Instruments Used in Skin Incision
Main Article Content
Abstract
The incision is the beginning of every surgical intervention, where separation of the tissues occurs. The uses of thermal mechanisms in skin incisions have been controversial due to higher repair time, necrosis of surrounding tissue, postoperative infection, and poor cosmetic results. The purpose of this study was to determine the evolution of the various types cutting systems and compare the tissue’s response on the use of conventional instrumentation versus diathermy
References
Aird, L. N. & Brown, C. J. Systematic review and metaanalysis of electrocautery versus scalpel for surgical skin incisions. Am. J. Surg., 204(2):216- 21, 2012.
Arashiro, D. S.; Rapley, J. W.; Cobb, C. M. & Killoy, W. J. Histologic evaluation of porcine skin incisions produced by CO2 laser, electrosurgery, and scalpel. Int. J. Periodontics Restorative Dent., 16(5):479-91, 1996.
Benavides, J. Reparación de heridas cutáneas. Rev. Asoc. Col. Dermatol., 16(1):29-35, 2008.
Canal-Andrade, L. P.; Rodríguez-Perales, M. A.; LópezChavira, A.; Pacheco-Ramírez, M. A. & SánchezGonzález, D. J. Valoración histológica del daño tisular ocasionado por diferentes medios de corte en piel de conejo. Rev. Sanid. Milit. Mex., 61(3):162-9, 2007.
Cardoso, C. A. Análise histomorfométrica do reparo tecidual após laserterapia e aplicação de adesivo. Tesis de Magister en Ingeniería Biomédica. São José dos Campos, Instituto de Pesquisa y Desenvolvimiento, Universidade do Vale do Paraíba, 2003.
Chang, E. I.; Carlson, G. A.; Vose, J. G.; Huang, E. J., & Yang, G. P. Comparative healing of rat fascia following incision with three surgical instruments. J. Surg. Res., 167(1):e47-54, 2011.
Donado, M. Cirugía Bucal. Patología y Técnica. 3ª ed. Barcelona, Masson, 2005.
Gay Escoda, C. & Berini Aytés, L. Tratado de Cirugía Bucal. Madrid, Ergón S. A., 2004.
Henderson, W. G.; Khuri, S. F.; Mosca, C.; Fink, A. S.; Hutter, M. M. & Neumayer, L. A. Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: general surgical operations in men. J. Am. Coll. Surg., 204(6):1103-14, 2007.
Homayounfar, K.; Meis, J.; Jung, K.; Klosterhalfen, B.; Sprenger, T.; Conradi, L. C.; Langer, C. & Becker, H. Ultrasonic scalpel causes greater depth of soft tissue necrosis compared to monopolar electrocautery at standard power level settings in a pig model. B. M. C. Surg., 12:3, 2012.
Kadyan, B.; Chavan, S.; Mann, M.; Punia, P. & Tekade, S. A prospective study comparing diathermy and steel scalpel in abdominal incisions. Med. J. Dr. D. Y. Patil Univ., 7(5):558-63, 2014.
Kearns, S. R.; Connoly, E. M.; McNally, S.; McNamara, D. A. & Deasy, J. Randomized clinical trial of diathermy versus scalpel incision in elective midline laparotomy. Br. J. Surg., 88(1):41-4,2001.
Lawrenson, K. & Stephens, F. O. The use of electrocutting and electrocoagulation in surgery. Aust. N. Z. J. Surg., 39(4):417-21, 1970.
Lee, B. J.; Marks, M.; Smith, D. P.; Hodges-Savola, C. A.; Mischke, J. M. & Lewis, R. D. Advanced Cutting Effect System versus Cold Steel Scalpel: Comparative Wound Healing and Scar Formation in Targeted Surgical Applications. Plast. Reconstr. Surg. Glob. Open, 2(10):e234, 2014.
Ly, J.; Mittal, A. & Windsor, J. Systematic review and meta-analysis of cutting diathermy versus scalpel for skin incision. Br. J. Surg., 99(5):613-20, 2012.
Ramírez, G. Fisiología de la cicatrización cutánea. Rev. Fac. Salud, 2(2):69-78, 2010.
Rappaport, W. D.; Hunter, G. C.; Allen, R.; Lick, S.; Halldorsson, A.; Chvapil, T.; Holcomb, M. & Chvapil, M. Effect of electrocautery on wound healing in midline laparotomy incisions. Am. J. Surg., 160(6):618-20, 1990.
Serini, G. & Gabbiani, G. Mechanisms of myofibroblast activity and phenotypic modulation. Exp. Cell Res., 250(2):273-83, 1999.
Sinha, U. K. & Gallagher, L. A. Effects of steel scalpel, ultrasonic scalpel, CO2 laser, and monopolar and bipolar electrosurgery on wound healing in guinea pig oral mucosa. Laryngoscope, 113(2):228-36, 2013.
Smith, P. D.; Kuhn, M. A.; Franz, M. G.; Wachtel, T. L.; Wright, T. E. & Robson, M. C. Initiating the inflammatory phase of incisional healing prior to tissue injury. J. Surg. Res., 92(1):11-7, 2000.
Tuan, T. L. & Nichter, L. S. The molecular basis of keloid and hypertrophic scar formation. Mol. Med. Today, 4(1):19-24, 1998.
Yates, S. & Rayner, T. E. Transcription factor activation in response to cutaneous injury: role of AP-1 in reepithelialization. Wound Repair Regen., 10(1):5-15, 2002.