title: Clamping compared to cauterization for subcutaneous hemostasis in Pfannenstiel incision.
abstract: We compared subcutaneous clamping and cauterization for hemostasis at laparotomy with Pfannenstiel incision with reference to surgical site infection, postoperative fever and time taken for incision. A total of 214 patients with consecutive hysterectomies were alternately assigned to incisional hemostasis by clamping (n= 107) or cauterization (n= 107). The groups were similar in terms of age, gravidity, parity, body mass index, uterine size and mean hemoglobin drop. Rates of surgical site infection, postoperative fever and time from skin incision to peritoneal cavity entry were significantly higher in the group with cauterization (p < 0.05).
authors.affiliation: Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity & Women's Health Teaching and Research Hospital, Ankara, Turkey. enozkaya1979@gmail.com
authors.forename: Enis
authors.initials: E
authors.lastname: Ozkaya
authors.forename: Vakkas
authors.initials: V
authors.lastname: Korkmaz
authors.forename: Tuncay
authors.initials: T
authors.lastname: Kucukozkan
mesh_terms: D002425:Cautery / Q000379:methods; D016009:Chi-Square Distribution; D003250:Constriction; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*