Comparison between Cold Knife, Monopolar Electrosurgery and Combining Both Methods for Abdominal Incision (Clinical Trial)

Introduction: Scalpels have been used to make abdominal surgical incisions by manually cutting through tissue using a sharp blade. Electrosurgery becomes an integral and evolves part of practice but less popular among surgeons. Fear deep burns with electrosurgery resultant scarring continues compared the scalpel, which produces clean, incised wound minimal destruction. Aim The Study: aim this study was evaluate early late postoperative complications cold knife. Patients Methods: This Randomized Controlled Trial (RCT) that evaluated knife, monopolar combined both methods in patients gynecological conditions undergoing 6-month period Outpatient Inpatient Clinics at Obstetrics Gynecology Department El Sayed Galal Hospital, Al-Azhar University. Results: There are statistically significant differences between studied groups regarding incision time, blood loss, VAS score over time first 24 hours numder doses morphine paracetamol. It has concluded can be considered safe effective making skin knife does not increased sepsis. Conclusion: Wound infection rate significantly lower pain analgesia requirements, incision.