Conventional Cold steel and Modern technique BiZact LigaSure for tonsillectomy: A comparative analysis

Abstract

Introduction:
 One of the bulk number of operations carried out at otorhinolaryngology department across globe is Tonsillectomy. With the advent of refined surgical tools along with surgical approaches, the conventional methods are now taken over by these new interventions. The study aims to explore the use and advantages of BiZact LigaSure tonsillectomy as compared to the old conventional method.
 Material & Methods:
 A comparative study was conducted using non-probability purposive sampling technique at Aziz Fatimah Hospital, Faisalabad. 100 participants were divided in two groups. Group A (50 patients) underwent BiZact LigaSure tonsillectomy and Group B (50 patients) with conventional cold steel method. Per-operative variables such as Blood loss and Operative time and Post-operative variable such as Pain was assessed. The data was analyzed in SPSS 20 using independent t- test.
 Results:
 The mean age in group A and B was 12, 12 respectively. The blood loss calculated in Group A patients undergoing BiZact LigaSure tonsillectomy was 0.390.15 ml and in Group B 15.92.65 ml. The mean operation time in group A and B was calculated as 4.260.66 and 32.385.56. Both of these variables were recorded as highly significant as the P value = 0.000. Pain was assessed using the VAS pain scale. Post-operative pain variable was also recorded as highly significant variable.
 Conclusion:
 The study concludes that BiZact ligaSure tonsillectomy is more effective and safe procedure than the conventional cold steel method. This new intervention significantly reduces the blood loss during surgeries, operative time and post-operative pain.

BiZact-Assisted Endoscopic Resection of a Sinonasal Tumor

“…2 Among the published literature are reports that the BiZact device can significantly reduce blood loss during surgery, shorten the operative time, and minimize postoperative pain compared with the coblator 1,7 and conventional cold steel method. 8 The BiZact device shares similarities with other advanced electrosurgical sealers, including LigaSure and Harmonic Scalpel (Ethicon EndoSurgery) system; each has clamps at the end of their shafts to grip and compress tissue. However, the BiZact has a shorter 12 cm shaft, allowing endonasal surgery.…”

“…In addition, using a BiZact for tonsillectomy allows for a short operative time and minimal blood loss, with a median total operative time of <6 minutes and an estimated intraoperative blood loss of <1 mL in almost 40% of patients 2 . Among the published literature are reports that the BiZact device can significantly reduce blood loss during surgery, shorten the operative time, and minimize postoperative pain compared with the coblator 1,7 and conventional cold steel method 8 …”