Electrocautery Versus Scalpel Scalp Skin Incisions

Abstract
Background: Scalp skin incisions have routinely been perfumed with scalpel. Recently, there is a shift to electrocau-tery skin incision. But, questions about bad scars, wound healing and sequels on hair growth limits its popularity.
Aim of Study: The aim of current study was to compare the diathermy versus scalpel skin incision for elective cranial incisions with regards to post-operative pain, post-operative wound infection and wound healing and hair regrowth.
Patients and Methods: This prospective comparative study was conducted on 42 patients. 21 patients underwent diathermy incision (diathermy group) that was compared with 21 scalpel incision patients (scalpel group). Pain that was assessed by visual analogue scale, feasibility, postoperative infection rate and hair regrowth were assessed at 3 months postoperatively and compared between both groups.
Results: Electrocautery incisions were clearly easier with less bleeding and shorter operative time. Electraucautery showed significantly less post-operative pain (p<0.05). Post-operative infection rate, scar and hair regrowth showed com-parable results in both the groups (p>0.05). No complication was reported with both techniques.
Conclusion: Diathermy scalp incisions are easier, faster, and less painful than scalpel incision with comparable results as regard scar and hair regrowth.