Axillary dissection in mastectomy: Ultracision vs monopolar electrocautry

Aim: various surgical methods applied for treatment and prognosis of patients with perforating injuries to colon. methods: this randomized control trial conducted at department of surgery,jinnah hospital,lahore. one hundred and twenty eight female patients of 20 to 70 years of age with operable carcinoma breast were randomly assigned either to dissection by ultracision or monopolar electrocautry. patients were followed for post-operative outcome. data was collected on a structured proforma and analyzed using spss 17. chi square and t test were used for categorical and continuous variables respectively. results: the mean age 56.3±5.8 years,were included in study. mean duration of drains in ultracision group was 4.61±1.5 days while in monopolar electrocautry 5.38±1.485 days (p=0.005). similarly rate of seroma formation was significantly lower in ultracision dissection and monopolar electrocautry (p value = 0.011). conclusion: it is concluded that ultracision dissection is superior to monopolar electrocautry when we take into an account seroma formation and duration of drains.