Effect of electrocautery on wound healing in midline laparotomy incisions

William D. Rappaport; Glenn C. Hunter; Robert Allen; Scott Lick; Ari Halldorsson; Thomas Chvapil; Murray Holcomb; Milos Chvapil

doi:10.1016/S0002-9610(05)80757-3

Effect of electrocautery on wound healing in midline laparotomy incisions

William D. Rappaport, Glenn C. Hunter, Robert Allen, Scott Lick, Ari Halldorsson, Thomas Chvapil, Murray Holcomb, Milos Chvapil

Research output: Contribution to journal › Article › peer-review

67 Scopus citations

Abstract

The effect of electrocautery on midline fascial wound healing was studied in 108 Sprague-Dawley rats. Midline wound tensile strength was significantly reduced in fascia incised with the coagulation current compared with the cutting current or scalpel. In addition, tissue necrosis and inflammation as well as adhesion formation between the incision and abdominal viscera were more extensive in animals with incisions made using coagulation current. The results of the study indicate that the use of electrocautery coagulation current is associated with increased tissue damage and a significant reduction in the tensile strength of healing wounds. The contribution of electrocautery to wound complications in patients needs further evaluation.

Original language	English (US)
Pages (from-to)	618-620
Number of pages	3
Journal	The American Journal of Surgery
Volume	160
Issue number	6
DOIs	https://doi.org/10.1016/S0002-9610(05)80757-3
State	Published - Dec 1990
Externally published	Yes

ASJC Scopus subject areas

Surgery

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title = "Effect of electrocautery on wound healing in midline laparotomy incisions",

abstract = "The effect of electrocautery on midline fascial wound healing was studied in 108 Sprague-Dawley rats. Midline wound tensile strength was significantly reduced in fascia incised with the coagulation current compared with the cutting current or scalpel. In addition, tissue necrosis and inflammation as well as adhesion formation between the incision and abdominal viscera were more extensive in animals with incisions made using coagulation current. The results of the study indicate that the use of electrocautery coagulation current is associated with increased tissue damage and a significant reduction in the tensile strength of healing wounds. The contribution of electrocautery to wound complications in patients needs further evaluation.",

author = "Rappaport, {William D.} and Hunter, {Glenn C.} and Robert Allen and Scott Lick and Ari Halldorsson and Thomas Chvapil and Murray Holcomb and Milos Chvapil",

year = "1990",

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T1 - Effect of electrocautery on wound healing in midline laparotomy incisions

AU - Rappaport, William D.

AU - Hunter, Glenn C.

AU - Allen, Robert

AU - Lick, Scott

AU - Halldorsson, Ari

AU - Chvapil, Thomas

AU - Holcomb, Murray

AU - Chvapil, Milos

PY - 1990/12

Y1 - 1990/12

N2 - The effect of electrocautery on midline fascial wound healing was studied in 108 Sprague-Dawley rats. Midline wound tensile strength was significantly reduced in fascia incised with the coagulation current compared with the cutting current or scalpel. In addition, tissue necrosis and inflammation as well as adhesion formation between the incision and abdominal viscera were more extensive in animals with incisions made using coagulation current. The results of the study indicate that the use of electrocautery coagulation current is associated with increased tissue damage and a significant reduction in the tensile strength of healing wounds. The contribution of electrocautery to wound complications in patients needs further evaluation.

AB - The effect of electrocautery on midline fascial wound healing was studied in 108 Sprague-Dawley rats. Midline wound tensile strength was significantly reduced in fascia incised with the coagulation current compared with the cutting current or scalpel. In addition, tissue necrosis and inflammation as well as adhesion formation between the incision and abdominal viscera were more extensive in animals with incisions made using coagulation current. The results of the study indicate that the use of electrocautery coagulation current is associated with increased tissue damage and a significant reduction in the tensile strength of healing wounds. The contribution of electrocautery to wound complications in patients needs further evaluation.

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Effect of electrocautery on wound healing in midline laparotomy incisions

Abstract

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