Volume : VII, Issue : XII, December - 2017

Bipolar Electrocautery tonsillectomy vs cold dissection method tonsillectomy; our experience

Zafarullah Beigh, Tabish Maqbool, Farah Deeba

Abstract :

 Introduction : Tonsillectomy is one of the most commonly performed operations in otolaryngology. There are many proven methods of tonsillectomy, like  dissection and snare method, bipolar electrocautery,radiofrequency ablation, coblation tonsillectomy, harmonic scalpel, co2 laser, and thermal welding. The objective of this study is to compare the cold dissection and bipolar electrocautery methods of tonsillectomy and evaluate their advantages and disadvantages during  and after surgery.

materials and method:

This study was done in government medical college Srinagar from march 2015 to march 2017.A total of 58 patients(5 to 40 yrs) were randomly assigned to two tonsillectomy groups. 30 patients underwent bipolar cautery tonsillectomy, and 28 patients  underwent classical cold dissection tonsillectomy. Patients were compared with respect to bleeding during tonsillectomy, operation time,post operative pain and secondary heamorhage.

RESULTS: The average intraoperative blood loss was 1.5 ml with Bipolar cautery and 15 ml with dissection method. The average operative time was 11.1 minutes with cautery and 25.3 minutes for cold dissection.post operative pain was seen more in bipolar cautery patients using visual analog scale. rate of secondary heamorhage was found to be same in two groups.

CONCLUSION:In this study it was seen that bipolar electrocautery tonsillectomy was associated with significant decrease in surgical time and intraoperative blood loss compared to cold dissection  method where as post operative pain was more in bipolar cautery group.their was no difference in rate of secondary heamorhage in two groups..

 

 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Zafarullah Beigh, Tabish Maqbool, Farah Deeba, Bipolar Electrocautery tonsillectomy vs cold dissection method tonsillectomy; our experience, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017

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