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Updated: Jun 12, 2025
A Technique for Subcutaneous Abdominal Adipose Tissue Biopsy via a Non-diathermy Method
Published on: September 30, 2017
Diathermy versus scalpel in midline abdominal incision: A systematic review and meta-analysis of randomized
Nicole Dos Santos Pimenta1, Ana Clara Felix de Farias Santos2, João Pedro Costa Esteves Almuinha Salles1
1Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.
Introduction:
Our study aimed to compare the midline abdominal incision with scalpel and diathermy.
Methods:
PubMed, EMBASE, and Cochrane were searched through January 2024 following PRISMA guidelines (PROSPERO, ID: CRD42024516771), and only randomized controlled trials were included. Heterogeneity was assessed using Cochran's Q test and the I2 heterogeneity index. Statistical analysis was performed using Review Manager 5.4 software.
Results:
Six randomized controlled trials were included, from which 469 patients (51.5%) received diathermy incision and 442 patients (48.5%) underwent the scalpel technique. Patients treated with the electrocautery approach had less incision blood loss (MD -17.57 mL; P < .01). No statistically significant differences were found between groups regarding wound infection incidence, incision time, incision area or first-day postoperative pain.
Conclusion:
Diathermy use in midline abdominal incision may be advocated as it demonstrated a significant reduction in incision-related blood loss, with no differences in wound infection or early postoperative pain incidences compared to the scalpel.
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