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New \u201cbovie\u201d tips have been developed to minimize thermal damage and optimize tissue dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of the present study was to perform a randomized controlled trial to evaluate the effect of the dissection technique on several outcomes and complications after a Scarpa-sparing abdominoplasty, comparing a high-precision electrosurgical scalpel (HPES) with the conventional electroscalpel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study was conducted at a single medical facility between June 2020 and February 2022 and enrolled patients who underwent Scarpa-sparing abdominoplasty. Forty female patients were included in the study and randomly assigned to either abdominoplasty performed using the conventional \u201cbovie\u201d tip (Group A) or a similar procedure using the HPES tip (Group B). The following variables were analyzed: patient characteristics, duration of suction drain use, drain output, complications (local and systemic), unscheduled visits, readmissions, and reoperation requirements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both groups exhibited similar general characteristics, differing only in body mass index. The HPES group showed a 23.6% significant reduction in total drain output and a trend toward lower daily outputs, peaking on day two with a 60.0% reduction in drain output. Local and systemic complications were similar, except for a trend toward lower wound dehiscence in the HPES group. Notably, no systemic complications occurred in either group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings support the safety and efficacy of the HPES tip for Scarpa-sparing abdominoplasty. This pilot randomized controlled trial demonstrated the benefits of substantially reducing drain output.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence II<\/jats:title>\n                    <jats:p>\n                      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\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.springer.com\/00266\" ext-link-type=\"uri\">www.springer.com\/00266<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00266-026-05621-9","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T20:11:45Z","timestamp":1769458305000},"page":"2647-2657","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["High-Precision Electrosurgical Scalpel for Scarpa Sparing Abdominoplasty \u2013 Pilot Randomized Controlled Trial of Efficacy and Safety"],"prefix":"10.1007","volume":"50","author":[{"given":"Sara","family":"Castro-Pinto","sequence":"first","affiliation":[]},{"given":"Gon\u00e7alo","family":"Gandra","sequence":"additional","affiliation":[]},{"given":"Ant\u00f3nio de Sousa","family":"Barros","sequence":"additional","affiliation":[]},{"given":"Marco","family":"Rebelo","sequence":"additional","affiliation":[]},{"given":"Helena","family":"Peres","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3723-1243","authenticated-orcid":false,"given":"Ant\u00f3nio","family":"Costa-Ferreira","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"5621_CR1","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/978-3-319-20004-0_7","volume-title":"Aesthetic plastic surgery of the abdomen","author":"A Costa-Ferreira","year":"2016","unstructured":"Costa-Ferreira A, Rebelo M, V\u00e1sconez L, Amarante J. 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