Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures
Objective: To compare diathermy versus surgical scalpel in skin incisions in elective general surgical procedures regarding incision time, post-operative pain and surgical site infection. Study Design: Quasi-experimental study. Place and Study Duration: Department of Surgery, Combined Militar...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2023-06-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/6792 |
| _version_ | 1827822266520436736 |
|---|---|
| author | Adnan Younis Panni Muhammad Sajid Jarral Rasikh Maqsood Mujahid Zulfiqar Ali Naqeebullah Shah Waqas Ahmed |
| author_facet | Adnan Younis Panni Muhammad Sajid Jarral Rasikh Maqsood Mujahid Zulfiqar Ali Naqeebullah Shah Waqas Ahmed |
| author_sort | Adnan Younis Panni |
| collection | DOAJ |
| description |
Objective: To compare diathermy versus surgical scalpel in skin incisions in elective general surgical procedures regarding incision time, post-operative pain and surgical site infection.
Study Design: Quasi-experimental study.
Place and Study Duration: Department of Surgery, Combined Military Hospital, Peshawar Pakistan, from Feb to Jul 2020.
Methodology: A total of 106 patients undergoing general elective procedures aged 20-60 years belonging to either gender were included in the study. They were divided into two equal groups of 53 patients each. Patients with ischemic heart disease, diabetes mellitus, hypertension, and dirty and contaminated procedures were excluded. Group-A patients underwent skin incisions with diathermy, while Group-B patients underwent skin incisions with a surgical blade on a scalpel. The incision time was noted for both groups. All patients were followed for post-operative pain per visual analogue score and development of surgical site infection.
Results: Mean incision time in Group-A (Diathermy-Group) was 46.58±8.03 seconds, while in Group-B (Scalpel-Group), it was 54.75±7.91 seconds (p<0.001). The mean post-operative pain score in Group-A (Diathermy Group) was 2.25±0.76, while in Group-B (Scalpel Group), it was 3.58±0.91 (p<0.001). Wound infection was found in 3.77% of patients in Group-A, while in Group- B, it was found in 15.09% (p=0.046).
Conclusion: Incision with Diathermy is better than scalpel skin incisions regarding incision time, post-operative pain and postoperative surgical site infection.
|
| first_indexed | 2024-03-12T01:55:39Z |
| format | Article |
| id | doaj.art-d598c63ea48744f0b2c6f2cea730af8c |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-03-12T01:55:39Z |
| publishDate | 2023-06-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-d598c63ea48744f0b2c6f2cea730af8c2023-09-08T06:02:55ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-06-0173310.51253/pafmj.v73i3.6792Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical ProceduresAdnan Younis Panni0Muhammad Sajid Jarral1Rasikh Maqsood2Mujahid Zulfiqar Ali3Naqeebullah Shah4Waqas Ahmed5Department of Surgery, 130 Medical Battalion, Gilgit Baltistan, PakistanDepartment of Surgery, 130 Medical Battalion, Gilgit Baltistan, PakistanDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Surgery, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) PakistanDepartment of Surgery, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Surgery, 144 Medical Battalion, Siachen Pakistan Objective: To compare diathermy versus surgical scalpel in skin incisions in elective general surgical procedures regarding incision time, post-operative pain and surgical site infection. Study Design: Quasi-experimental study. Place and Study Duration: Department of Surgery, Combined Military Hospital, Peshawar Pakistan, from Feb to Jul 2020. Methodology: A total of 106 patients undergoing general elective procedures aged 20-60 years belonging to either gender were included in the study. They were divided into two equal groups of 53 patients each. Patients with ischemic heart disease, diabetes mellitus, hypertension, and dirty and contaminated procedures were excluded. Group-A patients underwent skin incisions with diathermy, while Group-B patients underwent skin incisions with a surgical blade on a scalpel. The incision time was noted for both groups. All patients were followed for post-operative pain per visual analogue score and development of surgical site infection. Results: Mean incision time in Group-A (Diathermy-Group) was 46.58±8.03 seconds, while in Group-B (Scalpel-Group), it was 54.75±7.91 seconds (p<0.001). The mean post-operative pain score in Group-A (Diathermy Group) was 2.25±0.76, while in Group-B (Scalpel Group), it was 3.58±0.91 (p<0.001). Wound infection was found in 3.77% of patients in Group-A, while in Group- B, it was found in 15.09% (p=0.046). Conclusion: Incision with Diathermy is better than scalpel skin incisions regarding incision time, post-operative pain and postoperative surgical site infection. https://www.pafmj.org/index.php/PAFMJ/article/view/6792Diathermyincision timePost-operative painSurgical site infection |
| spellingShingle | Adnan Younis Panni Muhammad Sajid Jarral Rasikh Maqsood Mujahid Zulfiqar Ali Naqeebullah Shah Waqas Ahmed Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures Pakistan Armed Forces Medical Journal Diathermy incision time Post-operative pain Surgical site infection |
| title | Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures |
| title_full | Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures |
| title_fullStr | Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures |
| title_full_unstemmed | Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures |
| title_short | Comparison of Diathermy versus Surgical Scalpel for Skin Incisions in Elective General Surgical Procedures |
| title_sort | comparison of diathermy versus surgical scalpel for skin incisions in elective general surgical procedures |
| topic | Diathermy incision time Post-operative pain Surgical site infection |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/6792 |
| work_keys_str_mv | AT adnanyounispanni comparisonofdiathermyversussurgicalscalpelforskinincisionsinelectivegeneralsurgicalprocedures AT muhammadsajidjarral comparisonofdiathermyversussurgicalscalpelforskinincisionsinelectivegeneralsurgicalprocedures AT rasikhmaqsood comparisonofdiathermyversussurgicalscalpelforskinincisionsinelectivegeneralsurgicalprocedures AT mujahidzulfiqarali comparisonofdiathermyversussurgicalscalpelforskinincisionsinelectivegeneralsurgicalprocedures AT naqeebullahshah comparisonofdiathermyversussurgicalscalpelforskinincisionsinelectivegeneralsurgicalprocedures AT waqasahmed comparisonofdiathermyversussurgicalscalpelforskinincisionsinelectivegeneralsurgicalprocedures |