Abstract
OBJECTIVE: To compare mean post-operative pain score in midline laparotomy incisions made usingscalpel versus mono-polar diathermy.METHODOLOGY: Present study was Randomized Controlled trial conducted at Department of Surgery,Dr. Ruth Katherina M. Pfau Civil Hospital Karachi from July 2016 to June 2017. A total 80 patients wererandomly divided in two equal groups. Group A patients underwent exploratory laparotomy with scalpelwith disposable blade while Group B with monopolardiathermy in cutting mode. Postoperatively painscore was measured using Visual Analogue Scale.RESULTS: Mean age was 31.45±9.69. Mean pain score on post operative day 1 was 8.60±0.92 in group A(Scalpel) and 5.98±0.26 in group B (Diathermy). Mean pain score on day 2 and 3 was 7.25±0.8 vs 3.80±0.9and 5.5±0.6 vs 2.7±0.8 in group A and B respectively. P-value was found to less than 0.001 and thereforegreatly significant.CONCLUSION: The findings of this study show that incision made by diathermy is safe and effective interms of post-operative pain as compared to scalpel incision.
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