Cold Knife Versus Monopolar Electrosurgery in Abdominal Incisions

Cold Knife Versus Monopolar Electrosurgery for Abdominal Incisions ( Clinical Trial )

the aim of work is to compare the early postoperative and late term wound complication rates between the scalpel and electrosurgery in patients with benign gynecological conditions undergoing abdominal incisions.

• Study Hypothesis: - Using electrosurgery decrease incision blood loss, decrease postoperative pain, decrease wound time incision, decrease analgesia requirements, doesn't increase wound sepsis.

Type of study: - Randomized controlled trial study (parallel group study with 1:1 randomization) will be conducted at gynecology department of Alzhraa University Hospital of faculty of Medicine for girls - Cairo within 1 year according to sample size. A computer randomization will be generated and held with one of the experimenter, and (n) of black and red card will be used for allocation concealment.

Participants at morning of the operation will be given information about the study aims and written consent will be taken.

Inclusion Criteria:

• All patients scheduled for elective gynecological abdominal surgeries for benign diseases
• willing to participate in the study.
• The participants will receive 2 gm cephalosporines preoperative per hospital policy.

Exclusion Criteria:

• History of receiving antibiotics during the preceding 7 days,
• chronic medical illness like diabetes, asthma or tuberculosis,
• patients have anemia,
• surgically scarred tissues,
• Immuno-compromised patients,
• pregnant patients,
• patients with pacemaker device,
• patients on anticoagulants therapy