ELECTROSURGICAL MICRONEEDLE VERSUS SCALPEL SKIN INCISIONS IN THE FACIAL REGION

Margarita Peneva, Andrijana Gjorgjeska, Vladimir Ginoski, Hristina Breshkovska, Roza Dzoleva Tolevska

Abstract


Objective: Electrosurgery is widely used in surgical procedures, but mainly for subcutaneous and deep layer dissections. The aim of this study was to clinically evaluate the results of routine use of electrosurgical microneedle in performing skin incisions in the facial regions. Material and methods: Eighty patients with both benign and malignant skin lesions in the facial regions undergoing surgery were enrolled in this study. In group A comprising 40 patients, cold steel surgical scalpel №15 was used for the surgical procedure. Electrosurgical microneedle with 0.06 mm tip radius and generator unit KLS Martin Electrosurgical Unit ME MB 2 set on cutting mode, power 12 W was used for performing the surgery in group B including the same number of patients. Differences between incision time, excision time, blood loss and the wound related complications were evaluated. Results: The two groups did not significantly differ in the speed of incision and speed of excision although both the speed of incision and the speed of excision were found to be slightly faster in the electrosurgery group. There was significantly less blood loss in the electrosurgery group compared with the scalpel group.Statistical analysis did not confirm as significant the difference in complications between the two groups although most of the complications were associated with the patients operated with scalpel. Conclusion: Electrosurgery presents safe and effective way of work. In that manner, it is very important to choose the right generator unit's settings and the right type of electrode.


Keywords


surgical scalpel, electrosurgery, facial regions

Full Text:

PDF

References


Petrovski M, Kaftandziev I, Petrovski D, Zhogovska E, Cvetanovski V, Todorovik L et al. Surgical propaedeutics, practicum for exercises. 1st ed. Skopje: Makavej, 2006.

Scalpel in Wikipedia. Retrieved June 16, 2017, from https://en.wikipedia.org/wiki/Scalpel

Panovski M. Electrosurgery. 1st ed. Skopje: Tabernacle, 2013.

Sharma R. Safety of Colorado microdissection needle (Stryker) for skin opening in craniomaxillofacial surgery. J Maxillofac Oral Surg. 2012;11(1):115-8.

Honig WM. The mechanism of cutting in electrosurgery. IEEE Trans Biomed Eng.1975; 22(1):58-62.

KLS MARTIN group. Electro surgery manual. Available at: http://www.klsmartin.com/fileadmin/Inhalte/Downloads_Prospekte/HF-Geraete/90-604-02-04_09_06_Handbuch_HF.pdf. Accessed June 15, 2017.

Dixon AR, Watkin DF. Electrosurgical skin incision versus conventional scalpel: a prospective trial. J R Coll Surg Edinb. 1990; 35(5):299-301.

Vore SJ, Wooden WA, Bradfield JF, Aycock ED, Vore PL, Lalikos JF, et al. Comparative healing of surgical incisions created by a standard "bovie," the Utah Medical Epitome Electrode, and a Bard-Parker cold scalpel blade in a porcine model: a pilot study. Ann Plast Surg. 2002 ;49(6):635-45.

Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al.. Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8):784-91.

Ravikumar V,Siddiqui YMB, Vajpeyi V, Vickey Katheria V. Comparative analysis between scalpel and diathermy in elective abdominal incisions. IJMHS. 2'15;5:2; 50 – 2.

Aird LN, Brown CJ. Systematic review and meta-analysis of electrosurgery versus scalpel for surgical skin incisions. Am J Surg. 2012;204(2):216-21.

Shekhar U. Naval B.Electrosurgery versus scalpel incision in inguinal hernioplasty. RJPBCS. 2013; 4 (4):499-503.

Groot G, Chappell EW. Electrosurgery used to create incisions does not increase wound infection rates. Am J Surg. 1994;167(6):601-3.

Kearns SR, Connolly EM, McNally S, McNamara DA, Deasy J. Randomized clinical trial of diathermy versus scalpel incision in elective midline laparotomy. Br J Surg. 2001; 88(1):41-4.

Allan SN, Spitz L, van Noort R, Black MM. A comparative study of scalpel and electrosurgical incision on subsequent wound healing. J Pediatr Surg. 1982;17(1):52-4.

Eisenmann D, Malone WF, Kusek J. Electron microscopic evaluation of electrosurgery. Oral Surg Oral Med Oral Pathol. 1970;29(5):660-5.

Chrysos E, Athanasakis E, Antonakakis S, Xynos E, Zoras O. A prospective study comparing diathermy and scalpel incisions in tension-free inguinal hernioplasty. Am Surg. 2005;71(4):326-9.

Byrne FJ, Kearns SR, Mulhall KJ, McCabe JP, Kaar K, Gilmore M, et al. Diathermy versus scalpel incisions for hemiarthroplasty for hip fracture: a randomized prospective trial. Eur J OrthopSurgTraumatol. 2007 Jul 25. [Epub ahead of print] PubMed

Shah Kalawar RP, Khanal GP, Chaudhary P, Rijal R, Maharjan R, Paneru SR, et al. Comparative study of safety and efficacy of electrosurgery blade with cold scalpel blade for skin Ooening during fixation of fracture of forearm bone with plate and screws. International Journal of Chemical and Biomedical Science. 2015;1(2):52-5.

Sheikh B. Safety and efficacy of electrosurgery scalpel utilization for skin opening in neurosurgery. Br J Neurosurg. 2004;18(3):268-72.

Kumar V, Tewari M, Shukla HS. A comparative study of scalpel and surgical diathermy incision in elective operations of head and neck cancer. Indian J Cancer. 2011 ;48(2):216-9.




DOI: http://dx.doi.org/10.24125/sanamed.v13i3.267

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Margarita Peneva, Andrijana Gjorgjeska, Vladimir Ginoski, Hristina Breshkovska, Roza Dzoleva Tolevska

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.