Cochrane · systematic review · CD005987
Scalpel versus electrosurgery for major abdominal incisions
Charoenkwan, K, Iheozor‐Ejiofor, Z, Rerkasem, K, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
4
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 2 · 28.6%Very low 1 · 14.3%Low 1 · 14.3%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Scalpel versus electrosurgery for major abdominal incisions
Population: people undergoing surgery involving major abdominal incisions
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Wound infection Scalpel vs electrosurgery | RR 1.07 [0.74, 1.54] | 11 studies · 2178 participants | Low Downgraded: risk of bias, imprecision |
Time to wound healing (days) Scalpel vs electrosurgery | no estimate extracted | NR | No studies |
Wound dehiscence Scalpel vs electrosurgery | RR 1.21 | 6 studies · 1064 participants | Very low Downgraded: risk of bias, imprecision |
Postoperative pain Scalpel vs electrosurgery | no estimate extracted | 9 studies · 949 participants | Ungraded |
Wound incision time (seconds) Scalpel vs electrosurgery | no estimate extracted | 4 studies · 325 participants | Moderate Downgraded: risk of bias, imprecision |
Wound‐related blood loss (mL) Scalpel vs electrosurgery | no estimate extracted | 3 studies · 241 participants | Moderate Downgraded: risk of bias, imprecision |
Adhesion or scar formation Scalpel vs electrosurgery | no estimate extracted | 1 study · 84 participants | Ungraded |