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2002, Number 1

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Rev Med Hosp Gen Mex 2002; 65 (1)

Skin incision: Scalpel vs electrocautery. Experimental study in rats

Cervantes-Sánchez CR, Cu-Zetina C, Serrano-Rico E, Rojero-Vallejo J, Lazos-Ochoa M, Gutiérrez-Vega R
Full text How to cite this article

Language: Spanish
References: 9
Page: 11-14
PDF size: 102.54 Kb.


Key words:

Electrocautery, scalpel, incision, skin, diathermy, bovie.

ABSTRACT

Introduction: The use of electrocautery is a common practice for the surgeon, instead of scalpel for the creation of incisions. Until this moment it is accepted that electrocautery may be used safely to incise all layers, but skin. Objective: To compare scalpel against electrocautery to create dermal incisions. Methods: Experimental, comparative, prospective and longitudinal trial in Wistar rats. Group I (control) with scalpel. Group II (experimental) with electrocautery. Measuring skin color, gross appearance, and elevation over dermis, as well as inflammatory infiltrate, amount of fibroblasts and collagen deposition after 6 weeks of creation. Results: Macroscopically indistinguishable in color, gross appearance and elevation over dermis. In regard histological evaluation there was no statistical difference between incisions created with scalpel or with electrocautery. Conclusion: Same wound result were obtained when incising rat’s skin with scalpel or with electrocautery, after six weeks of observation.


REFERENCES

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  2. Palmer SE, McGill LD. Thermal injury by in vitro incision of equine skin with electrosurgery, radiosurgery, and a carbon dioxide laser. Vet Surg 1992; 21 (5): 348-350.

  3. Farnworth TK, Beals SP, Manwaring KH, Trepeta RW. Comparison of skin necrosis in rats by using a new microneedle electrocautery, standard-size needle electrocautery, and the shaw hemostatic scalpel. Ann Plast Surg 1993; 31: 164-167.

  4. Keenan KM, Rodeheaver GT, Kenney JG, Edlich RF. Surgical cautery revisited. Am J Surg 1984; 147: 818-821.

  5. Pearlman NW, Stiegmann GV, Vance V, Norton LW, Bell RCW, Staerkel R, Van Way III CW, Bartle EJ. A prospective study of incisional time, blood loss, pain, and healing with carbon dioxide laser, scalpel, and electrocautery. Arch Surg 1991; 126: 1018-1020.

  6. Hussain SA, Hussain S. Incisions with knife or diathermy and postoperative pain. Br J Surg 1988; 75: 1179-1180.

  7. Telfer JRC, Canning G, Galloway DJ. Comparative study of abdominal incision techniques. Br J Surg 1993; 80: 233-235.

  8. Dixon AR, Watkin DFL. Electrosurgical skin incision versus conventional scalpel: A prospective trial. J R Coll Surg Edinb 1990; 35: 299-301.

  9. Johnson CD, Serpell JW. Wound infection after abdominal incision with scalpel or diathermy. Br J Surg 1990; 77: 626-7.




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Rev Med Hosp Gen Mex. 2002;65