Abstract
Many studies have shown the benefits of diathermy over scalpel for making skin incisions in terms of post operative pain and post operative analgesics requirement. The objective of the study is to compare the pain following incision by scalpel and diathermy for skin in ENT surgery. We conducted a prospective, randomized study and compared early post operative pain and analgesics requirement in patients undergoing ENT and Head and Neck surgery in Department of ENT at Kathmandu Medical College from September 2016 to August 2017. The statistical analysis was done using MS Excel and SPSS software. Out of 65 participants, 31 were allocated in scalpel group and 30 were allocated in diathermy group. The mean VAS score was significantly greater in scalpel group as compared to diathermy group in post operative 12, 24 and 48 hours (P<0.05). The mean ketorolac requirement was significantly more in scalpel group than in diathermy group in post operative 24 hours. The early post operative pain is less in ENT-Head and Neck surgery patients with skin incision by diathermy as compared to the patients with skin incision by scalpel.
Highlights
IntroductionThe inadequately relieved post operative pain can lead to various complications in the post operative period
METHODSThe surgical procedures are amenable to cause post operative pain
Diathermy has been accepted by surgical world for bloodless cutting and removal of diseased tissues.[1]
Summary
The inadequately relieved post operative pain can lead to various complications in the post operative period. Diathermy has been accepted by surgical world for bloodless cutting and removal of diseased tissues.[1] Electrosurgery or diathermy is commonly used in Ear, Nose and Throat (ENT), head and neck surgery for coagulation and cutting deeper tissues. Many studies have highlighted the benefit of diathermy in giving skin incisions but most of the results are not based on ENT,head and neck surgery.[2-4]. Many studies have shown the benefits of diathermy over scalpel for making skin incisions in terms of post operative pain and post operative analgesics requirement. The objective of the study is to compare the pain following incision by scalpel and diathermy for skin in ENT surgery
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