Incision, Surgical
Conditions
Keywords
Diathermy, scalpel, cesarean section, obese
Brief summary
Cesarean section is surging worldwide. For an extended period of surgical practice, the scalpel has been well-known as a gold-standard tool for making surgical incisions. The diathermy, electrocautery, is a substitute.
Interventions
PROCEDUREelectrosurgery
incisions completed using use the unipolar diathermy from Whiteline till we reach the parietal peritoneum (cutting the Whiteline then coagulation till reaching the peritoneum). The used diathermy frequency was 50-70 MHz.
PROCEDUREscalpel
patients had their incisions completed using the surgical scalpel till we reach the parietal peritoneum.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Women with BMI 30- 40 Kg/m2. * Women pregnant with singletons and planned to have a repeat elective lower-segment CS at 38-39 weeks' gestation due to having had one previous CS. * Women pregnant with singletons and planned to deliver by lower-segment CS at 38-39 weeks' gestation for the first time (primi-section) due to obstetric indication.
Exclusion criteria
* Cases with coagulopathies eg. Hemophilia, von Willebrand disease * Cases on anti-coagulant therapy eg. Heparin, warfarin * Cases with chronic diseases expected to affect wound healing, such as diabetes, hypertension, liver diseases, chronic anemia, and renal impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blood loss | 30 min | assess and compare intraoperative blood loss between both studied groups. This was done using visualization technique detecting numbers of fully soaked pads used during the incision. |
Countries
Egypt
Contacts
Primary Contactwaleed M El-khayat, MD
Outcome results
None listed