Benifits of Using Diathermy in Skin Incision
Conditions
Brief summary
This study was performed to compare both methods of skin incisions to determine differences in postoperative pain, hemodynamic changes, incisional time, blood loss during incision, wound healing, and wound complication.
Detailed description
Our study aims to compare the use of diathermy versus scalpel in making skin incision during cesarean section to judge the variations in 1. incision time, 2. incision blood loss, 3. hemodynamic changes, 4. postoperative pain, 5. wound healing 6. wound complications.
Interventions
PROCEDUREskin incision with a scalpel
A Pfannenstiel skin incision was done through the subcutaneous tissue, rectus sheath and dissected from rectus muscle until peritoneum was visualized. group 1 (skin incision with a scalpel)
PROCEDUREskin incision with diathermy
A Pfannenstiel skin incision was done through the subcutaneous tissue, rectus sheath and dissected from rectus muscle until peritoneum was visualized. group 2 (skin incision with diathermy)
Sponsors
Kasr El Aini Hospital
National Research Centre, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* women with a history of only one previous cesarean section * age between 18 and 40 years * gestational age of 38 to 41 weeks * body mass index less than 30.
Exclusion criteria
* any medical disorder that can affect wound healing as diabetes, chronic anemia, chronic skin conditions, history of allergy, or history of an infected surgical wound. * Women who conducted primary or emergency cesarean deliveries * cardiac patients on pacemakers * patients on anticoagulants * women refusing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incision time | during surgical operation. the difference between starting skin incision till the rectus sheath was visualized | We compared incisional time by using a digital clock. The incisional time was established as follows: when skin incision was made, the surgeon called out start the clock. Once the rectus sheath was visualized, the surgeon calls out stop the clock. The incision time was the difference between start and stop. |
| incision blood loss | during surgery | This was calculated by weighing the swabs pre and postoperatively (1mg = 1ml) after complete hemostasis was achieved. |
| postoperative pain | during the first day after surgery | We compared those patients clinically for postoperative pain for 24 hours by visual analog scale (VAS) score, a psychometric response scale, and it is a measurement instrument for subjective characteristics or attitudes that cannot be directly measured. It is 11 points numeric scale ranges from 0 representing one pain extreme (e.g., no pain) to 10 representing the other pain extreme (e.g., pain as bad as you can imagine or worst pain imaginable). This score was recorded for each participant at 2,4,6,8,10,12,24 hours postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| wound healing | during the first week after surgery | healing by primary versus secondary intention |
| wound complications | during the first week after surgery | like seroma, hematoma, ecchymosis, dehiscence (separation of the subcutaneous tissues with skin), and infection |
Countries
Egypt
Outcome results
None listed