A Comparison of Tonsillectomy with the Harmonic Scalpel versus Electrocautery

Morgenstein, Stuart A.; Jacobs, H. K.; Brusca, Peter A.; Consiglio, Angelo R.; Donzelli, Joseph; Jakubiec, James A.; Donat, Terry L.

doi:10.1067/mhn.2002.128346

Cited by 27 publications

(32 citation statements)

References 21 publications

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“…These results differ to those noted by other authors who have used monopolar electrocautery as the comparator [25]. Willging and Wiatrak [12] compared harmonic scalpel, and conventional electrocautery during tonsillectomy and found no real difference between groups apart from improved sleep in the harmonic scalpel group.…”

Section: Discussioncontrasting

confidence: 67%

A prospective randomised single blinded study comparing harmonic scalpel tonsillectomy with bipolar tonsillectomy

Leaper¹,

Mahadevan²,

Vokes³

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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Section: Discussioncontrasting

confidence: 67%

A prospective randomised single blinded study comparing harmonic scalpel tonsillectomy with bipolar tonsillectomy

Leaper¹,

Mahadevan²,

Vokes³

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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“…This suggestion is due to short operation time, low rate of secondary PH and lower expenses on instrumentation [19] at the cost of higher primary PH incidence and greater intraoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonically Activated Scalpel Compared with Electrocautery in Tonsillectomy

Schrey

Pulkkinen²,

Fremling³

et al. 2004

ORL

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The occurrence of postoperative bleeding, the quantity of operative bleeding and the duration of operation were retrospectively evaluated in 407 patients who underwent tonsillectomy within a 32-month period. They were operated on with either an ultrasonically activated scalpel (UAS), bipolar diathermy (BPD) or blunt dissection with monopolar diathermy (MPD) with the following results. (1) Primary bleeding was more common with MPD: MPD 7.1% vs. BPD 2.4% (p < 0.01) vs. UAS 1.0% (p < 0.001). Secondary bleeding was more common with UAS: UAS 19.6% vs. MPD 14.5% (p < 0.001) vs. BPD 14.5% (p < 0.01). There was no statistical significance in the differences between overall postoperative bleeding rates. (2) There was statistically significantly less operative bleeding with UAS:UAS 24.8 ml vs. MPD 58.7 ml vs. BPD 43.8 ml. (3) On the other hand, the operation time was on average longer with UAS: UAS 32.3 min vs. MPD 18.4 min vs. BPD 22.1 min. Our results suggest that UAS offers no significant advantage over MPD or BPD in tonsillectomy other than minimal operative bleeding possibly due to longer duration of operation.

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“…According to our results, while 44 studies reported ''randomization'', randomization technique was rarely specified, and when it was, many of the techniques used are not statistically valid and may therefore be biased. c. It is interesting to note that only a very small number of reports found that the two procedures were equal in clinical effects [13,16,18,24,30,76,77]. Decoupling of the surgeon from those assessing the outcomes is important to avoid bias in reporting.…”

Section: Methodsmentioning

confidence: 97%

“…Nine (10%) of the 89 studies reported the use of local anesthesia prior to surgery [4,12,[17][18][19][20][21][22][23]. Twenty (22%) of the 89 studies compared two different dissection techniques in different planes of dissection.…”

Section: Surgical Techniquementioning

confidence: 96%