Is the KTP laser effective in tonsillectomy?

Auf, I; Osborne, Jonathan; Sparkes, C.; Khalil, Hisham

doi:10.1046/j.1365-2273.1997.d01-305.x

Cited by 54 publications

(58 citation statements)

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“…Postoperative pain should be minimized not just for the patients comfort but also because it may impair swallowing with a risk of dehydration, infection and secondary haemorrhage. Hot electrosurgery and laser tonsillectomy has been reported to cause more severe postoperative pain than conventional blunt dissection technique 19,20 . In our study, we found that postoperative pain in the laser group was initially mild to moderate in first 24-48 hours but pain increased in 5 th to 6 th POD in some patients in comparison to dissection group where pain was moderate to severe in first 24-96 hours and then gradually decreased in 8 th POD and that is the main disadvantage of laser.…”

Section: Discussionmentioning

confidence: 99%

Diode laser versus blunt dissection tonsillectomy

Matin

Chowdhury²

2012

Bangladesh J of Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Diode laser versus blunt dissection tonsillectomy

Matin

Chowdhury²

2012

Bangladesh J of Otorhinolaryngology

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“…There are a few studies concerning the ultrasonically activated scalpel (UAS) in surgery. None of them has reported secondary hemorrhage problems [6,7,[15][16][17]. To our knowledge, there are no published studies available regarding the use of the UAS in tonsillectomy in terms of postoperative hemorrhage (PH).…”

Section: Introductionmentioning

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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“…(16) Generally in the present study, we found that postoperative pain score in the laser group was slightly greater in CO 2 laser tonsillectomy group with no statistical significant difference and this observation came in agreement to data of Auf et al 1997 who reported that laser tonsillectomy caused more postoperative pain than conventional blunt dissection. (17) Also, according to the Malaysian study by Ishlah et al, the total post operative pain was not significantly different between the two groups . (18) In our study we found that the average blood loss was generally reduced with operative time in the CO 2 laser group compared with the conventional dissection tonsillectomy as the entire Otolaryngologist needs a nearly bloodless operation field during the tonsillectomy procedure rendering a good view to thesurgeon aiming reducing the complication with improve the morbidity.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

Alharbi¹

2015

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Abstract:Background: Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO 2 laser assisted tonsillectomy procedure. Method: Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO 2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS for pain starting from day 0 to day 10after initiation of treatment .Mean VAS for post to nsillec to my pain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion: Conventional dissection Tonsillectomy is almost similar to CO 2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.

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Is the KTP laser effective in tonsillectomy?

Cited by 54 publications

References 0 publications

Diode laser versus blunt dissection tonsillectomy

Diode laser versus blunt dissection tonsillectomy

Ultrasonically Activated Scalpel Compared with Electrocautery in Tonsillectomy

Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy

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