@article{MAKHILLRJMS202519431817,
    title = {Study of Outcome of Diathermic Incision Cautery more than 5cms in General and Urologic Surgery Operations},
    journal = {Research Journal of Medical Sciences},
    volume = {19},
    number = {4},
    pages = {140-142},
    year = {2025},
    issn = {1815-9346},
    doi = {makrjms.2025.4.140.142},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2025.4.140.142},
    author = {H. and},
    keywords = {Diathermy, scar cosmesis, surgical incisions, wound healing},
    abstract = {Cutting diathermy is a more recent alternative to scalpel for surgical
incisions. Its use was limited due to fear of increased risk of infection,
impair healing and decrease cosmesis. However, recent studies suggest
otherwise, claiming that diathermy may offer potential advantages with
respect to blood loss, incision time and post‐operative pain. The aim of
this study was thus to evaluate the outcome of diathermic incision in
terms of healing, post‐op pain and scar characteristics in operations with
incisions more than 5 cm in size. A hospital based observational study
included 182 cases scheduled to undergo surgery requiring more than
approximately 5 cm of incision. Cases were operated by surgeons who
have a minimum of 3 years of experience. Incision time, wound healing,
post‐op pain and scar characteristics were noted at discharge and follow
up at 7th and 30th day. Mean incision time was 24.5 seconds with almost
half of the cases (48.9%) had incision time between 20‐30 seconds. A
significant improvement was observed in all cases regarding mean
Southampton wound score and pain score from day of discharge till day
30th of follow up. A significant improvement was also observed in patient
and observer scar assessment scale in all the sub categories from day of
discharge till day 30th of follow up None of the cases complaint of any
surgical site infections or scar related complications. Electrocautery can
be considered as effective and safe in making large skin incision. It is
associated with less incision time, faster healing, low post‐operative pain
and good scar characteristics.}
    }