Diathermy vs Scalpel in Abdominal Incision in Women Undergoing CS

Cairo University300 enrolled

Overview

Cesarean section is surging worldwide. For an extended period of surgical practice, the scalpel has been well-known as a gold-standard tool for making surgical incisions. The diathermy, electrocautery, is a substitute.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

300

Conditions

Incision, Surgical

Interventions

electrosurgeryPROCEDURE

incisions completed using use the unipolar diathermy from Whiteline till we reach the parietal peritoneum (cutting the Whiteline then coagulation till reaching the peritoneum). The used diathermy frequency was 50-70 MHz.

scalpelPROCEDURE

patients had their incisions completed using the surgical scalpel till we reach the parietal peritoneum.

Eligibility

Sex: FEMALEMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Women with BMI 30- 40 Kg/m2. * Women pregnant with singletons and planned to have a repeat elective lower-segment CS at 38-39 weeks' gestation due to having had one previous CS. * Women pregnant with singletons and planned to deliver by lower-segment CS at 38-39 weeks' gestation for the first time (primi-section) due to obstetric indication. Exclusion Criteria: * Cases with coagulopathies eg. Hemophilia, von Willebrand disease * Cases on anti-coagulant therapy eg. Heparin, warfarin * Cases with chronic diseases expected to affect wound healing, such as diabetes, hypertension, liver diseases, chronic anemia, and renal impairment.

Locations (1)

faculty of medicine - Cairo university

Cairo, Kasr El Ainy, Egypt

RECRUITING

Outcomes

Primary Outcomes

blood loss

assess and compare intraoperative blood loss between both studied groups. This was done using visualization technique detecting numbers of fully soaked pads used during the incision.

Time frame: 30 min

Central Contacts

waleed M El-khayat, MD

CONTACT

01005135542 waleed_elkhyat@yahoo.com

Data from ClinicalTrials.gov

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