Scalpel versus electrosurgery: Comparison of gingival perfusion status using ultrasound Doppler flowmetry - PubMed (original) (raw)

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Scalpel versus electrosurgery: Comparison of gingival perfusion status using ultrasound Doppler flowmetry

N Manivannan et al. J Pharm Bioallied Sci. 2013 Jul.

Abstract

The main prerequisites of any surgical procedure are achievement of good visibility and access to the site with minimal bleeding and rapid and painless healing. With the advancement of technology the armamentarium for oral surgical procedures has also widened. The use of alternate methods to the traditional scalpel such as electrosurgery, laser, and chemicals has been widely experimented with. This article aims to report the gingival perfusion pre-operatively and post-operatively, comparing the use of scalpel and electrosurgery in different anatomic sites in patient. Since wound healing is influenced by its revascularization rate, which follows the pattern of new connective tissue formation, the perfusion status of the gingiva has been studied using ultrasound spectral Doppler. The results of our study show that there was 30% more blood flow by 7(th) day, 19% more blood flow by 15(th) day and 11% more blood flow by 30(th) day in sites where the scalpel was used compared with sites where electrosurgery technique was used.

Keywords: Electrosurgery; gingival vasularity; scalpel technique; ultrasound Doppler; wound healing.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1

Figure 1

Pre-operative view

Figure 2

Figure 2

High definition ultrasonography unit with 2D, 3D and color doppler facilities

Figure 3

Figure 3

Pre-operative spectral Doppler of upper anterior segment

Figure 4

Figure 4

Pre-operative spectral Doppler of lower anterior segment

Figure 5

Figure 5

Scalpel being used in lower anterior segment

Figure 6

Figure 6

Immediate post-operative view of lower anterior segment

Figure 7

Figure 7

Loop electrode being used in upper anterior segment

Figure 8

Figure 8

Immediate post-operative view of lower anterior segment (below)

Figure 9a

Figure 9a

7th day post-operative view of lower anterior segment

Figure 9b

Figure 9b

30th day post-operative view of lower anterior segment

Figure 9c

Figure 9c

7th day post-operative view of upper anterior segment

Figure 9d

Figure 9d

30th day post-operative view of upper anterior segment

Figure 10a

Figure 10a

7th day post-operative spectral Doppler of lower anterior segment

Figure 10b

Figure 10b

15th day post-operative spectral Doppler of lower anterior segment

Figure 10c

Figure 10c

30th day post-operative spectral Doppler of lower anterior segment

Figure 10d

Figure 10d

7th day post-operative spectral Doppler of upper anterior segment

Figure 10e

Figure 10e

15th day post-operative spectral Doppler of upper anterior segment

Figure 10f

Figure 10f

30th day post-operative spectral Doppler of upper anterior segment

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