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17.Comparison of Diathermy versus Scalpel Incision in Obstetrics Surgeries

Farah Javed, Wajiha Shadab, Umm-e-Salma, Sadaf Afzal, Saba Mehmood and
Shamaila Sharif

ABSTRACT

Objective: Electro-surgery frequently mentioned as surgical diathermy is crucial to reduce blood loss during surgery. This study aimed to compare abdominal incision from skin till parietal peritoneum given by scalpel as compared to diathermy in terms of mean volume of blood loss and mean incision time.

Study Design: Quasi experimental trial study

Place and Duration of Study: This study was conducted at the department of Gynecology and Obstetrics of Railway General Hospital; Rawalpindi form May, 2017 to November, 2017 for a period of six months.

Materials and Methods: A total of 100 patients undergoing elective surgeries of obstetrics and gynecology were included in this study.

Results: Fifty patients each were randomly allocated to Groups A (Scalpel) and B (Diathermy). The mean age of patients was 39.82 ± 12.27 years in Scalpel group and 39.20 ± 12.59 years in Diathermy group. The mean time of incision in Scalpel and diathermy group were 150.04 ± 30.31 sec and 88.34 ± 33.54 sec respectively (p < 0.001). The mean blood loss was greater for the Scalpel group (18.70 ± 7.41 ml) as compared to the Diathermy group (5.70 ± 1.96 ml; p < 0.001).

Conclusion: It is concluded that diathermy is an effective, convenient and time saving method of tissue dissection during surgery, which also reduces volume of blood loss during surgery.

Key Words: Abdominal incision, partial peritoneum, hemostasis, scalpel, diathermy, blood loss, incision time

Citation of article: Javed F, Shadab W, Umm-e-Salma, Afzal S, Mehmood S, Sharif  S. Comparison of Diathermy versus Scalpel Incision in Obstetrics Surgeries. Med Forum 2022;33(2):74-77.