Mean Post Operative Pain Score in Midline Laparotomy Incisions Made using Scalpel VS Monopolar Diathermy

Authors

  • Usaid Farooque
  • Raheel Ahmad
  • Dileep Kumar

Keywords:

Diathermy, Emergency Midline Laparotomy, Visual analogue scale.

Abstract

OBJECTIVE: To compare mean post-operative pain score in midline laparotomy incisions made using
scalpel 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 were
randomly divided in two equal groups. Group A patients underwent exploratory laparotomy with scalpel
with disposable blade while Group B with monopolardiathermy in cutting mode. Postoperatively pain
score 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±0.9
and 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 therefore
greatly significant.
CONCLUSION: The findings of this study show that incision made by diathermy is safe and effective in
terms of post-operative pain as compared to scalpel incision.

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Published

2019-07-16

How to Cite

1.
Farooque U, Ahmad R, Kumar D. Mean Post Operative Pain Score in Midline Laparotomy Incisions Made using Scalpel VS Monopolar Diathermy. J Liaq Uni Med Health Sci [Internet]. 2019 Jul. 16 [cited 2024 Jun. 20];18(02):99-103. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/139