Clinical Outcome of Surgical Diathermy in Elective Surgery-Prospective Randomized Controlled Tria

  • Riaz Mahmud Assistant Professor, Department of Surgery, Tairunnessa Memorial Medical College & Hospital, Tongi, Gazipur, Bangladesh
  • M Fardil Hossain Faisal Assistant Professor, Department of Surgery, Khwaja Yunus Ali Medical College & Hospital, Enayetpur, Sirajganj, Bangladesh
  • Firoz Mahmud Assistant Professor, Department of Surgery, Monno Medical College Hospital, Manikgonj, Bangladesh
  • Munsur Miah Officer on Special Duty, Directorate General of Health Services, Dhaka, Bangladesh
  • Md Nahid Reza Officer on Special Duty, Directorate General of Health Services, Dhaka, Bangladesh
  • Khandaker Rezaul Hoque Officer on Special Duty, Directorate General of Health Services, Dhaka, Bangladesh
  • Md Manir Hossain Khan Associate Professor, Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Arif Salam Khan Associate Professor, Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Keywords: Wound, Scar, Diathermy

Abstract

Background: Recent studies suggest that surgical diathermy shows better clinical outcome in the context of incision time, wound related postoperative pain, postoperative wound infections, and length of postoperative hospital stay and cosmetic outcome of scar in cases of elective surgical patients. Objectives: Compare the efficacy and safety of surgical diathermy versus conventional surgical blade for making skin incisions in elective mid-line laparotomy and to evaluate weather cutting diathermy is an effective and better alternative to surgical blade incision.

Materials and Methods: This prospective study was carried out in the department of surgery at BSMMU, Dhaka over a period of one year. Sample size was 64 with a follow up duration for 6 month. In Group I (D), skin incision was taken with diathermy, and in Group II (S), incision was taken with surgical blade.

Results: Compared with a scalpel incision, cutting diathermy resulted in significantly shorter incision times and reduced post-operative wound related pain (P = <0·001), shorter duration of postoperative hospital stay (P = 0.003) with no differences in the wound complication rate and cosmetic outcome of scar.

Conclusions: The study has demonstrated that surgical cutting diathermy is a safe and effective method to make skin incisions in elective surgery

KYAMC Journal Vol. 10, No.-3, October 2019, Page 143-146

Downloads

Download data is not yet available.
Abstract
361
PDF
107
Published
2019-12-23
How to Cite
Mahmud, R., Faisal, M. F., Mahmud, F., Miah, M., Reza, M. N., Hoque, K. R., Khan, M. M., & Khan, A. S. (2019). Clinical Outcome of Surgical Diathermy in Elective Surgery-Prospective Randomized Controlled Tria. KYAMC Journal, 10(3), 143-146. https://doi.org/10.3329/kyamcj.v10i3.44417
Section
Original Articles