BENEFITS OF BIPOLAR ELECTRODISSECTION METHOD TONSILLECTOMY OVER CONVENTIONAL COLD DISSECTION_ SNARE METHOD TONSILLECTOMY

Dr Shahnaz Sheikh; Dr Anushree Bajaj; Dr Manzoor Ahmad Malik; Dr Devidas Sarode; Bhalchandra Paike

Volume : VII, Issue : IX, September - 2018

BENEFITS OF BIPOLAR ELECTRODISSECTION METHOD TONSILLECTOMY OVER CONVENTIONAL COLD DISSECTION_ SNARE METHOD TONSILLECTOMY

Dr Shahnaz Sheikh, Dr Anushree Bajaj, Dr Manzoor Ahmad Malik, Dr Devidas Sarode, Bhalchandra Paike

Abstract :

Tonsillectomyisone of the commonest surgical procedures performed in the field of Otorhinolaryngology . Different procedures and techniques have been described, of which Cold Dissection–Snare methodand Bipolar Electro dissection method are commonly used.

Objective: To compare Cold Dissection–Snare method and Bipolar Electro dissection method in tonsillectomy with respectto intraoperative blood loss and operative time taken. Materials and methods: My Study is based on analysis of 40 patients agedbetween 5 to 40 yrs undergoing tonsillectomy in the department of ENT dupmc jalgaon. Tonsillectomy is performed under general anaesthesia. Left sided tonsillectomies done by Bipolar Electro

dissection and right side by Cold Dissection–Snare method.Amount of intraoperative blood loss is measured by calculating the difference in weight of swabs before and after use

during surgery and then adding it to the total volume of blood collected in respective suction bottles. Operative time taken is recorded

Result: Blood loss was significantly less with the Bipolar Electro dissection method (BED), averaging46.13 � 8.24ml compared to 51.23 � 9.68 ml averaged in Cold Dissection Snare method in tonsillectomy. There wassignificant difference in operative time between both methods, 14.45 � 4.00min on Bipolar Electro dissection side versus17.03 � 4.88 min on Cold Dissection–Snare side.

Conclusion: In my study, it was found that Bipolar Electrodissection was associated with a significant decrease in surgical time and intraoperative blood loss compared to the Cold

Dissection–Snare method.