Diathermy vs Scalpel in Abdominal Incision in Women Undergoing CS

Not Applicable

• Conditions: Incision, Surgical
• Interventions: Procedure: scalpel; Procedure: electrosurgery

• Registration Number: NCT05462418
• Lead Sponsor: Cairo University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2022-07
• Study First Submitted: 2022-07-14
• Study First Submitted QC: 2022-07-14
• Last Update Submitted: 2022-07-14
• Study Start: 2022-07-15
• Study First Posted: 2022-07-18
• Last Update Posted: 2022-07-18
• Primary Completion: 2023-01-15
• Study Completion: 2023-02-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 300

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
scalpel	scalpel	patients had their incisions completed using the surgical scalpel till we reach the parietal peritoneum.
diathermy group	electrosurgery	Patients' incisions are completed using the unipolar diathermy from Whiteline until we reach the parietal peritoneum (cutting the Whiteline then coagulating until reaching the peritoneum). The used diathermy frequency was 50-70 MHz.

Primary Outcome Measures

Name	Time	Method
blood loss	30 min	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.

Trial Locations

Locations (1)

faculty of medicine - Cairo university; 🇪🇬 Cairo, Kasr El Ainy, Egypt