Healing of canine skin incisions made with monopolar electrosurgery versus scalpel blade

Scott, Jacqueline; Swanson, Elizabeth A.; Cooley, Jim; Wills, Robert W.; Pearce, Emily C.

doi:10.1111/vsu.12650

Cited by 14 publications

(11 citation statements)

References 36 publications

(162 reference statements)

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“…Histopathology findings were consistent with normal surgical biopsy sites and reaction to suture . Foreign body giant cell formation is considered a hallmark of foreign body reactions and was seen only around sites with suture and around necrotic adipocytes in the present study.…”

Section: Discussionsupporting

confidence: 87%

Pharmacokinetics of platinum and safety evaluation of carboplatin‐impregnated calcium sulfate hemihydrate beads after implantation in healthy cats

et al. 2020

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Objective: To evaluate the pharmacokinetics (PK) of platinum (Pt) and safety of carboplatin-impregnated calcium sulfate hemihydrate (C-I CSH) beads after implantation in healthy cats. Study design:In vivo experimental study. Animals: Six healthy adult cats.Methods: Three C-I CSH beads were implanted in muscle pockets over the right and left hemithoraces of each cat (~3.9 mg/kg of Pt; 60.4 mg/m 2 of calculated carboplatin). Hematology and blood chemistry were tested at baseline and 3, 7, 14, and 21 days postimplantation. Serum was analyzed for Pt at specific times from 1 hour to 21 days. Tissue was obtained for histopathology and analysis of Pt at 3, 7, 14, and 21 days at standardized distances from implantation sites.Results: Platinum was detected in tissues at all times and distances (range, 0.1-4.19 μg/g). Serum Pt increased up to 2.6 hours (3.25 μg/mL) then decreased sharply. Samples containing muscle had higher Pt compared with samples without muscle (P = .004). Mild hypercalcemia was noted in four cats, and mild inflammatory reaction was noted on histopathology of all samples.Results of this study were presented in part at

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Section: Discussionsupporting

confidence: 87%

Pharmacokinetics of platinum and safety evaluation of carboplatin‐impregnated calcium sulfate hemihydrate beads after implantation in healthy cats

et al. 2020

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“…et al determined the effect of monopolar electrosurgery in the 10, 20 or 30 W mode for the duration of the operation, hemostasis and healing of cutaneous wounds compared to the scalpel incisions. The results of the study showed that the use of monopolar electrosurgery in different cutting regimens improved hemostasis and shortened the operation time for skin cutting in animals (15 dogs), but delayed healing and increased complications during the first 7 days compared to the scalpel incisions [13]. Ismail A. et al conducted a systematic review and metaanalysis of work comparing electrocautery cutters and surgical incisions with a scalpel [14].…”

Section: Resultsmentioning

confidence: 99%

Comparison of Different Types of Cutting Devices in Surgery (Review)

Stupin¹,

Мантурова²,

Donskikh³

et al. 2018

IJET

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The present work presents a description of various cutting devices with an emphasis on skin surgery for the optimal choice of instruments in plastic surgery. Physical principles of work with a description of the biological role of an ultrasonic scalpel, various laser cutting devices, electrosurgical instruments, including radiofrequency electrosurgery, are described. Studies of recent years, including systematic reviews and meta-analyzes, are devoted to comparative analysis of various cutting and coagulating devices among themselves and in comparison with the mechanical metal scalpel.

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“…No scientific works can be find in literature on comparison between electronic and cold scalpel for the excision of pilonidal disease. First report regarding the use of monopolar electrosurgery for hemostasis in human surgery has been well described since 1926 [21]. Several experimental studies on animals, demonstrated that incisions made by monopolar electrosurgery can lead to a reduction of tensile strength, delayed healing, increased infection and seroma rate and a greater areas of necrosis if compared to scalpel incision [[22], [23], [24], [25]].…”

Section: Discussionmentioning

confidence: 99%

Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence

Frazzetta

Silvia

Patrizia³

et al. 2019

Annals of Medicine and Surgery

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BackgroundPilonidal disease is a morbid condition of the young population, that could impair quality of life with a high cost for the health care system. No consensus exists on optimal surgical treatment, even if several techniques have been proposed. In this preliminary case-control study we compared excision by knife and diathermy to investigate if wound dehiscence could be related to heat spreading during excision of the sinus.Materials and methodBetween January 2017 and February 2018, 29 patients underwent to sinus excision.16 patients underwent sinus excision by diathermy (named “Hot” group, case-group) while 13 patients underwent excision by the knife as the control group (named “Cold” group). The temperature data were recorded for both groups. Were considered primary and secondary outcomes.Resultsthe cold group has worse outcomes in operative time and blood loss, but better results in post-operative pain at first day and first control, number of weekly and total dressings until healing, time for full wound recovery, days to return to work, patient feeling feedback and scar aspect. Wounds healed within 8–12 days were 84.6% in the Cold group and 18.8% in the Hot one. I° Dindo-Clavien complications were respectively 15.4% and 100.0% for the Cold and Hot group. No differences were recorded for II° Dindo-Clavien complications and in days of hospitalization.Conclusioncold excision of the sinus pilonidalis has better results both in terms of precarious healing and quality of life, probably because the tissues are not subjected to diathermocoagulation damage and therefore the healing occurs more quickly. (United States National Institutes of Health, www.clinicaltrial.gov, number NCT 03764657, www.researchregistry.com UIN 5003).

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Healing of canine skin incisions made with monopolar electrosurgery versus scalpel blade

Abstract: The use of monopolar electrosurgery at 10, 20, and 30 W in a cutting waveform improved hemostasis and surgical time when incising canine skin, but delayed healing and increased complications within the first 7 days compared to scalpel incisions.

Cited by 14 publications

References 36 publications

Pharmacokinetics of platinum and safety evaluation of carboplatin‐impregnated calcium sulfate hemihydrate beads after implantation in healthy cats

Pharmacokinetics of platinum and safety evaluation of carboplatin‐impregnated calcium sulfate hemihydrate beads after implantation in healthy cats

Comparison of Different Types of Cutting Devices in Surgery (Review)

Pilonidal sinus disease: Preliminary case-control study on heat-related wound dehiscence

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