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Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery

BACKGROUND: Since a long time skin incisions have routinely been made with scalpels. Now a day there is a shift in trend from this method to electrosurgical skin incisions. However, fear of bad scars and improper wound healing has prevented its wide spread use. This Study aimed to compare both metho...

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Autores principales: Talpur, Altaf Ahmed, Khaskheli, Abdul Basir, Kella, Nandlal, Jamal, Akmal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376978/
https://www.ncbi.nlm.nih.gov/pubmed/25834739
http://dx.doi.org/10.5812/ircmj.14078
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author Talpur, Altaf Ahmed
Khaskheli, Abdul Basir
Kella, Nandlal
Jamal, Akmal
author_facet Talpur, Altaf Ahmed
Khaskheli, Abdul Basir
Kella, Nandlal
Jamal, Akmal
author_sort Talpur, Altaf Ahmed
collection PubMed
description BACKGROUND: Since a long time skin incisions have routinely been made with scalpels. Now a day there is a shift in trend from this method to electrosurgical skin incisions. However, fear of bad scars and improper wound healing has prevented its wide spread use. This Study aimed to compare both methods of skin incisions for different variables. OBJECTIVES: The aim of this study was to examine incisional time, blood loss during incision and postoperative wound complications and pain with both methods of skin incision. PATIENTS AND METHODS: A prospective, comparative and randomized study was conducted at different hospitals of Hyderabad and Nawabshah, Pakistan from 1(st) of December 2009 to 30(th) of November 2011. The study included patients of either sex above the age of five years with general surgical pathology who were to undergo surgery. these candidates were randomly put into two groups. In Group A patients incision was made with a scalpel and in group B with diathermy. Data was analyzed for age, sex, comorbid illness, incisional time, blood loss during incision making and postoperative pain and wound complications. RESULTS: A total of 283 patients completed the follow-up and were included in the final analysis. Group A comprised of 143 (50.53%) patients; 83 (58%) males and 60 (42%) females with a mean age of 36.03 years. Amongst the 140 patients of group B, there were 85 (60.7%) males and 55 (39.3%) females with a mean age of 36.52 years. Twenty-five (17.48%) patients of group A and 27 (19.28%) of group B had comorbid illnesses. Mean incision time was 8.9025-sec/cm(2) for group A and 7.3057 sec/cm(2) for group B patients. Mean blood loss during incision making was 1.8262 mL/cm(2) and 1.1346 mL/cm(2) for group A and B patients, respectively. Pain was 5.2957 for group A patients on day one and 3.1181 for group B patients. Pain score was 2.1049 and 1.6206 on day two and 0.8191 and 0.7192 on day five, for group A and B patients, respectively. Postoperative wound complications were noticed in 26 (18.18%) patients of group A and 22 (15.71%) patients of group B. CONCLUSIONS: Diathermy incision is a safe and expedient technique. It takes less time than scalpel incision and loss of blood is also lower during incision. Diathermy is associated with lesser post-operative pain and complications than the scalpel incision. Diathermy should be method of choice in general elective surgery.
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spelling pubmed-43769782015-04-01 Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery Talpur, Altaf Ahmed Khaskheli, Abdul Basir Kella, Nandlal Jamal, Akmal Iran Red Crescent Med J Research Article BACKGROUND: Since a long time skin incisions have routinely been made with scalpels. Now a day there is a shift in trend from this method to electrosurgical skin incisions. However, fear of bad scars and improper wound healing has prevented its wide spread use. This Study aimed to compare both methods of skin incisions for different variables. OBJECTIVES: The aim of this study was to examine incisional time, blood loss during incision and postoperative wound complications and pain with both methods of skin incision. PATIENTS AND METHODS: A prospective, comparative and randomized study was conducted at different hospitals of Hyderabad and Nawabshah, Pakistan from 1(st) of December 2009 to 30(th) of November 2011. The study included patients of either sex above the age of five years with general surgical pathology who were to undergo surgery. these candidates were randomly put into two groups. In Group A patients incision was made with a scalpel and in group B with diathermy. Data was analyzed for age, sex, comorbid illness, incisional time, blood loss during incision making and postoperative pain and wound complications. RESULTS: A total of 283 patients completed the follow-up and were included in the final analysis. Group A comprised of 143 (50.53%) patients; 83 (58%) males and 60 (42%) females with a mean age of 36.03 years. Amongst the 140 patients of group B, there were 85 (60.7%) males and 55 (39.3%) females with a mean age of 36.52 years. Twenty-five (17.48%) patients of group A and 27 (19.28%) of group B had comorbid illnesses. Mean incision time was 8.9025-sec/cm(2) for group A and 7.3057 sec/cm(2) for group B patients. Mean blood loss during incision making was 1.8262 mL/cm(2) and 1.1346 mL/cm(2) for group A and B patients, respectively. Pain was 5.2957 for group A patients on day one and 3.1181 for group B patients. Pain score was 2.1049 and 1.6206 on day two and 0.8191 and 0.7192 on day five, for group A and B patients, respectively. Postoperative wound complications were noticed in 26 (18.18%) patients of group A and 22 (15.71%) patients of group B. CONCLUSIONS: Diathermy incision is a safe and expedient technique. It takes less time than scalpel incision and loss of blood is also lower during incision. Diathermy is associated with lesser post-operative pain and complications than the scalpel incision. Diathermy should be method of choice in general elective surgery. Kowsar 2015-02-21 /pmc/articles/PMC4376978/ /pubmed/25834739 http://dx.doi.org/10.5812/ircmj.14078 Text en Copyright © 2015, Iranian Red Crescent Medical Journal. http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
spellingShingle Research Article
Talpur, Altaf Ahmed
Khaskheli, Abdul Basir
Kella, Nandlal
Jamal, Akmal
Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery
title Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery
title_full Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery
title_fullStr Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery
title_full_unstemmed Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery
title_short Randomized, Clinical Trial on Diathermy and Scalpel Incisions in Elective General Surgery
title_sort randomized, clinical trial on diathermy and scalpel incisions in elective general surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4376978/
https://www.ncbi.nlm.nih.gov/pubmed/25834739
http://dx.doi.org/10.5812/ircmj.14078
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