COMPARISON OF SUPERFICIAL SURGICAL SITE INFECTIONS FOLLOWING USE OF DIATHERMY AND SCALPEL FOR MAKING SKIN INCISIONS IN OPEN INGUINAL HERNIA REPAIR
Journal Title: IJAR-Indian Journal of Applied Research - Year 2019, Vol 9, Issue 8
Abstract
The use of electrocautery for making skin incisions remains controversial. Its effect on the rate of Supercial Surgical Site Infection (SSSI) vis-à-vis scalpel use was compared in this study. A total of 100 patients undergoing open inguinal hernia repair were divided into two: 50 in Electrocautery group, 50 in Scalpel group. Patients were assessed for up to 30 days post-operatively by an assessor blinded to the method used for making skin incision. CDC/NHSN criterion for SSSI was adopted for wound assessment while grading was done using Southampton Wound Grading System. Both groups had comparable mean age (p-value=0.29) and BMI (p-value=0.39). The difference in the incidence of SSSI (5 in Electrocautery, 7 in Scalpel group) on statistical analysis was found to not be signicant (p-value=0.53). We conclude that skin incision made with electrocautery is a safe alternative and a convenient method for performing surgeries.
Authors and Affiliations
Dr M. Radhika Rani, Dr K. Vijay Kumar, Dr Syeda Asfia Tamkeen, Dr Syed Mustafa Hashmi
Keywords
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