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TY - JOUR
AU - B.V. Gogeri2, A.S. Godhi2, S.C. Metgud2, Patil Shivagouda1,2*,
PY - 2010/10/19
Y2 - 2025/09/21
TI - Prospective Randomized Control Trial Comparing the Efficacy of Diathermy Incision versus Scalpel Incision over Skin in Patients Undergoing Inguinal Hernia Repair
JF - Recent Research in Science and Technology
JA - RRST
VL - 2
IS - 8
SE - Health Sciences
DO -
UR - https://www.updatepublishing.com/journal/index.php/rrst/article/view/500
SP -
AB - <p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; letter-spacing: -0.2pt; font-size: 12pt;">Abstract</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Background: </span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Electrocautery in surgery is widely used except for the skin incisions, this is because of fear of scarring of tissues, post operative pain, and wound infection in view of devitalisation of tissues. This study compares the scalpel incisions with electrocautery incision over skin in patients undergoing hernia repair.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Materials and Methods:</span></strong><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;"></span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">In this study prospective randomized study 60 patients undergoing mesh repair for inguinal hernia are divided in to two groups. In Group A<span style="mso-spacerun: yes;">Â Â </span>skin incision is taken with electrocautery , and in<span style="mso-spacerun: yes;">Â </span>Group B<span style="mso-spacerun: yes;">Â </span>incision is taken with scalpel. Postoperative pain, wound complication and requirement of analgesic are compared between the two groups.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Results:</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">The two groups did not differ in relation to post operative pain. Post operative analgesic requirement are similar in two groups and post operative complications seroma, hematoma, purulent collection are comparable in two groups.</span></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Conclusion:</span></strong></p><p class="MsoNormal" style="line-height: normal; text-indent: 0in; margin: 0in 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><span style="font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Although results are comparable in two groups, electrocautery can be safely used<span style="mso-spacerun: yes;">Â </span>in making skin incisions as results are comparable in two groups .We recommend further broad<span style="mso-spacerun: yes;">Â </span>study of electrocautery<span style="mso-spacerun: yes;">Â </span>usage in other surgical procedure and its further evaluation.</span></p><p class="MsoNormal" style="text-indent: 0in; margin: 6pt 0in 0pt; tab-stops: center 2.75in right 5.5in left 6.25in;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">Keywords</span></strong><span style="line-height: 110%; font-family: ";Arial Narrow";,";sans-serif";; color: black; font-size: 10pt;">: Electrocautery, Scalpel, Skin incision </span></p>
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