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Diathermy versus Scalpel Skin Incision for Open Inguinal Hernia Surgery: An Interventional Study |
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S Haripranav, A Arulselvan, M Anto 1. Senior Resident, Department of General Surgery, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India. 2. Assistant Professor, Department of General Surgery, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India. 3. Professor, Department of General Surgery, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India. |
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Correspondence Address : A Arulselvan, 17, Priyadarshini Street, Sri Moogambigai Nagar, Reddiarpalayam, Puducherry-605010, India. E-mail: arulselvan975@gmail.com |
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ABSTRACT | |||||||
: Introduction: Inguinal hernia is one of the most encountered surgical-related problems worldwide. For years, there has been debate among surgeons about which type of skin incision to use: cutting with electrocautery or the traditional method of a surgical scalpel. Aim: To compare the skin incisions made with electrocautery versus traditional scalpel incisions in terms of incision time, blood loss, postoperative pain, and scar evaluation. Materials and Methods: A hospital-based prospective interventional study was conducted at the Department of General Surgery, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India, from November 2019 to September 2021. Written informed consent was obtained from 130 consecutive cases scheduled for open inguinal hernia surgery. Patients were alternately assigned to undergo incision with electrocautery (group A) or a conventional steel scalpel (group B), with each group comprising 65 patients. Bilateral hernia cases were treated as separate entities. Data analysis was performed using Microsoft Excel and Statistical Package for Social Sciences (SPSS) software version 24.0, employing the Student’s t-test and Chi-square test. A p-value of <0.05 was considered statistically significant. Results: The age distribution in group A was 49.69±15.74 years and in Group B was 52.81±14.25 years. The time taken for incision in the electrocautery group was much shorter at 12.57±11.55 seconds than in the scalpel group at 20.63±2.99 seconds, with a p-value of <0.001. The average amount of blood loss in group A was 1.02±0.35 mL and in group B was 2.03±0.32 mL, with a significant p-value of <0.001. The postoperative pain, calculated by the Visual Analogue Scale (VAS), showed a significant difference in the early postoperative period at 6 hours after surgery in Group A at 6.58±0.9 compared to group B at 7.05±1, with a p-value of 0.005. However, no significant difference was noted between the two groups at 12, 24, and 48 hours after surgery. There was no significant difference in scar evaluation between group A and group B at 12 weeks, with a p-value of 0.673 for the patient score and 0.189 for the observer score. Conclusion: Electrocautery can be recommended for hernia skin incision due to its advantage of shorter incision time, minimal blood loss, and less early postoperative pain. | |||||||
Keywords : Blood loss, Observer score, Postoperative pain, Visual analogue score | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2024/69081.2981
Date of Submission: Dec 15, 2023 Date of Peer Review: Jan 15, 2024 Date of Acceptance: Feb 26, 2024 Date of Publishing: May 01, 2024 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. NA PLAGIARISM CHECKING METH |
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Original article / research
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