Retrospective Analysis of Electrocautery Procedures in the Dermatology Outpatient Clinic of Bali Mandara Hospital Based on Medical Record Data

I Putu Bagus Normantia Cahaya Putra; Luh Putu Dina Wahyuni

doi:10.37899/journallamedihealtico.v7i3.3310

I Putu Bagus Normantia Cahaya Putra Department of Dermatovenereology, Bali Mandara Regional General Hospital, Indonesia
Luh Putu Dina Wahyuni Department of Dermatovenereology, Bali Mandara Regional General Hospital, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v7i3.3310

Keywords: Electrocautery, Condyloma Acuminata, Verruca Vulgaris, Seborrheic Keratosis, Retrospective Study

Abstract

Electrocautery is a minor surgical procedure that uses electrical energy to generate heat for tissue destruction and hemostasis. This procedure is commonly used in the Dermatology Outpatient Clinic of Bali Mandara Hospital for the management of Condyloma Acuminata, Verruca Vulgaris, and Seborrheic Keratosis. This study aimed to analyze the pattern and management of electrocautery procedures for these dermatological cases based on medical record data from 2022 to 2025. This study used a retrospective descriptive design based on secondary data obtained from the medical records of patients who underwent electrocautery procedures at the Dermatology Outpatient Clinic of Bali Mandara Hospital. Data were analyzed using descriptive statistics, cross-tabulation, and annual case growth analysis with Microsoft Excel and SPSS version 27. The results showed a total of 322 cases, consisting of 78 cases of Condyloma Acuminata (24.22%), 138 cases of Verruca Vulgaris (42.86%), and 106 cases of Seborrheic Keratosis (32.92%). Verruca Vulgaris was the most frequently treated condition during the study period. The findings also indicate that each condition requires different electrocautery techniques according to lesion characteristics, anatomical location, and clinical considerations. Electrocautery is a suitable procedure for the management of Condyloma Acuminata, Verruca Vulgaris, and Seborrheic Keratosis at Bali Mandara Hospital. However, the technique should be adjusted to the characteristics of each case to optimize treatment outcomes and ensure patient safety.

References

Abbas, S., & Watters, D. (2026). The History of Anatomy: How We Learned About the Body’s Structure. In The Road to Modern Surgery: A Historical Journey Through Surgical Landmarks (pp. 71-90). Singapore: Springer Nature Singapore. https://doi.org/10.1007/978-981-96-4337-0_4

Al Rudaisat, M., & Cheng, H. (2021). Dermoscopy features of cutaneous warts. International Journal of General Medicine, 14, 9903–9912. https://doi.org/10.2147/IJGM.S335276

Ammad, S., Licata, G., Brancaccio, G., Moscarella, E., & Argenziano, G. (2023). Clinical and dermatoscopic features of seborrheic keratoses according to skin types: A retrospective study. Dermatology Practical & Conceptual, e2023253. https://doi.org/10.5826/dpc.1304a253

Armini, N. P. A., Wijaya, E., & Mahadewi, P. S. P. (2024). Efektivitas kauterisasi kimia dan bedah listrik pada kutil anogenital: Sebuah tinjauan literatur. Medicina, 55(3), 160–163. https://doi.org/10.15562/MEDICINA.V55I3.1360

Barthelmann, S., Butsch, F., Lang, B. M., Stege, H., Großmann, B., Schepler, H., & Grabbe, S. (2023). Seborrheic keratosis. JDDG: Journal der Deutschen Dermatologischen Gesellschaft, 21(3), 265–277. https://doi.org/10.1111/ddg.14984

Chakraborty, S., Deka, A., Shunyu, B. N., Raphael, V., & Das, S. (2026). A Clinico-Pathological Study of Epistaxis and Its Management. Indian Journal of Otolaryngology and Head & Neck Surgery, 1-8. https://doi.org/10.1007/s12070-026-06518-4

Dayeh, S., Abu Ghedda, S., Aljundi, R., & Ishkhanian, S. (2026). Microneedling with bleomycin for treating plantar warts: A prospective cohort study. Dermatologic Therapy, 2026(1). https://doi.org/10.1155/dth/8841176

Fu, Y., He, Y., Wang, Z., & Sun, J. (2025). Strategies, barriers, and facilitators for healthcare professionals to recommend HPV vaccination: A systematic review. Vaccines, 13(4), 402. https://doi.org/10.3390/vaccines13040402

Guerrini, F., Viglio, A., Zoia, C., Musella, V., Serinelli, P., Klersy, C., ... & Spena, G. (2026). A Novel Plasma Microscalpel Based on Airplasma® Technology. A Histological Analysis of Brain Tissue Damage. Surgical Innovation, 15533506261437503.

Hajilo, P., Imani, B., Zandi, S., & Mehrafshan, A. (2023). Comparing the intraoperative and postoperative complications of the scalpel and electrocautery techniques for severing the inner layers of the lumbar disc during discectomy surgery. Frontiers in Surgery, 10, 1264519. https://doi.org/10.3389/fsurg.2023.1264519

Havill, S. (2023). Kuretase dan kauterisasi (elektrosurgi). DermNet. https://dermnetnz.org/topics/curettage-and-cautery

Kalyenci, B., Benlioglu, C., Ölçücü, M. T., Teke, K., Sever, S., Çift, A., & Yücel, M. Ö. (2025). Retrospective analysis of clinical outcomes and early complications of conventional circumcision techniques and thermocautery-assisted circumcision. Scientific Reports, 15(1), 7139. https://doi.org/10.1038/s41598-025-91730-5

Kalyenci, B., Benlioglu, C., Ölçücü, M. T., Teke, K., Sever, S., Çift, A., & Yücel, M. Ö. (2025). Retrospective analysis of clinical outcomes and early complications of conventional circumcision techniques and thermocautery-assisted circumcision. Scientific Reports, 15(1), 7139.

Kamilah, L., Adjie, S. P., & Dharmawan, N. (2025). Systematic review of the advantages of trichloroacetic acid and electrocautery therapy in verruca vulgaris. JKKI: Jurnal Kedokteran dan Kesehatan Indonesia, 410-422. https://doi.org/10.20885/JKKI.Vol16.Iss3.art8

Kasgriah, A., Adjie, T., & Babaei, N. (2026). Comparative Efficacy and Safety of Trichloroacetic Acid and Electrocautery in the Treatment of Verruca Vulgaris: A Systematic Review. Journal of the Clinical Ascent, 1(1), 27-34. https://doi.org/10.22475/jca.v1i1.29

Lian, P., Xu, H., Liu, S., & Qian, H. (2025). Effectiveness of levonorgestrel-based intrauterine insemination system therapy combined with hysteroscopic electrosurgery and radiotherapy in the treatment of highly differentiated endometrial cancer. International Journal of Radiation Research, 23(2), 329-334. https://doi.org/10.61186/ijrr.23.2.10

Mawardi, P., Kamilah, L., Fauziyyah Heryadi, F., & Arrosyid, A. (2023). The effectiveness of chemical cautery and electrosurgery on anogenital wart: Systematic review. Clinical, Cosmetic and Investigational Dermatology, 16, 2773–2780. https://doi.org/10.2147/CCID.S426851

Mazzoni, D., & Muir, J. (2021). A guide to curettage and cautery in the management of skin lesions. Australian Journal of General Practice, 50(12), 893–897. https://doi.org/10.31128/AJGP-10-20-5695

Meghe, S., Ramapure, R., Jaiswal, S., Jawade, S., Singh, S., & Meghe, S. R. (2024). A comprehensive review of minimally invasive dermatosurgical procedures. Cureus, 16(3).

Miyazaki, A., Hamada, S., Okabayashi, H., Akaike, K., Masunaga, A., Okamoto, S., ... & Sakagami, T. (2026). Clinical Significance of Serum (1→ 3)-β-D-Glucan Positivity in Cryptococcosis: A Retrospective Cohort Study. Journal of Fungi, 12(6), 427. https://doi.org/10.3390/jof12060427

Muscoli, S., Cammalleri, V., Marsili, G., Manni, G., Marchei, M., Idone, G., ... & Barillà, F. (2026). Antithrombotic strategies after transcatheter edge-to-edge repair: clinical implications from the MitraSafe study. Journal of Cardiovascular Medicine, 27(1), 4-12.

Nadagouda, S., Madhukumar, H. V., & Chaitra, D. Y. (2026). A Comparative Study of Seroma Formation and Wound Complications in Electrocautery vs. Scalpel Dissection during Modified Radical Mastectomy. International Journal of Medical and Pharmaceutical Research, 7, 234-239. https://zenodo.org/records/19327461

Naveed, M., Iqbal, T., Rumman, S., & Dastageer, G. (2026). Comparison of Outcome with Ultrasonic Dissector Versus Electrocautery in Modified Radical Mastectomy: Ultrasonic Dissector vs Electrocautery in MRM Outcomes. Pakistan Journal of Health Sciences, 71-75. https://doi.org/10.54393/pjhs.v7i1.3387

Nolin-Lapalme, A., Sowa, A., Delfrate, J., Tastet, O., Corbin, D., Kulbay, M., ... & Avram, R. (2026). Foundation models for electrocardiogram interpretation: clinical implications. European Heart Journal, ehaf1119.

Rahayu, D. A. P. M. P., Grady, G., & Pemayun, T. D. (2025). Studi retrospektif karakteristik subjek pasien kutil anogenital di Poliklinik Kulit dan Kelamin RSUD Wangaya Denpasar periode November 2023–2024. Media Dermato-Venereologica Indonesiana, 52(4), 188–191. https://doi.org/10.33820/MDVI.V52I4.585

Saidu, A. M., Noah, C. C., Idrisa, J. A., Zarma, A. S., Girgiri, I. A., Yusuf, A. K., & Bukbuk, D. N. (2026). Differential Modulation of IL-6 and IL-1β by Scalpel versus Electrocautery Excision Influences Wound Healing with Topical Metronidazole in Mice. Sahel Journal of Veterinary Sciences, 23(1), 16-22.

Salma, D. P., MYH, E., & Nurhayati, N. (2025). Gambaran penyembuhan luka sirkumsisi dengan kontrol pendaharan electrocauter menggunakan Southhampton Wound Grading System. SINERGI: Jurnal Riset Ilmiah, 2(3), 1605–1612. https://doi.org/10.62335/sinergi.v2i3.966

Sang, K., Kong, Y., Lee, J. K., Na, H. Y., Yu, H. W., & Choi, J. Y. (2026). Performance evaluation of electrosurgical pencils: insights into surgical smoke mitigation and thermal damage reduction. International Journal of Surgery (London, England), 112(6), 12702. https://doi.org/10.1097/JS9.0000000000005093

Sansanwal, G., Srivastava, R. R., & Muduli, B. B. (2026). Automated Surgery: Innovations and Development of Robotics. Wearable Technologies for Digital Medicine: Advancement, Models, and Applications, 207-232.

Siregar, A. M. N., & Hamdani, I. (2026). Comparison of Wound Healing Time in Circumcision Patients with the Finesealer Method and the Electrical Cauter Method. Buletin Farmatera, 11(3), 208-218. https://doi.org/10.30596/bf.v11i3.27148.g14560

SNIGDHA, N., LAKSHMANA, R., DEBARATH, D., SOORYA, N., PRAVINDHAS, A., & MANNAN, M. (2025). Comparison of Intraoperative and Postoperative Outcomes of Sleeve and Dorsal Slit Technique of Circumcision: A Prospective Interventional Study. Journal of Clinical & Diagnostic Research, 19(1). https://doi.org/10.7860/JCDR/2025/74061.20550

Spiera, R. F., Unizony, S., Warrington, K. J., Sloane, J., Giannelou, A., Nivens, M. C., ... & Dasgupta, B. (2023). Sarilumab for relapse of polymyalgia rheumatica during glucocorticoid taper. New England Journal of Medicine, 389(14), 1263-1272. https://doi.org/10.1056/NEJMoa2303452

Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021). Sexually transmitted infections treatment guidelines, 2021. MMWR Recommendations and Reports, 70(4), 1–187. https://doi.org/10.15585/MMWR.RR7004A1

Zhu, P., Qi, R., Yang, Y., Huo, W., Zhang, Y., He, L., Wang, G., Xu, J., Zhang, F., Yang, R., Tu, P., Ma, L., Liu, Q., Li, Y., Gu, H., Cheng, B., Chen, X., Chen, A., Xiao, S., … Gao, X. (2022). Clinical guideline for the diagnosis and treatment of cutaneous warts (2022). Journal of Evidence-Based Medicine, 15(3), 284–301. https://doi.org/10.1111/jebm.12494

Zu, N., Jing, X., Zhou, X. Y., Ma, B. B., Wang, S. J., Qi, X. S., & Liu, L. B. (2026). Endoscopic rubber band ligation, injection sclerotherapy, and sclerobanding for the treatment of internal hemorrhoids. World Journal of Gastroenterology, 32(5).