Comparison of Various Incision Techniques in Abdominal Surgery
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 5
Abstract
Surgical incisions are usually made with scalpel but usually results in skin bleeding which obscure the operating field. Other alternative in making surgical incision is diathermy. Usually skin incision by diathermy is avoided due to fear of deep burn and scarring when compared with scalpel incision, which create a clean incised wound with minimal tissue destruction. But diathermy in skin incisions decreases bleeding with less incision time. This study compared the complication and effectiveness of various techniques of making skin incisions in an abdominal surgical procedure in 105 patients in age group of 20-60 years. Patients were divided into 3 groups: A: Incision by sharp needle electrode only. B: Incision to reticular dermis with scalpel blade then further incision deep to the peritoneum with sharp needle electrode. C: Incision by conventional scalpel only. Result: There was no difference between group A, group B and group C regarding age, sex and weight (p>0.05). The incision bleeding was less in group A (statistically non-significant, p>0.05). There were more inflamed wounds in group A on 3rd day as compared to group B and group C (statistically significant p<0.05). The postoperative complications and hospital stay were less in group C compared to group A and group B (statistically non significant p>0.05). There was no difference in group A, group B and group C regarding cosmetic appearance after three months. Conclusion: Study suggested that scalpel blade is superior to electro diathermy for making surgical incisions.
Authors and Affiliations
Dr Osman Musa Hingora
Keywords
Related Articles
- EP ID EP515763
- DOI -
- Views 47
- Downloads 0
Assessment of Serum Electrolytes in Japanese Encephalitis Patients
Introduction: Japanese encephalitis (JE) is a common mosquito borne viral encephalitis. Most infections of JE are asymptomatic but if clinical illness develops, it causes significant morbidity and mortality. Aims and Obj...
A study on clinical profile of extra hepatic manifestation of Hepatitis C infection
Background: Approximately 3% of the world population is infected with Hepatitis C virus, with the highest prevalence noted in Africa and Asia. In India, the prevalence of Hepatitis C virus infection ranges from 0.3% to 0...
Cytological and Histopathological Correlation of Salivary Gland Lesions
Introduction: Salivary gland lesions are the most commonly involved head and neck swellings ranging from reactive inflammatory to neoplastic, which may be benign or malignant.Though histopathological diagnosis is gold st...
A Comparative Study of Intrathecal Isobaric Ropivacaine with Different Doses of Clonidine in Lower Extremity Surgery
Aim: To compare the clinical effects of combined doses of Ropivacaine and Clonidine. Material and Methods: Ninety patients between 20-60 years, ASA I and II category who were posted for lower limb surgery were included i...
Health seeking behavior and barriers to accessing services for RTI/ STI among Reproductive Age Women of Dehradun, Uttarakhand
Background: It has been established beyond doubt by different community based studies that prevalence of RTI is quite high among reproductive age group women but the care seeking behavior is quite poor. Hence it was impe...