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.
Usaid Farooque, Raheel Ahmed, Dileep Kumar. (2019) Mean Post Operative Pain Score in Midline Laparotomy Incisions Made using Scalpel VS Monopolar Diathermy, Journal of Liaquat University of Medical and Health Sciences, Volume-18, Issue-2.
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