Harmonic Scalpel Versus Coblation Tonsillectomy A Comparative Study

Basu, Soumik; Sengupta, Anindita; Dubey, Arya Brata; Sengupta, Arjun

doi:10.1007/s12070-019-01679-x

Cited by 20 publications

(27 citation statements)

References 38 publications

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“…Seven studies 9, 12, 21, 26,30-32 included children (and adolescents) only, while 2 studies 27,28 included adults only. Five articles 10,15,16,25,29 mixed children with adults, and 1 study 17 did not report the age range. The indications for surgery in all patients were tonsillitis, tonsillar hypertrophy (obstruction), or both.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies used the validated pain scales such as the Wong-Baker FACES Scale (WBFS) 9,12,21,26,29,30 and visual analog scale (VAS). 9,10,15,17,25,27,28,32 Only 1 study 31 used another assessment tool called the “Bieri Faces Scale.” The VAS and WBFS are usually suitable for adults and children, respectively, although both pain assessment scales range from 0 to 10 (0 representing no pain at all and 10 worst possible pain). However, 2 RCTs 12,21 changed the numeric reference points for the WBFS to 0 to 5.…”

Section: Resultsmentioning

confidence: 99%

“…In this review, we only analyzed the validated pain scale regardless of the anchor points. About the data results, some studies assessed the pain daily for postoperative days 7, 10, and 21 and then reported the average scores, 17,26,28,29 while some studies 9,10,12,15,16 assessed the pain and reported the scores at time points after surgery ( Table 1 ). After the overall analysis, we adopted the protocol of the Cochrane review 2 that included the data of postoperative first, third, and seventh days for further analysis.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Plasma Ablation vs Other Hot Techniques for Tonsillectomy: A Meta‐analysis

Guo

Xiao

Zhou

et al. 2020

Otolaryngol.--head neck surg.

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Objective To evaluate whether plasma ablation tonsillectomy is superior to other hot techniques in reducing postoperative morbidity. Data Sources The databases of PubMed, EMBASE, and Web of Science were used to search the literature, from inception to January 2, 2020. Randomized controlled trials (RCTs) that compared plasma ablation tonsillectomy with any other hot techniques were eligible. Review Methods A modified Cochrane tool was used to assess the risk of bias. The standardized mean difference (SMD) and 95% confidence interval (CI) were used to estimate pooled effects of postoperative pain, and the risk ratio (RR) was used for postoperative bleeding. Subgroup analysis was prespecified to explore the source of heterogeneity. The evidence quality of each outcome was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Results A total of 15 RCTs were included (n = 1293). Comparing with other hot techniques, plasma ablation tonsillectomy may cause less pain on postoperative day 7 (SMD, −0.53; 95% CI, −0.84 to −0.23). However, the magnitude of the difference may be clinically meaningless. There were no significant differences not only in terms of postoperative pain on day 1 and day 3 but also in the incidence of postoperative bleeding, reoperation hemostasis, and return to normal diet and activities between the 2 groups. Conclusion There is still substantial uncertainty on postoperative pain, bleeding, and recovery. The current evidence is insufficient to demonstrate that plasma ablation is superior to other hot techniques for tonsillectomy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Plasma Ablation vs Other Hot Techniques for Tonsillectomy: A Meta‐analysis

Guo

Xiao

Zhou

et al. 2020

Otolaryngol.--head neck surg.

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“…They concluded that radiofrequency can reduce the volume of the tongue in a perfect and controlled way (21). Since that time, many otolaryngologists start the use of coblation tonsillectomy in their daily clinical practice [5](12)( 22)(18). The outcomes were good in studies involving a small size of patients ( 22)(18).…”

Section: Discussionmentioning

confidence: 99%

Coblation Versus Diode Laser Tonsillectomy: A Comparative Study

Alaqeedy

Rashid

Al-Ani

2021

Preprint

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Introduction: The study aimed to compare the 2 procedures of tonsillectomy (coblation and diode laser) concerning the operative time, the amount of blood loss, postoperative pain, and other complications. Materials and Methods: A comparative study was conducted at many Private Hospitals, Baghdad, Iraq from February 2019- February 2020. Coblation and laser tonsillectomy were performed on the same patient (one for each side) which was blinded to the patients or their caregivers and the surgeon who did the tonsillectomy. Data concerning the age, gender, indications for tonsillectomy, operative time, the amount of the blood loss, post-tonsillectomy pain by VAS scores, and other complications were recorded for each patient. Results: Out of 62 participants, there were 34 (54.8%) females. The majority were from the age group ≤18 years (n=54, 87.1%). The operative time and amount of the intraoperative blood loss were significantly lower in the coblation than a diode laser tonsillectomy. However, the postoperative pain scores in the diode laser were a statistically significant difference less than the coblation group at the periods 3 hours, 8 hours, 24 hours, and 7 days (P-value<0.05). While there was no statistically significant difference between the two groups at 2 weeks postoperative period (P-value=0.392). No primary or secondary postoperative bleeding in all patients. Conclusion: coblation was better than diode laser because of shorter operative time and less intraoperative blood loss. However, the diode laser technique had lesser postoperative pain at the postoperative periods 3 hours, 8 hours, 24 hours, and 7 days than coblation.

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“…This study was not able to compare and analyze the operation time due to the unavailability of accurate data. Nonetheless, several studies have reported that Harmonic scalpel use reduced both the operation time and postoperative complications [24,25].…”

Section: Discussionmentioning

confidence: 99%

Comparative study of the prevention of seroma formation in immediate breast reconstruction with latissimus dorsi myocutaneous flaps

Hong

Lee

Choi

et al. 2020

Arch Aesthetic Plast Surg

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Breast cancer, which is one of the most common cancers in Korean women, represents 14.8% of all newly diagnosed cancers and its proportion among all cancers is gradually increasing [1]. Many surgical procedures have been introduced for the reconstruction of breast defects after breast cancer surgery to address patients' aesthetic and psychological concerns. These procedures can be broadly classified as autologous and prosthetic reconstructions. Myocutaneous flaps using the latissimus dorsi (LD) muscle are widely used because their high vascularity and flexibility, which make it easy to control the shape. However, LD myocutaneous flaps pose a risk of donor site morbidity on the back [2,3]. The most common complication is seroma, the incidence of which has been reported to range from 1% to 56% in previous studies [4,5].

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Harmonic Scalpel Versus Coblation Tonsillectomy A Comparative Study

Cited by 20 publications

References 38 publications

Plasma Ablation vs Other Hot Techniques for Tonsillectomy: A Meta‐analysis

Plasma Ablation vs Other Hot Techniques for Tonsillectomy: A Meta‐analysis

Coblation Versus Diode Laser Tonsillectomy: A Comparative Study

Comparative study of the prevention of seroma formation in immediate breast reconstruction with latissimus dorsi myocutaneous flaps

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