الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The electrosurgery often referred to as surgical diathermy has a
vital role in limiting the blood loss during surgery and the concept
has evolved in to the development of more modern instruments with
similar function. It is considered to be an efficient mode of
dissection, being hamostatic and convenient.
The women with one previous ceaserean section who were
included, were divided into two groups: Group ‘A’ which included
65 women received scalpel incision with disposable blade (No 22)
will be used to incise skin till peritoneum and group ‘B’ which
included 65 women received scalpel incision with disposable blade
(No 22) to incise skin and the deeper tissues were made by
diathermy using stananderd diathermy pen electrode
This study compared the wound-related blood loss, time to
wound healing, post operative pain and the rates of wound
complications in surgical incisions made with a scalpel and incisions
made using electrosurgery in a 6-month period in the department of
gynecology and obstetric department in Ain Shams University.
This study revealed that the blood loss in the diathermy group
was (8-15.2g) but in scalpel group was (18- 23g) and the skin-toperitoneum
time was (5 - 7.2 minut) in the diathermy group but in
the scalpel group was (7-11 minut).
Regarding the assessement of post operative data, it was clear that
number of needed analgesic in the diathermy group was 3 ampouls
of diclofoenac sodium 75 but in the scalpel group was 4 ampouls of
Summary 71
diclofoenac sodium 75 and days needed for wound healing in the
diathermy group were 5 days but in the scalpel group were 7 days.
The wound complication in scalpel group were, wound infection
(1.5%), wound ecchymosis (1.5%) and wound hematoma (1.5%) but
in the diathermy group were, wound seroma (1.5%) and wound
dehiscence (1.5%).
So the diathermy group was better than the scalpel group by
regarding the assessement of skin to peritoneum time, blood loss,
number of needed analgesic and days needed for wound healing but
both groups are similar in postoperative wound complications