الفهرس | Only 14 pages are availabe for public view |
Abstract The electrosurgery often referred to as surgical diathermy has a vital role in limiting the blood loss during surgery and the concept has evolved in to the development of more modern instruments with similar function. It is considered to be an efficient mode of dissection, being hamostatic and convenient. The women with one previous ceaserean section who were included, were divided into two groups: Group ‘A’ which included 65 women received scalpel incision with disposable blade (No 22) will be used to incise skin till peritoneum and group ‘B’ which included 65 women received scalpel incision with disposable blade (No 22) to incise skin and the deeper tissues were made by diathermy using stananderd diathermy pen electrode This study compared the wound-related blood loss, time to wound healing, post operative pain and the rates of wound complications in surgical incisions made with a scalpel and incisions made using electrosurgery in a 6-month period in the department of gynecology and obstetric department in Ain Shams University. This study revealed that the blood loss in the diathermy group was (8-15.2g) but in scalpel group was (18- 23g) and the skin-toperitoneum time was (5 - 7.2 minut) in the diathermy group but in the scalpel group was (7-11 minut). Regarding the assessement of post operative data, it was clear that number of needed analgesic in the diathermy group was 3 ampouls of diclofoenac sodium 75 but in the scalpel group was 4 ampouls of Summary 71 diclofoenac sodium 75 and days needed for wound healing in the diathermy group were 5 days but in the scalpel group were 7 days. The wound complication in scalpel group were, wound infection (1.5%), wound ecchymosis (1.5%) and wound hematoma (1.5%) but in the diathermy group were, wound seroma (1.5%) and wound dehiscence (1.5%). So the diathermy group was better than the scalpel group by regarding the assessement of skin to peritoneum time, blood loss, number of needed analgesic and days needed for wound healing but both groups are similar in postoperative wound complications |