Abstract
EFFICACY OF DIATHERMY VERSUS COLD SCALPEL SKIN INCISION IN APPENDICECTOMY: A RANDOMISED CLINICAL TRIAL

Khanal B.*, Agarwal C. S., Gupta R. K., Paudel G., Agarwal S.

ABSTRACT

Background: Diathermy is widely used in surgery for tissue dissection except for the skin incision. This is due to the fear of poor scarring, devitalization of tissue and increased chances of wound infection. This study is undertaken to compare the diathermy skin incision over scalpel skin incision in patients undergoing appendicectomy. Methods: A prospective double blind randomized clinical trial was carried out in our tertiary centre in BPKIHS, Dharan. In this study 80 patients of acute appendicitis undergoing appendicectomy were divided in Group A (n=40 patients) and Group B (n=40 patients). In Group A skin incision was made with scalpel, and in Group B skin incision was made with diathermy. Incisional time, incisional blood loss, postoperative pain, requirement of additional analgesic dose, wound complications and scar cosmesis were compared between the two groups. The results were finally analyzed using SPSS 16. Results: Diathermy significantly reduced the incisional time and incisional blood loss.Significant wound infection was noticed in the skin incision made by cold scalpel. No significant differences in post operative pain and additional requirement of analgesics was noticed in either of the groups. Patient satisfaction and scar cosmesis was superior in the diathermy group. Conclusion: The findings of this study recommend the use of diathermy in making skin incision in all the surgical procedures.

Keywords: Diathermy, Scalpel.


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