A PROSPECTIVE STUDY OF SCALPEL SKIN INCISION VERSUS DIATHERMY IN PATIENTS UNDERGOING INGUINAL HERNIOPLASTY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 39
Abstract
BACKGROUND Electrocautery is mainly used for haemostasis and less often for skin incisions. We have done a prospective study to compare the postoperative complications regarding skin incisions made by scalpel and electrocautery in patients undergoing inguinal hernioplasty. Aim- This study is done to evaluate and compare the post-operative pain at 6, 12 and 24 hours in electrocautery incision and scalpel incision over the skin and also to compare the incidence of surgical site infection in two different types of skin incisions on day 1 and day 7. MATERIALS AND METHODS This study was conducted in 80 patients undergoing inguinal hernia repair who were admitted in the Department of General Surgery at Rama Medical College Hospital & Research Centre, Mandhana, Kanpur. A prospective randomised control trial with double blinding was done. The patients were randomised in two groups: Group A 40 patients (Electrocautery) and Group B 40 patients (Scalpel). RESULTS The two groups formed by randomisation were statistically similar. The mean age of the patients under the Group-“Electrocautery Incision” was 46.20 years and under the Group-“Scalpel Incision” mean age of the patients was 46.85 years. In Group- “Electrocautery Incision”, the mean pain score at 6 hours was 6.53, at 12 hours it was 3.83 and at 24 hours it was 2.35. Similarly, for the Group- “Scalpel Incision”, the mean pain score at 6 hours was 6.63, at 12 hours it was 3.72 and at 24 hours it was 2.35. There was no significant difference between the surgical site infection at day 1 and day 7 between the two groups. CONCLUSION Based on observations made in this study, it has been concluded that results of both groups that is Electrocautery Group and Scalpel Group are similar in relation to the post-operative pain and surgical site infection.
Authors and Affiliations
Mahesh Gupta, Sameer Soni, Pawan Saini
Keywords
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- EP ID EP213086
- DOI 10.14260/Jemds/2017/676
- Views 91
- Downloads 0
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