Bleeding Following Tonsillectomy: A Study of Electrocoagulation and Ligation Techniques

Roy, Alonso; Rosa, Carlos de; Vecchio, Yadira Arófulo

doi:10.1001/archotol.1976.00780060055004

Cited by 58 publications

(37 citation statements)

References 7 publications

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“…The tonsil bed healed later in these patients and the increase in pain was seen to be related to this [12]. Again the same patient underwent surgery receiving different surgical techniques on the right and left tonsils, and eventually it was seen that the bipolar cautery side had more pain than the conventionally operated one (15). Another study offers results pointing out that on the first two postoperative days conventional tonsillectomy side, on the 3rd day and the following the electrocautery side had more pain and it peaked on the 5th and 6th days [21].…”

Section: Discussionmentioning

confidence: 82%

“…Today bipolar electrodissection method, which was defined in 1993, is also being widely used as well as the conventional dissection method [11]. This method has been shown to shorten operation time because it enables the simultaneous realization of dissection and coagulation [12,13,14,15,16,17,18]. Although there are studies pointing to an opposite direction [19,20] the former have been generally accepted by the medical community.…”

Section: Discussionmentioning

confidence: 99%

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The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

2012

Ann Clin Anal Med

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ÖzetAmaç: Bu çalışmada tonsiller hipertrofi nedeni ile solunum yolu obstrüksi-yonu olan çocuklarda uygulanan bipolar elektrokoter tonsillektomi ve klasik tonsillektomi tekniklerinin ameliyat sırasında ve sonrasındaki klinik sonuçları karşılaştırılmalı olarak değerlendirildi. Gereç ve Yöntem: Bipolar elektrokoter ile tonsillotomi yapılan 31 çocuk hasta ile konvansiyonel soğuk disseksiyon tonsillektomi yapılan 45 çocuk hasta karşılaştırıldı. Postoperatif ağrı skorları erken postoperatif dönemde 'Modifiye Hannalah Skalası' ile ve geç postoperatif dönemde 'Vizüel Analog Skoru' ile ölçüldü. Bu iki grup operasyon sırasındaki kan kaybı, operasyon süresi, oral alım süresi, ağrı kesici alımı, iyileşme zamanı ve postoperatif ağrı skorları açısından karşılaştırıldı. Bulgular: Bipolar elektrokoter ile tonsillotomi yapılan çocuklarda iyileşme sürecinde konvensiyonel tonsillektomi uygulanan gruba göre belirgin olarak daha az ağrı olduğu görüldü. Bipolar elektrokoter tonsillotomi yapılan grupta intraoperatif kan kaybı, operasyon süresi, oral alım süresi, ağrı kesici alımı, iyileşme süresi ve postoperatif ağrı skorları konvansiyonel tonsillektomi uygulanan gruba göre daha az olduğu tespit edildi. Sonuç: Bipolar elektrokoter tonsillotominin obstrüktif uyku apnesi olan çocukların iyileşmesinde konvansiyonel tonsillektomi ile eşit etkinlikte ve güvenirlikte olduğu görüldü. Bipolar elektrokoter tonsillotomi yöntemi ile postoperatif ağrı daha az olmakta, yaşam kalitesini arttırmakta ve iyileşme sürecini kısaltmaktadır. Bu nedenlerle bipolar elektrokoter tonsillotomi yöntemi çocuklarda konvansiyonel tonsillektomiden daha kabul edilebilir bir yöntem olabilir. Anahtar Kelimeler

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

2012

Ann Clin Anal Med

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“…In 1976, Roy et al reported more morbidity in cases treated with zonal diathermy than with ligation (8). Linden et al in 1990 compared two groups, each with 10 children, who underwent diathermy and suture ligation, respectively.…”

Section: Discussionmentioning

confidence: 99%

Methods of Haemostasis in Tonsillectomy Assessed by Pain Scores and Consultation Rates: The Roskilde County Tonsillectomy Study

Rungby¹,

Rømeling²,

Borum³

2000

Acta Oto-Laryngologica

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Rungby JA, Rømeling F, Borum P. Methods of haemostasis in tonsillectomy assessed by pain scores and consultation rates. Acta Otolaryngol 2000; Suppl 543: 209-214.Objecti6es: To compare four methods of haemostasis after tonsillectomy assessed by pain scores and consultation rates. Study design and methods: A prospective study. The method of sole compression of the tonsillar fossae with gauze tampons was compared to ligation, bipolar diathermy and ligation/diathermy in combination. Results: Highly significantly lower pain scores after discharge were found in the compression group compared to the other three groups (pB 0.025). The consultation rate in person after discharge of the compression group was significantly lower than in the diathermy group (p B0.01) and the ligation/diathermy group (p B0.05). Conclusion: Sole compression was associated with considerably less morbidity and no higher risk of postoperative haemorrhage. Sole compression should therefore be preferred in tonsillectomy whenever the surgeon considers it to be justified.

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“…[13][14][15][16][17] The various methods of haemostasis are bleeders ligations, diathermy haemostasis and local applicators of agents like hydrogen peroxide, bismuth sulphate, calcium alginate, betadine silver nitrate, 1% lidocaine etc. 10,11,[18][19][20] In our present study, females were more affected with tonsillitis than males. The main age group that was affected was in children with 56%, followed by 16-35 years.…”

Section: Discussionmentioning

confidence: 88%

“…8,9 Bismuth subgaliate, diathermy with ligation have also been considered as a treatment. 10,11 This study was undertaken to evaluate hemocoagulase as a local application in tonsillectomy for the control of primary, reactionary and secondary hemorrhages.…”

mentioning

confidence: 99%

Local application of haemocoagulase for control of haemorrhages after tonsillectomy: a study in a teaching hospital

Kishore

2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Post-tonsillectomy haemorrhage remains the most serious complication of tonsillectomy. Many topical agents have been used to control the post-operative bleeding by the surgeons. This study was undertaken to evaluate hemocoagulase as a local application in tonsillectomy for the control of primary, reactionary and secondary haemorrhages.Methods: 50 patients, between the ages 5-60 years, who came with chronic tonsillitis or adenoid hypertrophy, were included into the study. The surgery was performed under general anaesthesia by tonsillar resection or tonsilloadenoid resection. Results: The most common age group to be affected was between 5 and 15 years, though in this age group the number of females and males were the same, accounting for 28% each of the total number of patients. Among the 50 patients, only 5 (10%) of them had reactionary haemorrhage, which was immediately contained. None of the patients had either primary or secondary haemorrhage.Conclusions: The use of hemocoagulase has after tonsillectomy has definite advantage in controlling post-operative bleeding. It can be used as a routine application after tonsillectomy to control the bleeding.

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Bleeding Following Tonsillectomy: A Study of Electrocoagulation and Ligation Techniques

Cited by 58 publications

References 7 publications

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

The Use of Bipolar Electrocautery Tonsillectomy in Patients with Pediatric Respiratory Tract Obstruction

Methods of Haemostasis in Tonsillectomy Assessed by Pain Scores and Consultation Rates: The Roskilde County Tonsillectomy Study

Local application of haemocoagulase for control of haemorrhages after tonsillectomy: a study in a teaching hospital

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