Surgical Incision by High Frequency Cautery

Vedbhushan, S. T.; Mulla, Muneer A.; Haroonrasid,; Chandrashekhar, D. M.

doi:10.1007/s12262-012-0520-x

Cited by 14 publications

(23 citation statements)

References 6 publications

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“…Theoretically however, literature exists on thermal stimulation too of neural structures; Plaghki et al having reported stimulation of peripheral nerves using non-noxious radiant heat produced by laser [18]. Literature exists on use of monopolar diathermy for making surgical skin incisions too, without causing any thermal necrosis [1]. None the less, though a concern for thermal injury does exist; no patient in the present study had any evidence of such a complication.…”

Section: Discussionmentioning

confidence: 60%

“…Surgical diathermy involves the passage of high frequency alternating electric current through body tissues [1]. Diathermy may be either monopolar or bipolar.…”

Section: Introductionmentioning

confidence: 99%

“…In case of monopolar diathermy, high frequency electric current from diathermy machine is delivered to an active electrode held by the surgeon. Density of the electric current is high at the point of contact of diathermy electrode with the body tissue as a result of which a pronounced heating effect occurs locally [1]. Though the heating effect is local, it is the "electric current" that subsequently spreads out in the body and then returns to the diathermy machine via the patient plate electrode (a pad which is kept under the patient) [1].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Stimulation of Pedicle Screws with Diathermy: Is it a Viable Option to Detect Breaches?

Pithwa¹,

Venkatesh²

2015

J Spine 2015

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Section: Discussionmentioning

confidence: 60%

“…Surgical diathermy involves the passage of high frequency alternating electric current through body tissues [1]. Diathermy may be either monopolar or bipolar.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Stimulation of Pedicle Screws with Diathermy: Is it a Viable Option to Detect Breaches?

Pithwa¹,

Venkatesh²

2015

J Spine 2015

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“…The reduced incisional blood loss in the diathermy group is in concordance with the findings in a similar study. 11,14,15 There was only a slight difference in volume. The mean blood loss in the diathermy group was 1.53±3.84 ml whilst theirs 11 was 1.43±0.201 ml.…”

Section: Discussionmentioning

confidence: 96%

A comparative study to evaluate the outcome between electrocautery versus scalpel skin incision in tension free inguinal hernioplasty: a tertiary care teaching centre experience

Chauhan

Charpot

2016

Int Surg J

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A comparative study to evaluate the outcome between electrocautery versus scalpel skin incision in tension free inguinal hernioplasty: a tertiary care teaching centre experience Himesh R. Chauhan*, Rahul V. Charpot INTRODUCTIONThe use of cutting electrocautery instead of scalpel for skin incision is gradually gaining wide acceptance due to the observation that no change in wound complication rates or postoperative pain are reported with the use of cutting electrocautery. However, these studies include operations without the use of prosthetic materials during other general surgical procedures. The aim of this study was to evaluate the outcome of electrocautery skin ABSTRACTBackground: The use of cutting electrocautery instead of scalpel for skin incision is still suboptimal worldwide.There are many studies which include its use in general surgical operations but without use of prothetic material mostly, so our study aimed at its use in operations which include use of prosthetic material during abdominal wound closure means in tension free inguinal hernioplasty, exclusively. The objective of this study was to evaluate whether the application of extreme heat by cutting electrocautery may result in significant postoperative pain and poor wound healing with increased risk of wound infection in presence of underlying prosthetic material and poor cosmesis because of excessive tissue damage and scarring respectively as per previous hypothesis or it's safe and effective instead.Methods: This is a retrospective clinical study conducted in the Department of Surgery, of a teaching tertiary care hospital in Sola, Ahmedabad between May 2013 to April 2014. Patients were allocated consecutively to have either scalpel or cutting electrocautery incisions. The duration used in making the skin incision; the incisional blood loss and the ensuing length and depth of the wound were noted. Postoperative pain; duration of wound healing and the occurrence of surgical site infection and cosmetic outcome were also noted. Results: A total of 196 consecutive patients included to inguinal hernioplasty using the tension-free technique and fulfilling the inclusion criteria for the study were allocated alternately to either electrocautery (n=98) or scalpel (n=98) groups. The ages ranged from 16 to 73 years. The demography, case distribution and body mass index were similar in both groups. The incision time was shorter in the electrocautery group (P <0.001). The blood loss was less with the electrocautery compared to the scalpel (6.53±3.84 ml vs. 18.16±7.36 ml, P<0.001). The cumulative numerical rating scale score for pain was 12.65 (standard deviation SD 8.06) and 17.12 (SD 9.49) in the diathermy and scalpel groups respectively (P<0.001). There was no statistically significant difference in wound infection and wound closure (epithelialization time) (P=0.206). Conclusions:The use of cutting electrocautery in making skin incision during inguinal hernioplasty is as safe as scalpel in terms of wound healing and cosmesis and is also associated with r...

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“…Dear editor, I read the article by Vedbhushan et al with interest; I would like to thank the authors for doing the study [1]. High frequency diathermy has been an important tool to surgeon since use by Harvey Cushing in 1926 [2].…”

mentioning

confidence: 99%