MONOPOLAR CAUTERY CAN BE USED AS AN EFFECTIVE ALTERNATE TO SCALPEL TO PERFORM SKIN INCISION IN CIRCUMCISION

Dr Umesh P; Dr Shabeel Sulaiman

Volume : VIII, Issue : II, February - 2019

MONOPOLAR CAUTERY CAN BE USED AS AN EFFECTIVE ALTERNATE TO SCALPEL TO PERFORM SKIN INCISION IN CIRCUMCISION

Dr Umesh P, Dr Shabeel Sulaiman

Abstract :

AIM : To compare efficacy of using monopolar cautery for circumcision over scalpel blade. METHOD: Total 40 patients, most of them being in the age group of 5–10 years with various indication for circumcision held at Yenepoya Medical College Hospital between a period of June 2017 to June 2018 were assessed clinically and the outcome was tabulated. RESULT: In this study,21 people soaked guaze piece in scalpel group and 6 in the cautery group. 9 patients had used one n half soaked guaze piece in the monopolar cautery and 2 in the scalpel group. 10 patient fully soaked guaze piece in the scalpel group and 3 in the cautery group. In post operative day 1,7 patient in the scalpel group had significant erythema indicating infection and 2 in the cautery group. Wound was clean in 18 patient of monopolar cautery and 12 in scalpel group. Comparison of the wound healing on post operative day one in the scalpel and cautery group showed seven patients in the scalpel group had significant erythema compared to the two patients in the cautery group, indicating wound infection. CONCLUSION: Monopolar cautery can be used as an effective alternative to scalpel to perform skin incision in circumcision. The amount of bleeding was slightly less in monopolar cautery with slight improved wound healing.