Comparison of the Outcome of Diathermy Versus Scalpel Skin Incision in Surgical Cases
- 97 Downloads
The objective of this study was to compare the outcome of cutting diathermy incisions versus surgical scalpel incisions in three different sites of elective surgery. This study was a prospective observational study conducted at a tertiary care teaching hospital in Pune, India, over a period of 2 years from June 2014 to June 2016 including a 1-year follow-up period. Inclusion criteria were patients of both sexes who were admitted for elective surgeries of the thyroid, breast, and abdomen. Data including demographic details, infection rate, and cosmetic appearance were recorded in both groups to compare the final surgical outcome. A total of 135 patients were finally analyzed in the study. A total of 68 patients (group A) underwent operation via diathermy skin incision and 67 patients (group B) underwent operation via scalpel skin incision. In diathermy (group A), a total 18% (n = 12) patients developed complications and in scalpel (group B), a total 21% (n = 14) patients developed complications (chi-square = 2.386, p value = 0.801). In diathermy (group A), 56 cases (82%) had excellent scar, 12 cases (17%) had fair scar, and 1 case (1.5%) had poor scar. In scalpel group (group B), 53 cases (79%) had excellent scar, 12 cases (18%) had fair scar, and 2 cases (3%) developed poor scar (f = 2.56, p = 0.112). No significant difference was noted in wound healing and the rate of wound complication in skin incision made by cutting diathermy as compared to the conventional scalpel skin incision in our present study. We also conclude that there is no difference in cosmetic outcome in both groups after 1 year of follow-up.
KeywordsDiathermy Scalpel Skin incision Wound complications Cosmesis
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- 5.Ji GW, Wu YZ, Wang X, Pan HX, Li P, Du WY, Qi Z, Huang A, Zhang LW, Zhang L, Chen W, Liu GH, Xu H, Li Q, Yuan AH, He XP, Mei GH (2006) Experimental and clinical study of influence of high-frequency electric surgical knives on healing of abdominal incision. World J Gastroenterol 12(25):4082–4085. https://doi.org/10.3748/wjg.v12.i25.4082 CrossRefGoogle Scholar
- 6.Singer AJ, Arora B, Dagum A, Valentine S, Hollander JE (2007) Development and validation of a novel scar evaluation scale. Plast Reconstr Surg 120(7):1892–1897. https://doi.org/10.1097/01.prs.0000287275.15511.10 CrossRefGoogle Scholar
- 8.Sivaj A, Farooq-Dar M, Gilani AB, Raziq S (2011) Elective midline laparotomy: comparison of diathermy and scalpel incisions professional. Med J 18(1):106–111Google Scholar
- 9.Shivagouda P, Gogeri BV, Godhi AS, Metgud SC (2010) Prospective randomised control trial comparing the efficacy of diathermy incision versus scalpel incision over skin in patients undergoing inguinal hernia repair. Recent Res Sci Technol 2(8):44–44Google Scholar
- 11.Chrysos E, Athanasakis E, Antonakakis S, Xynos E, Zoras O (2005) A prospective study comparing diathermy and scalpel incisions in tension-free inguinal hernioplasty. Am Surg 71(4):326–329Google Scholar
- 12.Stolz AJ, Schitzner J, Lischke R, Simonek J, Pafko P (2004) Is a scalpel required to perform a thoracotomy? Rozhl Chir 83(4):185–188Google Scholar
- 13.Franchi M, Ghezzi F, Benedetti-Panici PL, Melpignano M, Fallo L, Tateo S, Maggi R, Scambia G, Mangili G, Buttarelli M (2001) A multicentrecollaborativestudy on the use of cold scalpel and electrocautery for midline abdominal incision. Am J Surg 181(2):128–132. https://doi.org/10.1016/S0002-9610(00)00561-4 CrossRefGoogle Scholar
- 15.Dixon AR, Watkin DF (1990) Electrosurgical skin incision versus conventional scalpel: a prospective trial. J R Coll Surg Edinb 35(5):299–301Google Scholar
- 17.Chau JK, Dzigielewski P, Mlynarek A, Cote DW, Allen H, Harris JR, Seikaly HR (2009) Steel scalpel versus electrocautery blade: comparison of cosmetic and patient satisfaction outcomes of different incisions methods. J Otolaryngol Head Neck Surg 38(4):427–433Google Scholar