Healing of abdominal wall aponeurosis of rats after incision with either cold scalpel or electrocautery

Garcia, Ademar; Nascimento, José Eduardo Aguilar do; Darold, Eduardo Mulinari; Pimentel, Rodolfo Edson de Franco; Curvo, Eloísa Almeida; Daud, Frederico Oliveira

doi:10.1590/s0102-86502007000700004

Cited by 9 publications

(8 citation statements)

References 16 publications

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“…The authors concluded that most incisions should still be made with knife; however, their data suggest that the cutting electrocautery mode in non-contaminated wounds may be better than the knife. Examination of wound healing in murine models using the 2 modalities for incision demonstrates similar inflammatory reaction, concentrations of hydroxyproline, 20 and peri-incisional concentrations of mast cells, 21 suggesting that wound healing is equivalent. Whereas no animal models have addressed these 2 incision methods in the head and neck region, a human histologic analysis of blepharoplasty incisions with needle-tip electrocautery effects versus scalpel demonstrated greater tissue damage in the cautery group; however, no difference in sensation recovery or scar formation was noted clinically.…”

Section: Discussionmentioning

confidence: 99%

Craniosynostosis Incision

Wood¹,

Kittinger²,

Perry³

et al. 2014

Journal of Craniofacial Surgery

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There is an ongoing debate regarding the optimal instrument for scalp incisions: the scalpel or electrocautery. The argument generally focuses on improved healing after an incision made with a knife and decreased bleeding when using electrocautery. This study compares the use of scalpel and electrocautery in making coronal incisions for patients undergoing surgical correction of craniosynostosis. The outcome metric used is wound healing within 6 months after surgery. All patients presenting to the University of North Carolina Children's Hospital with craniosynostosis between July 1, 2007 and January 1, 2010 requiring a coronal incision for surgical correction were prospectively enrolled. In all of these patients, half of the coronal incision was made with knife; the other half, with needle tip cautery. Side of the incision was specified at the time of surgery in the operative report. Patients were excluded from the study if the instrument for incision was not specified or if only 1 modality was used for the entire incision. Sixty-eight patients underwent cranial vault reconstruction, of which 58 met inclusion criteria. Of the 58 matched pairs, 55 were analyzed statistically. The 3 excluded cases were those who had midline complications. There were 17 wound complications (15%): 8 in the knife group, 6 in the cautery group, and 3 at midline (with indeterminate side for the problem). We found no statistically significant difference in wound healing between incisions made with a knife or with electrocautery.

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Section: Discussionmentioning

confidence: 99%

Craniosynostosis Incision

Wood¹,

Kittinger²,

Perry³

et al. 2014

Journal of Craniofacial Surgery

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“…Electromagnetic (EM) energy‐based medical devices enable advances in oncology, endocrine, gynecology, urology, and general surgery 1–7 . Laser, microwave, Harmonic ® , high and low radiofrequency (RF) energy surgical devices reduce surgical time, blood loss, thermal injury, postoperative pain, and recovery time 1–19 . EM energy instruments have enabled remarkable progress in minimally invasive surgery (MIS) reducing the need for standard clamp, cut, and tie methods 18 …”

Section: Em Surgery Devices Organized By Operating Temperature Rangesmentioning

confidence: 99%

“…Use of monopolar ES for surgical incisions has substantial advantages including decreased operative time, blood loss, and postoperative pain when compared with scalpel incisions 13,14 . For midline laparotomy incisions in people, there is no difference in perioperative and wound healing complications with use of monopolar ES or a scalpel 12 …”

Section: Principles Of Em Surgery: Coagulation and Cutting Instrumentsmentioning

confidence: 99%

“…Unlike conventional ES devices, the LigaSure ® system senses tissue impedance and adjusts energy output to achieve hemostasis with less heat and minimal tissue carbonization compared with ES 7,18,22,28 . The heating cycle stops when impedance is high enough that protein coagulation is complete; a mechanical blade cuts between the seals 5–13,16,21 . LigaSure ® is approved by FDA to seal vessels ≤7 mm diameter 6,7,19,21,22,25,27,29 .…”

Section: Advanced Em Energy Coagulation and Cutting Instrumentsmentioning

confidence: 99%

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Electromagnetic Energy Sources in Surgery

Dubiel

Shires²,

Korvick³

et al. 2010

Veterinary Surgery

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The biophysics, mechanism of actions, applications, benefits and complications of electromagnetic (EM) energy-based surgical instruments, and their current use are reviewed. Understanding the mechanism of action, tissue effects, and appropriate applications of EM devices is critical to achieving an optimal surgical outcome. Although a more diverse range of EM devices are used in human medicine, current use in veterinary medicine is limited to conventional electrosurgery and CO(2) lasers.

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“…4,6,8,9 The evidence in animals mostly relates to experimental rodent studies, which demonstrate reduced incision healing compared with scalpel incisions 5,10,11 or no difference in healing. 12 A recent study in rabbits showed that monopolar electrosurgical devices used in coagulation mode induced poorer tissue healing than when used in cut mode. 11 Differences in skin and body wall physiology and anatomy restrict extrapolation of these results to companion animals.…”

Section: Introductionmentioning

confidence: 99%

Electrosurgery reduces blood loss and immediate postoperative inflammation compared to cold instruments for midline celiotomy in dogs: A randomized controlled trial

et al. 2017

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ObjectivesTo compare the use of an electrosurgical device with traditional cold instruments (scalpel and scissors) for midline celiotomy incision.Study designProspective randomized controlled clinical trial. Sample population: One hundred and twenty client‐owned dogs undergoing abdominal surgery.MethodsDogs were prospectively recruited and randomized to receive electroincision or cold instrument incision. For cold incision, surgeons used basic surgical instruments including scalpel and scissors. For electroincision, surgeons only used the electrosurgical device in cutting mode. Time for the approach, blood loss, and the incision length were recorded. A blinded observer assessed pain and incision redness, swelling, and discharge at 24 and 48 hours postoperative (graded 0‐3). Owner assessment of incision healing was recorded by telephone interview.ResultsBlood loss during surgery was significantly lower for electroincision (mean 0.7, SD 1.7 mL) than cold incision (mean 3.0, SD 4.3 mL, P < .0001) with no significant difference in incision length or time for approach. Electroincision was associated with significantly less incision redness (cold median 1, range 0‐3; electroincision median 0, range 0‐2, P = .02) and less incision discharge (cold median 0.5 range 0‐3; electroincision median 0, range 0‐1, P = .006) at 24 hours postoperative. There was no significant difference in pain scores or incision healing in dogs receiving the two techniques. No incisional hernias were reported. A surgical site infection occurred in 1 dog (cold incision).ConclusionsElectroincision for a celiotomy approach in the dog reduces blood loss, and incision redness and discharge in the immediate postoperative period without affecting the occurrence of wound complications such as infection and dehiscence (including linea alba).

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Healing of abdominal wall aponeurosis of rats after incision with either cold scalpel or electrocautery

Abstract: Healing of abdominal wall after dieresis with either cold scalpel or electrocautery are equivalent and do not differ.

Cited by 9 publications

References 16 publications

Craniosynostosis Incision

Craniosynostosis Incision

Electromagnetic Energy Sources in Surgery

Electrosurgery reduces blood loss and immediate postoperative inflammation compared to cold instruments for midline celiotomy in dogs: A randomized controlled trial

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