Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Electrocautery: In Group A patients will receive skin incisions using a 35 W electrocautery in cut mode Erbe VIO 300 S which will also be used for incising the subcutaneous tissue and l
Sponsors
AIIMS Patna
Eligibility
Inclusion criteria
Inclusion criteria: Age group 18 to 70 years Willing to participate Incision length 5 to 10 cm ASA class I and II Clean or clean contaminated surgical wounds as classified by the American College of Surgeons Committee on Control of Surgical Infections
Exclusion criteria
Exclusion criteria: Patients with a preexisting scar at the planned surgical incision site Patient who has a known predilection for hypertrophic or keloid scars Known case of connective tissue disorders BMI greater than 30 On immunosuppressive therapy History of chemotherapy within the last 2 weeks before surgery and or radiotherapy of the abdomen within last 8 weeks before surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the post operative wound scar appearance following the use of electrocautery versus scalpel in mid line abdominal skin incision based on a structured and validated Vancouver scar scale scoring systemTimepoint: 4 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To measure and compare the mean incision time per unit wound area in seconds per square centimeter following the use of electrocautery versus scalpel in mid line abdominal skin incisionTimepoint: intra operative period;To measure and compare the blood loss during incision time following the use of electrocautery as opposed to scalpel in mid line abdominal skin incision by utilizing weighing in gram mes the sterile gauze pieces before and after the usage of electrocautery versus scalpelTimepoint: intraoperative period;To score the postoperative pain utilizing the Visual Analogue Scale on postoperative days 1 to 5Timepoint: postoperative days 1 to 5;To assess and compare the 30 day postoperative wound infection rates using the CDC guidelines for Surgical Site Infections following the use of electrocautery versus scalpel in mid line abdominal skin incisionTimepoint: 1 month;To compare the postoperative wound scar appearance both subjectively and objectively following the use of electrocautery versus scalpel in mid line abdominal skin incision based on a structured and validated The Patient and Observer Scar Assessment ScaleTimepoint: 4 months | — |
Countries
India
Contacts
Public ContactDr Ashesh Kumar Jha
all india institute of medical sciences patna
Outcome results
None listed