Histological Evaluation of Human” in Vivo” Cutaneus Surgical Incisions Created by the Standard Scalpel, Conventional and Colorado Needle Electrosurgery, Radio Frequency, PEAK Plasma blade and Ultracision Harmonic Scalpel
Zlatko Vlajcic1, Srecko Budi2, Cedna Tomasovic Loncaric3, Mislav Malic4, Mladen Petrovecki5
1Zlatko Vlajcic, MD, PhD, Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Department of Plastic Surgery, University Hospital “Dubrava”, Croatia, EU.
2Srecko Budi, MD, PhD Department of Plastic Surgery, University Hospital “Dubrava”, Zagreb, Croatia, EU.
3Cedna Tomasovic Loncaric, MD, PhD, Department of Pathology, University Hospital “Dubrava”, Zagreb, Croatia, EU.
4Mislav Malic, Otorhinolaryngology and Head & Neck Surgery Resident at University Hospital Centre Zagreb, Croatia – University Hospital Centre Zagreb, Croatia, EU.
5Mladen Petrovecki, MD, PhD, University Hospital “Dubrava”, Zagreb, and Rijeka Faculty of Medicine, Croatia, EU.
Manuscript received on 13 June 2016 | Revised Manuscript received on 20 June 2016 | Manuscript Published on 30 June 2016 | PP: 21-24 | Volume-5 Issue-5, June 2016 | Retrieval Number: E4575065516/16©BEIESP
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: We hypothesize that thermal damage to the subcutaneous microvasculature of skin incision may have contributed to the incision site complication rate. The purpose of this study was to histologically compare the zone of thermal necrosis for human cutaneus surgical incision made by different surgical cutting devices on vital tissue. Furthermore, for each specimen, the presence and character of micro bleeding was noted. Material And Methods: Human skin incisions were made “in vivo” on the lower abdomen prior to abdominoplasty by the standard scalpel, conventional and Colorado needle eletrosurgery, radiogrequency Ellman, PEAK PlasmaBlade and Ultracision Harmonic Scalpel. After formaldehyde fixation, the specimen was transported to pathology for histological evaluation and measurement of the thermal necrosis zone and micro bleeding zone. Results: As statistically significant (P < 0.05) we have three groups considering thermal necrosis zone: first group is only Standard Scalpel, second group PlasmaBlade and Conventional Electrosurgery and third group Colorado Needle Electrosurgery, Radiofrequency and Ultracision Harmonic Scalpel. With microbleeding zone, results are more dispersed, but also with statistically significances (P < 0.05) in between two groups of instruments: first group is Standard Scalpel, Conventional Electrosurgery, PlasmaBlade and Ultracision; and the second group consists of Colorado Needle Electrosurgery and Radiofregquency.
Keywords: Cutting Devices, Histology, Incisions
Scope of the Article: Frequency Selective Surface