Plastics & Reconstructive

  • Surgical Site Infections (SSI) are a common complication following breast surgery procedures, despite being considered a clean surgery, with incidences of infection typically ranging from 0.8–26%.[1]
  • SSI are associated with added morbidity, including prolonged hospitalisation by 2 weeks, 5 times the risk of readmission, an increase in average health care costs of up to $26,000 per patient, and twice the risk of death.[2]
FloraSeal®
  • FloraSeal has been shown to trap and immobilise bacteria that may cause infection to the patient. It rapidly and powerfully kills gram-positive and gram-negative bacteria.[3]
  • FloraSeal effectively reduces microbial colonisation within 15 minutes and maintains a low microbial colonisation throughout the 24 hours after application, has the same efficacy when being used with or without an antimicrobial surgical incise drape, and mitigates microorganisms more effectively than an antimicrobial surgical incise drape alone.[4]

1. Lavers, A., Yip, W. S., Sunderland, B., Parsons, R., Mackenzie, S., Seet, J., & Czarniak, P. (2018). Surgical antibiotic prophylaxis use and infection prevalence in non-cosmetic breast surgery procedures at a tertiary hospital in Western Australia-a retrospective study. PeerJ, 6, e5724. https://doi.org/10.7717/peerj.5724

2. Towfigh, S., Cheadle, W. G., Lowry, S. F., Malangoni, M. A., & Wilson, S. E. (2008). Significant reduction in incidence of wound contamination by skin flora through use of microbial sealant. Archives of surgery (Chicago, Ill.:1960), 143(9), 885–891.

3. Prince, D., Kohan, K., Solanki, Z., Mastej, J., Prince, D., Varughese, R., & Patel, M. (2017). Immobilization and death of bacteria by Flora Seal microbial sealant. Int J Pharm Sci Invent, 6(6), 45-49.

4. Data on File. Adhezion Biomedical, LLC

SurgiSeal® Topical Skin Adhesive is a high purity, antimicrobial, liquid topical skin adhesive that can replace sutures for incision or laceration repair.

SurgiSeal® is the only topical skin adhesive in the world to receive FDA 510K Clearance in demonstrating inhibition of gram-positive and gram-negative bacteria growth.[1]

SurgiSeal® provides the optimal balance between strength and flexibility. In replacing sutures for incision or laceration repair, it can save time, provide a flexible, water-resistant, protective coating, and eliminate the need for suture removal.

FloraSeal®

1. SurgiSeal IFU: Due to the anhydrous property of the SurgiSeal adhesive, gram+ and gram- bacteria which become incorporated within the adhesive upon application, are not expected to grow.

  • PlasmaBlade™ shows equivalent cutaneous healing to scalpel with better POSAS score than scalpel.[5]
  • Use of the PlasmaBlade™ has been shown to produce a 2.4-day reduction in drainage duration and 386ml reduction in mean drainage volume in Mastectomy.[6]
  • Use of the PlasmaBlade™ during bilateral breast reduction was associated with a significant decrease in operative time (10%; 37.24 ± 15.30 min versus 41.55 ± 11.61 min; p = 0.04) compared to traditional electrosurgery.[7]
PlasmaBlade™
  • In a tissue study of surgical margins, the PlasmaBlade™ was associated with a decrease in thermal injury, improving sample quality compared to traditional electrosurgery.[8]
  • Significantly more breast tissue was removed per minute: 20 ± 11 g/min during bilateral breast reduction when using the PlasmaBlade™ versus 16 ± 8 g/min for traditional electrosurgery, a 23.9% difference (p = 0.0002).[7]

PROCEDURES

  • Mastectomy
  • Skin-sparing mastectomy
  • Nipple-sparing mastectomy
  • Oncoplasty
  • Patients with pacemaker, DBS, or spine stimulator insitu

5. Ruidiaz ME, Messmer D, Atmodjo DY, et al. Comparative healing of human cutaneous surgical incisions created by the PEAK PlasmaBlade, conventional electrosurgery and a standard scalpel. Plast Reconstr Surg 2011; Jul 28(1): 104-111.

6. Dogan L, Gulcelik MA, Yuksel M, et al. The effect of plasmakinetic cautery on wound healing and complications in mastectomy. J Breast Cancer. 2013;16(21):198-201.

7. Data on file. VR-00065 study summary. 71-10-2453.

8. Ruidiaz ME, Cortes-Mateos MJ, Sandoval S, et al. Quantitative comparison of surgical margin histology following excision with traditional electrosurgery and a low-thermal-injury dissection device. J Surg Oncol. 2011;104(7):746-754.

  • The RadiaLux™ lighted retractor is a single-use retractor designed to provide surgeons with the ability to manipulate soft tissue through a combination of blades when assembled onto a retractor handle.
  • The retractor provides illumination to the surgical field independent of an external light source or fibre optic cables.
  • Powered by a low-temperature LED, RadiaLux™ features four interchangeable blades optimized for access in advanced breast surgery. With a specially designed lens, light is directed towards the back of the surgical pocket in a unique radius improving visibility in the plane of dissection.
RadiaLux™

Revolution Surgical Pty Ltd
5/14-16 Crescent Street, Rozelle NSW 2039 AU
ABN: 63 165 643 434

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