Diathermy training and usage trends among surgical trainees — will we get our fingers burnt?

Assiotis, Angelos; Christofi, T.; Raptis, D.A.; Engledow, Alec; Imber, Charles; Huang, Andrew

doi:10.1016/s1479-666x(09)80035-8

Cited by 10 publications

(11 citation statements)

References 18 publications

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“…A disinclined approach in the use of diathermy by the surgical trainees is predominantly because of the lack of formal training in this area. 6 The role of diathermy is not limited to general surgical procedures and in fact many clinical trials have compared the usefulness of scalpel and diathermy in making skin incisions in other specialties. [7][8][9] The aim of this meta-analysis was to compare the effectiveness of the cold scalpel and diathermy in making abdominal skin incisions.…”

mentioning

confidence: 99%

Meta-analysis of the Effectiveness of Surgical Scalpel or Diathermy in Making Abdominal Skin Incisions

Ahmad

Ahmed²

2011

Annals of Surgery

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confidence: 99%

Meta-analysis of the Effectiveness of Surgical Scalpel or Diathermy in Making Abdominal Skin Incisions

Ahmad

Ahmed²

2011

Annals of Surgery

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“…The use of electrosurgery or cold scalpel for making incisions largely depended on surgeon's preference though the conventional diathermy tended to minimize the blood loss and reduce the operating time without compromising the outcome. On the contrary, the surgical scalpels lacked any haemostatic 8 component .…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Electrocautery Versus Cold Scalpel For Skin Incision In Inguinal Hernia Repair

Ansari

Mishra

Baskota

2017

J. Nepalgunj Med. College

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Introduction: Electrocautery has been widely used except for the skin incisions; this is because of the fear of scarring of skin, post operative pain, poor wound healing and wound infection in view of devitalisation of tissues. Although still not very popular, yet the use of diathermy instead of scalpel for making skin incision and underlying tissue dissection is gradually gaining wide acceptance. The purpose of this study was to compare the scalpel incision with electrocautery incision over skin in patients undergoing hernia repair. Aims and Objectives: To compare the skin wound made by the diathermy and scalpel with a view in; intraoperative incisional time, post operative pain, requirement of analgesia and the quality of wound healing. Material and Methods: This is hospital based comparative study, undergone elective inguinal hernia repair in the department of general surgery at Nepalgunj medical college teaching hospital, Kohalpur from the period of July 2015 to January 2016. Group A, contained 30 patients who underwent skin incision with scalpel and Group B, also contained 30 patients who underwent skin incision with electrocautery. These groups were compared and statistical analysis using SPSS (version 20) was done and p value 0.05 was taken as significant. Results: Compared with a scalpel incision, cutting diathermy resulted in significantly shorter incision time (p <0.002). The two groups did not differ in relation to post operative pain and the post operative analgesics requirements. The postoperative complications viz, seroma and purulent collections were in both the groups though the hematoma collection was seen more in scalpel skin incision. Conclusion: Skin incision made by cutting diathermy was less time taking and there was no appreciable differences in postoperative pain, the requirements of analgesia and the rate of wound complications like seroma, and purulent collection, though the hematoma was seen more in scalpel skin incision. So the use of diathermy for making skin incision is as safe as the use of scalpel in patients undergoing inguinal hernia repair.

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“…In a recent survey of higher surgical trainees in the United Kingdom, only 24% used diathermy for laparotomy skin incisions, and 76% used a scalpel, even though the scalpel use poses a significant and well known risk to the surgeon and other staff in theatre, both in terms of direct injury and through blood borne infection . In a systematic review of scalpel safety in the operating room, Watt et al .…”

Section: Discussionmentioning

confidence: 99%

Cautery versus scalpel for abdominal skin incisions: a double blind, randomized crossover trial of scar cosmesis

Stupart

Sim

Chan

et al. 2013

ANZ Journal of Surgery

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Diathermy training and usage trends among surgical trainees — will we get our fingers burnt?

Cited by 10 publications

References 18 publications

Meta-analysis of the Effectiveness of Surgical Scalpel or Diathermy in Making Abdominal Skin Incisions

Meta-analysis of the Effectiveness of Surgical Scalpel or Diathermy in Making Abdominal Skin Incisions

A Comparative Study of Electrocautery Versus Cold Scalpel For Skin Incision In Inguinal Hernia Repair

Cautery versus scalpel for abdominal skin incisions: a double blind, randomized crossover trial of scar cosmesis

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