2009
DOI: 10.1016/j.ijporl.2008.09.026
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Bipolar diathermy versus cold dissection in paediatric tonsillectomy

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Cited by 20 publications
(20 citation statements)
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“…PTH may have been reported as primary (generally defined as occurring within 24 hours of surgery), secondary (generally defined as occurring more than 24 hours postoperatively), or at an undefined or unspecified time. 8–108 Seventy-three studies contributed data to the meta-analysis (66 RCTs, 19,20,23,25,27,29,33,34,36,3841,43,44,46,47,49,50,5259,6264,67,71,72,7479,8184,88–92,95,101–105,108–122 6 nonrandomized trials, 24,35,37,45,48,94 and 1 prospective cohort study 70 ). The resulting subset of studies included the following tonsillectomy techniques: cold dissection, electrocautery, coblation, harmonic scalpel, laser, molecular resonance, thermal welding, and microdebrider.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…PTH may have been reported as primary (generally defined as occurring within 24 hours of surgery), secondary (generally defined as occurring more than 24 hours postoperatively), or at an undefined or unspecified time. 8–108 Seventy-three studies contributed data to the meta-analysis (66 RCTs, 19,20,23,25,27,29,33,34,36,3841,43,44,46,47,49,50,5259,6264,67,71,72,7479,8184,88–92,95,101–105,108–122 6 nonrandomized trials, 24,35,37,45,48,94 and 1 prospective cohort study 70 ). The resulting subset of studies included the following tonsillectomy techniques: cold dissection, electrocautery, coblation, harmonic scalpel, laser, molecular resonance, thermal welding, and microdebrider.…”
Section: Resultsmentioning
confidence: 99%
“…815,19,20,23,25,27,3341,4347,5059,6264,67,7079,8184,88,89,91,92,9498,101,102,106–108,177 The 6299 children across studies who were treated with total tonsillectomy experienced 265 episodes (4.2%) of PTH (Table 2). PTH ranged from parent-reported bleeding that did not require accessing clinical care to reoperation for hemostasis.…”
Section: Resultsmentioning
confidence: 99%
“…A wide range of techniques such as blunt dissection, guillotine, bipolar or monopolar diathermy, laser, harmonic scalpel, microdebrider, or coblation, is used to perform total or partial tonsillectomy [1][2][3][4]. Despite the availability of different techniques, tonsillectomy is still associated with a risk of postoperative bleeding ranging from 0.28 to 20% [5][6][7][8][9][10][11][12][13][14][15][16].…”
Section: Introductionmentioning
confidence: 99%
“…However, to our knowledge, the technique has never been described despite its usefulness. Though several studies have discussed the technique of tonsillectomy [1,2], we could not find any reference to this method or anything similar. Among the textbooks of otolaryngology surgery, none has referred to this technique [3,4].…”
Section: Discussionmentioning
confidence: 95%
“…Though there are several techniques of tonsillectomy [1,2] based on surgeons, facilities and countries, they commonly involve the use of one hand to hold one tool and the other to hold another tool. To control bleeding from the operation site, one hand is often used for retraction of the tonsil while the other is used to hold and manipulate an electric cautery device (e.g., bipolar coagulator) and then occasionally switch to forceps with cotton to clear the accumulated blood.…”
Section: Introductionmentioning
confidence: 99%