Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial

Background Scalpel is the most common and oldest instrument used by surgeons for incision and to perform the surgery. A lot of improvement has occurred in the design of scalpel from the flint knife to the modern Bard-Parker handle with blades. The quest for improvement and finding a better instrumen...

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Main Authors: Amitabh Mohan, Murtuza Rangwala, Abdul Q. Boringwala
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-06-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1756126
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author Amitabh Mohan
Murtuza Rangwala
Abdul Q. Boringwala
author_facet Amitabh Mohan
Murtuza Rangwala
Abdul Q. Boringwala
author_sort Amitabh Mohan
collection DOAJ
description Background Scalpel is the most common and oldest instrument used by surgeons for incision and to perform the surgery. A lot of improvement has occurred in the design of scalpel from the flint knife to the modern Bard-Parker handle with blades. The quest for improvement and finding a better instrument is neverending. In this study, we present an alternative scalpel to the no. 15 blade most commonly used by plastic surgeons. Material and Methods Consultants and residents in plastic surgery department used a no.15 blade and a 15-degree straight keratome on randomly selected patients and used subjective numerical rating scale to assess the ease of incision and dissection. The data were collected and statistically analyzed. Results In this study, 89 patients were included out of which 68 cases were operated by the consultants and 21 cases were operated by residents. The average score of ease of incision using a no. 15 blade by the consultants was 6.52 and by the residents was 6.125. The average score of ease of incision using a 15-degree straight keratome by the consultants was 8.74 and by the residents was 8.84. p-Value was statistically significant when no. 15 blades and 15-degree straight keratome were compared. Conclusion 15-degree straight keratome is an excellent scalpel that can be used in preference to no. 15 blade as it is difficult to use.
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institution OA Journals
issn 0970-0358
1998-376X
language English
publishDate 2022-06-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-765cd76fb14548909824cea1048304fd2025-08-20T01:57:52ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2022-06-01550327728110.1055/s-0042-1756126Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control TrialAmitabh Mohan0Murtuza Rangwala1Abdul Q. Boringwala2Department of Reconstructive Surgery, INHS Asvini, Mumbai, Maharashtra, IndiaDepartment of Plastic Surgery, Rangwala Multispeciality Clinic, Mumbai, Maharashtra, IndiaDivision of General Surgery, Department of Surgery, INHS Asvini, Mumbai, Maharashtra, IndiaBackground Scalpel is the most common and oldest instrument used by surgeons for incision and to perform the surgery. A lot of improvement has occurred in the design of scalpel from the flint knife to the modern Bard-Parker handle with blades. The quest for improvement and finding a better instrument is neverending. In this study, we present an alternative scalpel to the no. 15 blade most commonly used by plastic surgeons. Material and Methods Consultants and residents in plastic surgery department used a no.15 blade and a 15-degree straight keratome on randomly selected patients and used subjective numerical rating scale to assess the ease of incision and dissection. The data were collected and statistically analyzed. Results In this study, 89 patients were included out of which 68 cases were operated by the consultants and 21 cases were operated by residents. The average score of ease of incision using a no. 15 blade by the consultants was 6.52 and by the residents was 6.125. The average score of ease of incision using a 15-degree straight keratome by the consultants was 8.74 and by the residents was 8.84. p-Value was statistically significant when no. 15 blades and 15-degree straight keratome were compared. Conclusion 15-degree straight keratome is an excellent scalpel that can be used in preference to no. 15 blade as it is difficult to use.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1756126scalpelno. 15 blade15-degree straight keratomeincisiondissection
spellingShingle Amitabh Mohan
Murtuza Rangwala
Abdul Q. Boringwala
Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial
Indian Journal of Plastic Surgery
scalpel
no. 15 blade
15-degree straight keratome
incision
dissection
title Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial
title_full Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial
title_fullStr Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial
title_full_unstemmed Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial
title_short Keratome, a Better Alternative Scalpel to No. 15 Blade for Finer Incision—Randomized Control Trial
title_sort keratome a better alternative scalpel to no 15 blade for finer incision randomized control trial
topic scalpel
no. 15 blade
15-degree straight keratome
incision
dissection
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1756126
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AT murtuzarangwala keratomeabetteralternativescalpeltono15bladeforfinerincisionrandomizedcontroltrial
AT abdulqboringwala keratomeabetteralternativescalpeltono15bladeforfinerincisionrandomizedcontroltrial