Diathermy vs Scalpel in Abdominal Incision in Women Undergoing CS

Cairo University (CU)

Status: Enrolling

Conditions: Incision, Surgical

Treatments: Procedure: scalpel; Procedure: electrosurgery

Study type: Interventional

Funder types: Other

Identifiers

NCT05462418

AN2022-7

Details and patient eligibility

About

Cesarean section is surging worldwide. For an extended period of surgical practice, the scalpel has been well-known as a gold-standard tool for making surgical incisions. The diathermy, electrocautery, is a substitute.

Enrollment: 300 estimated patients

Sex: Female

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women with BMI 30- 40 Kg/m2.
• Women pregnant with singletons and planned to have a repeat elective lower-segment CS at 38-39 weeks' gestation due to having had one previous CS.
• Women pregnant with singletons and planned to deliver by lower-segment CS at 38-39 weeks' gestation for the first time (primi-section) due to obstetric indication.

Exclusion criteria

• Cases with coagulopathies eg. Hemophilia, von Willebrand disease
• Cases on anti-coagulant therapy eg. Heparin, warfarin
• Cases with chronic diseases expected to affect wound healing, such as diabetes, hypertension, liver diseases, chronic anemia, and renal impairment.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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300 participants in 2 patient groups

diathermy group

Active Comparator group

Description:

Patients' incisions are completed using the unipolar diathermy from Whiteline until we reach the parietal peritoneum (cutting the Whiteline then coagulating until reaching the peritoneum). The used diathermy frequency was 50-70 MHz.

Treatment:

Procedure: electrosurgery

scalpel

Active Comparator group

Description:

patients had their incisions completed using the surgical scalpel till we reach the parietal peritoneum.

Treatment:

Procedure: scalpel