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The aim of this research project is to compare electrocautery to scalpel for laparotomy skin incisions, with the following objectives:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Electrocautery | Experimental | Epidermis and dermis incised with cutting setting of electrocautery. |
|
| Scalpel | Active Comparator | Control, incision of epidermis and dermis with scalpel. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electrocautery | Procedure | Electrocautery using cutting mode of epidermis and dermis of skin. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Scar Cosmesis | At 6 months post-operative, patients' scars will be evaluated by two independent trained blinded observers who will use the Patient Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS) to evaluate the cosmesis of the surgical scar. Patients, who are blinded to the type of incision they have received, will also subjectively assign a score to their scar using the POSAS. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Wound Infection Rate | Superficial incisional surgical site infection as defined by the Centres for Disease Control (CDC). | within 6 months post-operatively |
| Post-operative wound pain | Patients will also be asked to record their daily post-operative incision pain using the visual analogue score (VAS) until post-operative day 5. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carl J Brown, MD MSc FRCSC | Providence Health, University of British Columbia | Principal Investigator |
| Lisa NF Aird, BSc MD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Paul's Hospital | Vancouver | British Columbia | V6Z 1Y6 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25692789 | Derived | Aird LN, Bristol SG, Phang PT, Raval MJ, Brown CJ. Randomized double-blind trial comparing the cosmetic outcome of cutting diathermy versus scalpel for skin incisions. Br J Surg. 2015 Apr;102(5):489-94. doi: 10.1002/bjs.9751. Epub 2015 Feb 18. |
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| ID | Term |
|---|---|
| D013530 | Surgical Wound Infection |
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| D007239 | Infections |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D004564 | Electrocoagulation |
| D053685 | Laser Therapy |
| ID | Term |
|---|---|
| D002425 | Cautery |
| D013812 | Therapeutics |
| D055011 | Ablation Techniques |
| D013514 | Surgical Procedures, Operative |
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| Scalpel | Procedure | Incising skin (epidermis and dermis) with scalpel. |
|
| within 5 days post-operatively |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |