utilized for coagulation as well as cutting. Objective: To compare mean intra operative blood loss using electrocautery versus LigaSure in modified radical mastectomy in breast carcinoma patients. Setting: Department of Surgery, Allied Hospital, Faisalabad Pakistan. Study Design: Randomized controlled trial. Duration: One year from June 01 2019 to May 31 2020. Methodology: After taking approval from hospital ethical committee, patients fulfilling the inclusion criteria were admitted through OPD, and enrolled for the study. Informed consent was taken. All the patients were randomly divided into two groups. Group A patients underwent modified radical mastectomy using LigaSure and Group B patients underwent modified radical mastectomy using electrocautery. Both the procedures were performed by senior surgeon. Intra operative blood loss was estimated. All the information was collected on proforma. Results: Comparison of mean intra operative blood loss in modified radical mastectomy using LigaSure with electrocautery in patients of breast cancer shows that 70.52+1.22 ml is lost in Group-A and 87.04+1.41 ml in Group-B, p value was 0.001. Conclusion: We concluded that mean intra operative blood loss using LigaSure is significantly lower when compared with using electrocautery for performing modified radical mastectomy in breast carcinoma.