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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| electrosurgery will be used inanterior abdominal wall incision | Other | to perform benign gynecological conditions , surgeon will need to open anterior wall electrosurgically. |
|
| scalpel will be used in abdominal wall incision | Other | to perform benign gynecological conditions , surgeon will need to open anterior wall sharply. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| electrosurgery will be used for abdominal incision | Procedure | electrosurgery will be used to open anterior abdominal wall and electrosurgery will be used for heamostasis also |
|
| Measure | Description | Time Frame |
|---|---|---|
| Wound incision time | measure time needed to open anterior abdominal wall in minutes by stopwatch | at the beginning of each surgery |
| Wound infection | rate of infection in wound after surgery as inflammation, seroma, heamatoma, gapping, sepsis or fever | after surgery till primary healing of the wound, an average of 15 days after operation |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain (pain score 2-4 hr postoperative). | using Visual Analogue Scale; the higher scores mean worse outcome | during first 4 hours after surgery |
| Amount of Analgesia needed during 1st 12 hr after surgery . |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D000084462 | Hyperthermia |
| ID | Term |
|---|---|
| D001832 | Body Temperature Changes |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D018882 | Heat Stress Disorders |
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| scalpel will be used for abdominal incision | Procedure | scalpel will be used for abdominal wall incision and thread will be used for haemostsis |
|
dose of analgesia needed
| first 12 hours after surgery |
| Wound-related blood loss | by weighing towel before and after abdominal wall incision / grams | after opening anterior abdominal wall during each surgery |
| number of participants with bad scar formation or keloid | scar condition evaluation after complete healing of the wound. early healing after 15 days of the surgery and after complete healing after 45 days of the surgery | through study completion, an average of 1.25 year |
| D014947 | Wounds and Injuries |