Scalpel versus electrocautery for Herniorrhaphy Incision: A randomized controlled trail

Zarei, Farshad and Shahmoradi, Mohammad Kazem (2020) Scalpel versus electrocautery for Herniorrhaphy Incision: A randomized controlled trail. International Journal of Surgery Open.

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Abstract

Background: Electrocautery is widely used for incision and is considered safe, irrespective of the surgical procedure. Objective: The aim of this study is to compare postoperative scar complications following scalpel and electrocautery incision in patients who underwent herniorrhaphy. Method: This study was a randomized controlled trail performed on 120 patients referred to (XXX) for herniorrhaphy. Sixty patients underwent hernia repair using scalpel and electrocautery incision. Postoperative pain, wound infection and scar-associated complications were assessed in all the patients at the time of suture removal and follow-up. The data were analyzed using SPSS v 18 and p-value < 0.05 was considered to be statistically significant. Result: The two groups were age-matched, and no significant difference was reported in terms of hypertrophic and colloidal scar among the two groups. Additionally, the differences in the pain intensity were also not significant among the groups. No postoperative infection was reported in our study. Conclusion: According to our findings, electrocautery incision is as safe as scalpel incision for herniorrhaphy with regard to scar complication and wound infection. The detailed study including intraoperative parameters can give better conclusions.

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