الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Surgical scalpels are traditionally used for making skin incisions during cesarean delivery. The evolutions in electrosurgical devices bring an alternative method for making skin incision by the usage of cutting diathermy. Patients and methods: This was a comparative study conducted during the period from September 2019 to June 2020 on 500 patients; 250 patients had skin incisions using the surgical scalpel, while 250 patients had skin incisions with diathermy. The comparison between the two groups was done regarding postoperative pain, hemodynamic changes, incision time, incision blood loss, wound healing, and wound complications. Results: We observed a significant difference between the two groups regarding incision time, incisional blood loss, and postoperative pain, where these parameters were less in the diathermy group. No significant difference was observed between the two groups regarding hemodynamic changes, wound healing and wound complications. Conclusion: The use of diathermy for skin incisions to perform cesarean section in this study was associated with reduced postoperative pain, incisional blood loss, incisional time. It had no effect on hemodynamic changes, wound healing and wound complications. We can conclude that the usage of diathermy in making skin incision during cesarean section in this study achieved better results than scalpel incision |