Thunderbeat versus bipolar diathermy in surgical outcome of tonsillectomy

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tonsillectomy is one of the most common surgical procedures performed worldwide by otorhinolaryngologists for the different indications. There are different studies in literature comparing bipolar diathermy with either harmonic scalpel or cold dissection but the thunderbeat is still not used in tonsillectomy. The thunderbeat device which is the integration of ultrasonic and advanced bipolar energies used exclusively in laparoscopic surgery but still not used in tonsillectomy. So, the main aim of this study is to compare the thunderbeat device with bipolar diathermy in surgical outcome of tonsillectomy</span>.</p><p class="abstract"><strong>Methods:</strong> This was the prospective study performed in total 25 patients. The patients included in the study underwent tonsillectomy on one side using thunderbeat device and on the other side using bipolar diathermy. The intra-operative blood loss, operative time and post-operative pain were taken for analysis in both the surgical procedures. <span lang="EN-IN">All the data were analyzed with the statistical package for the social sciences (SPSS) software version 20. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> Among the twenty five patients, the age groups range from 19-36 years with mean age 25.36±5.62 years. Out of 25 patients, 7 were male and 18 were female. The comparison of operation time and intra-operative blood loss between thunderbeat and bipolar diathermy showed statistically significant differences. <span lang="EN-IN">The comparison of pain score showed statistically significant result with better pain results in bipolar diathermy</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The thunderbeat uses in tonsillectomies is less time consuming and decrease intra-operative blood loss. But, the post-operative pain is more as compared to bipolar diathermy. Though, it is safe and effective in performing tonsillectomy but its cost is the main drawback for its regular use. </span></p>

Monopolar Diathermy Tonsillectomy Versus Dissection Method Tonsillectomy

“…Tonsillectomy is one of the most common surgical procedures performed worldwide by otorhinolaryngologists for the different indications. 1 There are several existing techniques to perform tonsillectomy, including cold dissection, guillotine excision, cryosurgery, ultrasonic removal, laser tonsillectomy, and monopolar and bipolar diathermy dissections. Ideally, the procedure to be employed should be fast, safe, painless, and bloodless, and associated with rapid recovery.…”

Development of an Accurate Resonant Frequency Controlled Wire Ultrasound Surgical Instrument

“…In 2016, Lotus supplied the wire ultrasound surgery scalpel to generate torsional rotation instead of linear motion in order to increase the power efficiency [25]. In 2017, Olympus Corp. developed the wire electrical/ultrasound surgical instruments (product name: Thunderbeat) to reduce the incision operation time by using the combined power of two electrical/ultrasound sources [27]. Currently, the technology demands of the ultrasound surgical instruments for soft tissues are for the improvement of the coagulation and incision of the soft tissues and effective residual heat treatment after incision [26,28].…”