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

Abstract

DOI: 10.3126/njenthns.v1i1.4728 Nepalese J ENT Head Neck Surg Vol.1 No.1 (2010) p.6-7

Comparison of postoperative morbidity between conventional cold dissection and bipolar electrocautery tonsillectomy: which technique is better?

“…According to the findings of this research the intraoperative blood loss was significantly less in the BET group than the CDT group, which is in good agreement with other similar studies and supports the results of previously published articles by Hashemi et al (2002), 20 Silveria et al (2003), 15 Kousha et al (2007), 21 Adoga (2011), 19 Ahmad & Bassiouny (2009), 22 Guragain et al (2010), 14 Vithyathil et al (2017) 13 and Ali et al (2014). 12 Blood loss is a very important parameter, particularly in childrens’ surgery, because they have a small amount of circulating blood volume where bleeding may cause disorders such as mental and physical fatigue and lead to unfavorable results.…”

“…Similarly, in some other studies by Kujawski et al (1997), 32 Lassaletta et al (1997), 33 Bukhari and Al-Ammar (2007) 34 and Yilmaz et al (2012) 31 the operation time were not significantly different. Nonetheless, in contrast to our study and the above-mentioned studies, the majority of research carried out by Silveria et al (2003), 11 Kousha et al (2007), 21 Guragain et al (2010), 14 Adoga (2013), 19 Ali et al (2014) 12 and Vithayathil et al (2017) 13 report a significantly longer duration of surgery in the CDT group. Prolongation of the BET surgery in our study can be attributable to factors including the surgeon's skill and speed of operation in the cold dissection procedure.…”

“…In this regard, our surgeon shows the shortest operation time in the cold dissection method as compared with similar studies. In the present study, the mean time of operation in the CDT group was 11.14 ± 3 min, while this time in other studies have been as follow: in Ali et al = 13.5′, 12 Kusha et al = 15′, 21 Chettri et al = 16.5′, 24 Vithayathil et al = 18′, 13 Silveria et al = 21′, 11 Guragain et al = 23′, 14 Bukhari & Al-Ammar = 23′ 34 and Yilmaz et al = 27′. 31 …”

“… 11 Despite the different techniques available for tonsillectomy, there is no consensus and conclusive evidence in the literature to date on the optimum or the best method of performing the tonsillectomy, and none of the techniques has been accepted as the best one universally. 12 , 13 , 14 …”

Mean Duration for Cessation of Pain following Tonsillectomy Operation among the Patients of Otolaryngology Department in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

“…3 Despite the different techniques available for tonsillectomy, none of the techniques has been accepted as the best one universally. [4][5][6] Postoperative pain cessation varies during different day-today activities. Reactionary hemorrhage is the most feared complication post-tonsillectomy, despite the efforts of all surgeons to low reactionary hemorrhage rates seem to be unavoidable.…”