Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections
Objective. To evaluate the safety of electrocautery for coagulation during Caesarean sections. Study Design. A randomized, controlled, clinical pilot study was performed at a university maternity hospital. After admission for delivery and decision to perform a C-section, volunteers were randomized t...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/602375 |
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| _version_ | 1832554715828715520 |
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| author | Cristiane M. Moreira Eliana Amaral |
| author_facet | Cristiane M. Moreira Eliana Amaral |
| author_sort | Cristiane M. Moreira |
| collection | DOAJ |
| description | Objective. To evaluate the safety of electrocautery for coagulation during Caesarean sections. Study Design. A randomized, controlled, clinical pilot study was performed at a university maternity hospital. After admission for delivery and decision to perform a C-section, volunteers were randomized to either the intervention group (use of electrocautery for coagulation) or nonintervention group. The women were examined at the time of postpartum discharge (day 3), at days 7 to 10, and again at days 30 to 40 for signs of infection, hematoma, seroma, or dehiscence. Data were analyzed using an intention-to-treat analysis, and risk ratios were calculated. Results. No significant differences were found between the two groups. Only 2.8% of patients in the intervention group developed surgical wound complications during hospitalization. However, 7 to 10 days following discharge, these rates reached 23.0% and 15.4% in the intervention and nonintervention groups, respectively (RR = 1.50, 95% CI = 0.84–2.60). Conclusion. Further studies should confirm whether the use of electrocautery for coagulation does not increase the risk of surgical wound complications in patients undergoing Caesarean sections. |
| format | Article |
| id | doaj-art-84e5e54b22194686bc68321c282ece15 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-84e5e54b22194686bc68321c282ece152025-02-03T05:50:42ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/602375602375Use of Electrocautery for Coagulation and Wound Complications in Caesarean SectionsCristiane M. Moreira0Eliana Amaral1Department of Obstetrics and Gynaecology (PUCCAMP), Avenida Jonh Boind Dunlop s/n, 13100 Campinas, SP, BrazilDepartment of Obstetrics and Gynaecology (UNICAMP), Rua Alexander Fleming, 101 Cidade Universitária, 13083-881 Campinas, SP, BrazilObjective. To evaluate the safety of electrocautery for coagulation during Caesarean sections. Study Design. A randomized, controlled, clinical pilot study was performed at a university maternity hospital. After admission for delivery and decision to perform a C-section, volunteers were randomized to either the intervention group (use of electrocautery for coagulation) or nonintervention group. The women were examined at the time of postpartum discharge (day 3), at days 7 to 10, and again at days 30 to 40 for signs of infection, hematoma, seroma, or dehiscence. Data were analyzed using an intention-to-treat analysis, and risk ratios were calculated. Results. No significant differences were found between the two groups. Only 2.8% of patients in the intervention group developed surgical wound complications during hospitalization. However, 7 to 10 days following discharge, these rates reached 23.0% and 15.4% in the intervention and nonintervention groups, respectively (RR = 1.50, 95% CI = 0.84–2.60). Conclusion. Further studies should confirm whether the use of electrocautery for coagulation does not increase the risk of surgical wound complications in patients undergoing Caesarean sections.http://dx.doi.org/10.1155/2014/602375 |
| spellingShingle | Cristiane M. Moreira Eliana Amaral Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections The Scientific World Journal |
| title | Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections |
| title_full | Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections |
| title_fullStr | Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections |
| title_full_unstemmed | Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections |
| title_short | Use of Electrocautery for Coagulation and Wound Complications in Caesarean Sections |
| title_sort | use of electrocautery for coagulation and wound complications in caesarean sections |
| url | http://dx.doi.org/10.1155/2014/602375 |
| work_keys_str_mv | AT cristianemmoreira useofelectrocauteryforcoagulationandwoundcomplicationsincaesareansections AT elianaamaral useofelectrocauteryforcoagulationandwoundcomplicationsincaesareansections |