Diathermy vs Scalpel in Abdominal Incision in Women Undergoing CS

Study Overview
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Brief Summary
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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.

Official Title
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Diathermy Versus Scalpel in the Transverse Abdominal Incision in Primigravida Obese Women Undergoing Cesarean Section

Conditions
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Incision, Surgical

Intervention / Treatment
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* Procedure: electrosurgery
* Procedure: scalpel


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: diathermy group<br>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. | Procedure: electrosurgery<br>* incisions completed using use the unipolar diathermy from Whiteline till we reach the parietal peritoneum (cutting the Whiteline then coagulation till reaching the peritoneum). The used diathermy frequency was 50-70 MHz.<br>* Other names: diathermy;|
| Active Comparator: scalpel<br>patients had their incisions completed using the surgical scalpel till we reach the parietal peritoneum. | Procedure: scalpel<br>* patients had their incisions completed using the surgical scalpel till we reach the parietal peritoneum.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| blood loss | assess and compare intraoperative blood loss between both studied groups. This was done using visualization technique detecting numbers of fully soaked pads used during the incision. | 30 min | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diathermy, scalpel, cesarean section, obese