A comparative study between electrocautery and steel scalpel in making abdominal wall incision in caesarean section

Authors

  • Sonika Gupta Department of Gynecology, Government Hospital, Gandhi Nagar, Jammu, India
  • Anil Mehta Department of Gynecology, Government Hospital, Gandhi Nagar, Jammu, India
  • Vikrant Gupta Department of Radio diagnosis, Government Medical College and Hospital, Jammu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20172295

Keywords:

Caesarean section, Electrocautery, Postoperative wound complication rate, Scalpel

Abstract

Background: Electrocautery is commonly used in surgical practice. However, its use has been limited in skin due to the fear of tissue scarring, impaired wound healing and wound infection due to damaged tissue. To evaluate and compare the use of electrocautery and steel scalpel in making abdominal skin and deeper tissue incisions in caesarean section pfannenstiel incision with regard to operating time and postoperative wound complication rate.

Methods: The study was a prospective randomized type conducted in the Department of Gynaecology, Government Hospital, Gandhi Nagar, Jammu. 120 patients undergoing caesarean section were divided into two groups, scalpel group in which skin and deeper tissue of abdominal wall were cut by scalpel and cautery group with electrocautery. Comparison was made between the two groups based on the above objectives.

Results: In this study, we find that the operating time was less in electrocautery group and postoperative wound complications were comparable between two groups.

Conclusions: The study demonstrates that electrocautery can be used as an alternative to steel scalpel for making abdominal skin incisions.

References

Lawrenson KB, Stephens FO. The use of electrocuting and electrocoagulation in surgery. Aust NZ J Surg. 1970;39:417-21.

Kearns SR, Connoly EM, McNally S, McNamara DA, Deasy J. Randomized clinical trial of diathermy versus scalpel incision in elective midline laparotomy. Br J Surg. 2001;88:41-4.

Johnson CD, Serpell JW. Wound infection after abdominal incision with scalpel or diathermy. Br J Surg. 1990;77:626-7.

AR Dixon DF. Watkin Electrosurgical skin incision versus conventional scalpel: A prospective trial. J R Coll Surg Edinb. 1990;35:299-301.

Glover JL, Bendick PJ, Link WJ. The use of thermal knives in surgery: Electrosurgery, lasers, plasma scalpel. Curr Probl Surg. 1978;15:1-78.

Arnaud JP, Adloff M. Electrosurgery and wound healing: An experimental study in rats. Eur Surg Res. 1980;12:439-43.

Groot G, and Chappel EW, Electrocautery used to create incisions does not increase wound infection rates. Am J Surg. 1994;167(6):601-3.

Duxbury MS, Blake SM, Dashfield A, and Lambert AW, A randomized trial of knife versus diathermy in pilonidal disease. Ann R Coll Surg Eng. 2003;85(6):405-7.

Dorendro T, Singh RK, Das P. A comparative study between electrocautery and steel scalpel in making abdominal skin incision. IOSR J Dent Med Sci. 2016;15(9):59-63.

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Published

2017-05-25

Issue

Section

Original Research Articles