{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:10:09Z","timestamp":1777943409474,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The optimal dissection technique for flap elevation in abdominoplasty remains debated, particularly in high-risk patients after massive weight loss. The LigaSure Impact\u2122 (LS) vessel-sealing system (Medtronic, Dublin, Ireland) is an advanced energy device used across surgical disciplines to reduce morbidity. This meta-analysis compares LS with conventional techniques to assess its effectiveness in abdominoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A systematic literature search identified relevant studies comparing LS with standard methods. Primary outcome was the overall postoperative complications\u2019 rate; secondary outcomes included specific wound complications, operative time, and hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistics<\/jats:title>\n                    <jats:p>\n                      A random-effects model was used for pooled analysis. Risk differences (RD) and 95% confidence intervals (CI) were calculated for categorical outcomes; mean differences (MD) for continuous outcomes. Heterogeneity was assessed using the I\n                      <jats:sup>2<\/jats:sup>\n                      statistic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The search yielded 3 studies totaling 205 patients. LS significantly reduced overall complication rates compared to controls (RD = \u22120.46, 95% CI: \u22120.60 to \u22120.32,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Hematoma and wound dehiscence incidences were significantly lower (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01, respectively). No significant differences were observed for seroma, infection, or fat\/flap necrosis. LS use was also associated with reduced re-operation rates and shorter hospital stays, though operative time was comparable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>LS may improve surgical outcomes in post\u2013weight-loss abdominoplasty patients by reducing complications and hospitalization. However, the limited number of studies and small sample size warrant cautious interpretation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preliminary evidence suggests that LS may offer potential benefits in abdominoplasty; however, current findings should be interpreted with caution because of limited quality and heterogeneity of available studies. Further research is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15533506251374484","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:23:57Z","timestamp":1756304637000},"page":"71-80","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Ligasure Impact\u2122 to Reduce Complications After Abdominoplasty: A Meta-Analysis of Comparative Studies"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5981-6870","authenticated-orcid":false,"given":"Salvatore","family":"Giordano","sequence":"first","affiliation":[{"name":"Satasairaala Hospital"},{"name":"The University of Turku"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veera","family":"Korhonen","sequence":"additional","affiliation":[{"name":"Satasairaala Hospital"},{"name":"The University of Turku"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre\u2019","family":"Salval","sequence":"additional","affiliation":[{"name":"Satasairaala Hospital"},{"name":"The University of Turku"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro G.","family":"di Summa","sequence":"additional","affiliation":[{"name":"Satasairaala Hospital"},{"name":"The University of Turku"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo Maria","family":"Oranges","sequence":"additional","affiliation":[{"name":"Geneva University Hospitals"},{"name":"University of Geneva"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,27]]},"reference":[{"key":"e_1_3_4_2_2","volume-title":"Global Survey: 2023: full report and press releases (english)","author":"ISAPS","unstructured":"ISAPS. 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