Paediatric tonsillectomy in England: A cohort study of clinical practice and outcomes using Hospital Episode Statistics data (2008‐2019)

Abstract

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Considerations in Surgical Management of Pediatric Obstructive Sleep Apnea: Tonsillectomy and Beyond

“…Keltie et al noted that the rate of revision tonsillectomy was double after coblation compared to tonsillectomy by cold dissection in a five year period (1.4% and 0.6%, respectively). They proposed this could be due to the learning curve of the newer coblation technique and more use of the IT technique [32]. In one study within a 15-year period, the revision rate for tonsillectomy after IT was 1.39%.…”

“…"Cold" methods, where no heat is used, include cold steel dissection, guillotine, microdebrider, harmonic scalpel, and plasma blade. "Hot" methods include electrocautery (monopolar or bipolar), coblation (radiofrequency-controlled ablation), or laser [2,8,[31][32][33][34][35]. To date, no single technique has been widely accepted as the most superior method for performing the surgery [2,31,36,37].…”

“…In total tonsillectomy (TT), also known as extra-capsular tonsillectomy, the tonsil and its surrounding capsule are removed completely [32][33][34]. This leaves bare pharyngeal musculature in the tonsillar fossa to heal by secondary intention [35,38].…”

“…Post-tonsillectomy pain and hemorrhage in IT versus TT has been examined repeatedly in an effort to determine the "best" technique. There is general agreement that IT has less post-operative hemorrhage than TT [32,33,39]. Unfortunately, there is considerable disparity between the studies available, making direct comparisons challenging.…”

Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics

“…This dataset also includes day-case surgeries where the patient is admitted to hospital for a planned surgical procedure and returns home on the same day. Individual episodes of care from HES were aggregated into admissions (single periods of care within a treating hospital) [12]. Analysis was restricted to the earliest UroLift implantation admission for each patient (index admission) conducted within NHS hospitals, which also included a diagnosis code relating to benign prostate hyperplasia (Additional file 1).…”