A comparative study of laparotomy incision with scalpel Vs diathermy in reference to time taken, post-operative pain, type of surgery, wound healing and hospital stay
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Background: Very few operations can be performed without cutting through the skin. It may be incised to gain access to deeper structures, or the surgery may be primarily on the skin itself whether for the repair of trauma or for the excision of a skin lesion. Aims and Objectives: To study laparotomy incision with scalpel vs diathermy in reference to time taken, post-operative pain, type of surgery, wound healing and hospital stay. Methodology: This was a cross-sectional study carried out at the Study was conducted at Medical College Hospital, in 2014 to 2015, randomly 50 of each i.e. 100 patients in a year were selected. Pain Score was measured by Visual Analogue Scale. The statistical analysis done by un-paired t-test and chi-square test and unpaired-t-test calculated by the SPSS-19 software. Result: The average time for incision was significantly higher for Scalpel was 9.12 ± 4.25 seconds as compared to 6.23 ± 2.92 seconds in Diathermy (P<0.01) . The mean VAS Score for pain was significantly higher at Day 1 in Scalpel 5.42± 0.72 as compared to Diathermy 2.92 ± 0.82 (P<0.001); at Day was 2.21 ± 0.24 and 1.72 ± 0.32 (P<0.01) and at Day 5 was 0.92 ± 0.08 and 0.82 ± 0.07 (P>0.05) was not significant. The duration of Healing of post-operative wound was significantly higher in Scalpel 11 ± 2.1 Days group as compared to Diathermy 8.2 ± 3.4. The Post-operative Complications were significantly lower in Diathermy group as compared to Scalpel. (X2 =7.12 P<0.05.) These complication were Seroma- 18.0% and 24.0% ; Haematoma-00% and 02.0%; Purulent-02.0% and 05.0%; Nil in 80.00 % to 70.00%. The mean hospital stay was significantly higher in Diathermy - 9± 2.3 days as compared to Scalpel -12 ± 3.4 %. (P<0.001). Conclusion: It can be concluded from our study that Diathermy is superior to scalp with respect to lesser time taken, post-operative pain, type of surgery, wound healing and hospital stay.
Authors and Affiliations
E R Bidari, Vijay Kassa
Keywords
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