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.
CONCLUSIONS: 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.
METHODS: 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 .
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.
CONCLUSIONS: 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.
METHODS: 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 .
摘要：
背景：腹部成形术，一种全球新兴的外科手术，与并发症有关，作为血清肿，感染,还有血肿.本系统评价和荟萃分析比较了使用手术刀和透热凝固装置（透热单极电灼术）进行腹部成形术的结果。旨在找到一种更安全、并发症更少的方法。
方法：我们在2023年11月使用PubMed进行了系统搜索，OvidMedline,和OvidChocrane数据库.非随机研究的方法学指数和修订的Cochrane偏差风险评估工具用于评估观察性研究和随机对照试验的偏差风险。分别。使用RevMan软件分析数据。
结果：共纳入6篇（1135例患者），521名患者使用手术刀进行手术，614名患者使用电灼术进行手术。我们的分析表明，在电灼组中，血清肿和引流输出更多。比值比（OR）为0.62（95%CI[0.39，0.97]，p=0.04）和-103.63（95%CI[-205.67，-1.59]，p=0.05)，分别。重要的是要注意在讨论总排水输出的研究中看到的高度异质性。此外,在血肿发生率方面，我们没有发现两种技术之间有任何统计学意义，伤口感染,操作时间,和住院时间。
结论：当比较在腹部成形术中使用手术刀和电灼解剖时，较高的血清肿发生率和总引流输出量与电刀夹层显着相关。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：我们在2023年11月使用PubMed进行了系统搜索，OvidMedline,和OvidChocrane数据库.非随机研究的方法学指数和修订的Cochrane偏差风险评估工具用于评估观察性研究和随机对照试验的偏差风险。分别。使用RevMan软件分析数据。
结果：共纳入6篇（1135例患者），521名患者使用手术刀进行手术，614名患者使用电灼术进行手术。我们的分析表明，在电灼组中，血清肿和引流输出更多。比值比（OR）为0.62（95%CI[0.39，0.97]，p=0.04）和-103.63（95%CI[-205.67，-1.59]，p=0.05)，分别。重要的是要注意在讨论总排水输出的研究中看到的高度异质性。此外,在血肿发生率方面，我们没有发现两种技术之间有任何统计学意义，伤口感染,操作时间,和住院时间。
结论：当比较在腹部成形术中使用手术刀和电灼解剖时，较高的血清肿发生率和总引流输出量与电刀夹层显着相关。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
