A prospective study comparing diathermy and steel scalpel in abdominal incisions

Kadyan, Bhupender; Chavan, Shahaji; Mann, Manisha; Punia, Prashant; Tekade, Sachin

doi:10.4103/0975-2870.140382

Cited by 3 publications

(3 citation statements)

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“…The high-frequency electric surgical knife is the most common instrument in surgical operations since use by Harvey Cushing in 1926 (2). With the increasing use of electrosurgical tools for tissue dissection, cutting, and homeostasis, fear of excessive scarring and impair wound healing have decreased the widespread use of diathermy (3). The concern of increased infection rates by the use of electrocautery and scar outcome lead to compare with a scalpel that provides an incision with well-wound healing (4).…”

mentioning

confidence: 99%

Electrocautery Versus Scalpel in Women Undergoing Primary Cesarean Section and Neonatal Outcomes

Bostancı¹,

Güler

Akdulum

et al. 2020

Gynecol Obstet Reprod Med

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OBJECTIVE:The aim of this study is to evaluate the postoperative wound infection rate, newborn effect and, the effect of skin to peritoneum incision time between diathermy and scalpel for the operation time during primer cesarean section cases. STUDY DESIGN:A retrospective study was carried out at Gazi University Hospital. A total of 74 patients met inclusion criteria in this study but 6 patients were excluded in electrocautery group for not to come controls, group I patients, n=37, underwent operation via scalpel incision and group II patients, n=31, underwent operation by diathermy incision. The main outcome measures were the operation time, postoperative wound infection rate, scar character, neonatal Apgar scores, and need of neonatal intensive care unit. RESULTS:There were no significant differences between newborn Apgar scores (1 st and 5 th minutes), wound infections, and operation times (p=0. 35, p=0.69, p=0.32, respectively). CONCLUSION:Related to findings, it could be suggested that diathermy might be an alternative to the scalpel in Pfannenstiel incisions contrary to the old belief about its high infection rates.

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mentioning

confidence: 99%

Electrocautery Versus Scalpel in Women Undergoing Primary Cesarean Section and Neonatal Outcomes

Bostancı¹,

Güler

Akdulum

et al. 2020

Gynecol Obstet Reprod Med

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“…In our study, we did not find difference in visual analogue score between both scalpel and diathermy groups but study done by Kadyan et al found that there is decrease in visual analogue score in first 24 hours or early post-operative pain but in Shamim study there is decrease pain perception in first 48 hours in diathermy group. 2,12…”

Section: Discussionmentioning

confidence: 99%

A prospective study of diathermy versus scalpel skin incision in abdominal surgery

2019

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Background: Various methods of skin incision have been identified in the recent past. Traditional skin incisions were made with stainless steel scalpel but recently electrocautery instruments like harmonic scalpel are also in use. With rise of seropositive cases, we aimed to evaluate whether the electrocautery can replace scalpel in operation theater, to avoid unfortunate injury to surgeons with scalpel. So we compared the usefulness of diathermy skin incision vs. scalpel skin incision in general surgical patients.Methods: This prospective study designed to include 120 patients admitted in the Department of General Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Sri Amritsar and who were undergoing elective abdominal surgical procedures namely cholecystectomy, appendectomy and inguinal hernia repair etc. Patients were randomly allocated into 2 groups of 60 patients each. In Group A, incision were made with electrocautery on cut mode and power set to 60-70. In group B, skin incisions were made with scalpel.Results: No statistical difference was found between group A and group B with regard to time of administration of pain killer injection, seroma formation, discharge being noticed from wound in both groups. Moreover the results were statistically non-significant for vascularity, pigmentation and pliability of wound observed.Conclusions: We concluded that electrocautery can effectively and efficiently replace scalpel in operation theater.

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“…El bisturí convencional ha sido y es el instrumento más utilizado para realizar incisiones quirúrgicas en piel debido a su facilidad de uso, precisión y daño predecible a los tejidos circundantes. Sin embargo, una desventaja es el sangrado que altera la visualización del campo quirúrgico por hemorragia excesiva, lo que además aumenta el tiempo operatorio (Kadyan et al, 2014). Estas limitaciones han proporcionado una oportunidad para el desarrollo de nuevas tecnologías quirúrgicas que transforman la energía eléctrica en oscilaciones de alta frecuencia y que liberan energía térmica.…”

Section: Instrumentos De Corteunclassified

Instruments Used in Skin Incision

et al. 2018

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The incision is the beginning of every surgical intervention, where separation of the tissues occurs. The uses of thermal mechanisms in skin incisions have been controversial due to higher repair time, necrosis of surrounding tissue, postoperative infection, and poor cosmetic results. The purpose of this study was to determine the evolution of the various types cutting systems and compare the tissue’s response on the use of conventional instrumentation versus diathermy

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A prospective study comparing diathermy and steel scalpel in abdominal incisions

Cited by 3 publications

References 1 publication

Electrocautery Versus Scalpel in Women Undergoing Primary Cesarean Section and Neonatal Outcomes

Electrocautery Versus Scalpel in Women Undergoing Primary Cesarean Section and Neonatal Outcomes

A prospective study of diathermy versus scalpel skin incision in abdominal surgery

Instruments Used in Skin Incision

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