Comparison of two methods of tonsillectomy

Leach, Joseph L.; Manning, Scott C.; Schaefer, Steven David

doi:10.1288/00005537-199306000-00008

Cited by 110 publications

(100 citation statements)

References 13 publications

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“…Today bipolar electrodissection method, which was defined in 1993, is also being widely used as well as the conventional dissection method [11]. This method has been shown to shorten operation time because it enables the simultaneous realization of dissection and coagulation [12,13,14,15,16,17,18]. Although there are studies pointing to an opposite direction [19,20] the former have been generally accepted by the medical community.…”

Section: Discussionmentioning

confidence: 99%

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

2012

Ann Clin Anal Med

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ÖzetAmaç: Bu çalışmada tonsiller hipertrofi nedeni ile solunum yolu obstrüksi-yonu olan çocuklarda uygulanan bipolar elektrokoter tonsillektomi ve klasik tonsillektomi tekniklerinin ameliyat sırasında ve sonrasındaki klinik sonuçları karşılaştırılmalı olarak değerlendirildi. Gereç ve Yöntem: Bipolar elektrokoter ile tonsillotomi yapılan 31 çocuk hasta ile konvansiyonel soğuk disseksiyon tonsillektomi yapılan 45 çocuk hasta karşılaştırıldı. Postoperatif ağrı skorları erken postoperatif dönemde 'Modifiye Hannalah Skalası' ile ve geç postoperatif dönemde 'Vizüel Analog Skoru' ile ölçüldü. Bu iki grup operasyon sırasındaki kan kaybı, operasyon süresi, oral alım süresi, ağrı kesici alımı, iyileşme zamanı ve postoperatif ağrı skorları açısından karşılaştırıldı. Bulgular: Bipolar elektrokoter ile tonsillotomi yapılan çocuklarda iyileşme sürecinde konvensiyonel tonsillektomi uygulanan gruba göre belirgin olarak daha az ağrı olduğu görüldü. Bipolar elektrokoter tonsillotomi yapılan grupta intraoperatif kan kaybı, operasyon süresi, oral alım süresi, ağrı kesici alımı, iyileşme süresi ve postoperatif ağrı skorları konvansiyonel tonsillektomi uygulanan gruba göre daha az olduğu tespit edildi. Sonuç: Bipolar elektrokoter tonsillotominin obstrüktif uyku apnesi olan çocukların iyileşmesinde konvansiyonel tonsillektomi ile eşit etkinlikte ve güvenirlikte olduğu görüldü. Bipolar elektrokoter tonsillotomi yöntemi ile postoperatif ağrı daha az olmakta, yaşam kalitesini arttırmakta ve iyileşme sürecini kısaltmaktadır. Bu nedenlerle bipolar elektrokoter tonsillotomi yöntemi çocuklarda konvansiyonel tonsillektomiden daha kabul edilebilir bir yöntem olabilir. Anahtar Kelimeler

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Section: Discussionmentioning

confidence: 99%

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

2012

Ann Clin Anal Med

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“…It is generally accepted that the ideal method should decrease the operating time, blood loss, post operative haemorrhage and particularly the post operative morbidity. 7 Historically diathermy was not used during tonsillectomy because inflammable gases were used for induction.…”

Section: Discussionmentioning

confidence: 99%

Intraoperative Blood Loss & operating time in Tonsillectomy: Is Electrodissection Better?

Guragain¹,

Bhusal²,

Adhikari³

et al. 2011

Nepalese J ENT Head Neck Surg

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“…1 Ideally, tonsillectomy should be fast, bloodless, and associated with rapid and uncomplicated recovery. 2 In spite of all the new surgical tools and techniques haemorrhage is still a significant complication during and after tonsillectomy and about 5% patients may face this problem at any time from first 24 hours to 10 days after operation. 3 This study concerns two popular methods:bipolar cautery excision and dissection/snare followed by compression with gauge piece and selective cautery of bleeders.…”

Section: Introductionmentioning

confidence: 99%

A single blind controlled study comparing bipolar elecrocautery tonsillectomy to cold dissection method in pediatric age groups

et al. 2014

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Background: Tonsillectomy is one of the most commonly performed operations in otolaryngology. There are many proven methods of tonsillectomy, including cold dissection and bipolar electrocautery. Objective: To compare bipolar elecrocautery tonsillectomy with cold dissection method in pediatric age groups. Methods: Single blind controlled study to compare bipolar technique against the conventional dissection/snare technique. Results: The average amount of bleeding on electrocautery side was 4.07ml and on the cold dissection side was 14.58 ml. The mean time of operation for electrocautery and cold dissection was 12.04 and 16.57 minutes respectively. On the second post operative day, 35% of the patients complained of pain on the cauterized side, 30% complained of more pain on the dissection side while 35 % experienced equal pain on both sides. Post-operative complication such as hemorrhage was not seen in both the techniques employed. Conclusion: In the present study, bipolar diathermy tonsillectomy had advantages in having less post-operative time and blood loss intraoperatively but patients experience slightly more pain than cold dissection.

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Comparison of two methods of tonsillectomy

Cited by 110 publications

References 13 publications

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

Intraoperative Blood Loss & operating time in Tonsillectomy: Is Electrodissection Better?

A single blind controlled study comparing bipolar elecrocautery tonsillectomy to cold dissection method in pediatric age groups

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