Tonsillectomy by Cold Dissection and Coblation Techniques: A Prospective Comparative Study

Muthubabu, K; Rekha, Assadi; Thejas, Saai Ram; Vinayak, R; Srinivasan, M K; Alagammai, S.; Nivasini, S. Thushita; Gayathri, S

doi:10.1007/s12070-018-1472-7

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…A statistically significant reduction post-op was shown by Muthubabu et al (16) , in a manner similar to that. Membranes emerge and vanish in the group of coalescence.…”

Section: Discussionsupporting

confidence: 80%

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Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Easa¹,

Farghaly²,

Abdelmawla³

2023

The Egyptian Journal of Hospital Medicine

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Background: One of the most frequent surgical operations carried out globally is a tonsillectomy. Tonsillectomy is performed using a variety of methods that have been developed throughout time. In an effort to improve the procedure's safety and reduce postoperative morbidity and complications, many procedures have developed over time. Objective: The aim of the current study was to compare traditional tonsillectomy vs coblation tonsillectomy in terms of operation time, intraoperative blood loss, postoperative pain, and postoperative healing. Patients and methods: This prospective study included a total of 100 cases of chronic tonsillitis undergoing tonsillectomy (50 cases by traditional tonsillectomy and 50 cases by coblation tonsillectomy), attending at Outpatient Clinic,

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“…A statistically significant reduction post-op was shown by Muthubabu et al (16) , in a manner similar to that. Membranes emerge and vanish in the group of coalescence.…”

Section: Discussionsupporting

confidence: 80%

“…Similar to this, Muthubabu et al (16) stated that although the coblation tonsillectomy approach caused substantially less pain than the standard tonsillectomy method, the pace at which the discomfort increased was the same in both procedures.…”

Section: Discussionmentioning

confidence: 60%

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Easa¹,

Farghaly²,

Abdelmawla³

2023

The Egyptian Journal of Hospital Medicine

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“…Technological advancement over time in pediatric tonsillectomies may contribute to increased healthcare costs. Previously, the most common operative method was dissection and snare, which employed reusable instruments [ 5 ]. Over time, this has largely been replaced with more advanced techniques such as monopolar electrocautery and coblation, which use disposable instruments [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Previously, the most common operative method was dissection and snare, which employed reusable instruments [ 5 ]. Over time, this has largely been replaced with more advanced techniques such as monopolar electrocautery and coblation, which use disposable instruments [ 5 ]. The increasing prevalence of more sophisticated techniques may contribute to more expenditures over time.…”

Section: Discussionmentioning

confidence: 99%

Costs and Charges for Pediatric Tonsillectomy in New York State

Saeed¹,

Ibrahim²,

Carr³

2021

Cureus

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In this study, we aimed to determine the correlation between costs/charges related to admissions for pediatric tonsillectomy in New York State (NYS) and variables including discharge year, All Patient Refined (APR) severity of illness, length of hospital stay, payment typology, location, race, and institutional factors during 2009-2017. Methods Data were extracted from the Statewide Planning and Research Cooperative System (SPARCS) Hospital Inpatient Discharges database developed by the NYS Department of Health. Statistical analysis was employed to determine multiple linear regression coefficients with the costs and charges set as the dependent variable.

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“…Tonsillectomy is the most common operative procedure performed by ENT surgeons worldwide, and this is the very simplest surgery. 3 There are numerous techniques prevailing to accomplish tonsillectomy like the dissection method, the guillotine method, tonsillectomy by cryosurgery, ultrasonic removal of tonsils, tonsillectomy by LASER, and monopolar electrocautery and bipolar electrocautery dissection methods. Very significant numbers of children, suffering from tonsillitis need a tonsillectomy.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Complications after Tonsillectomy between Conventional Cold Steel Dissections Method and Electrocautery Tonsillectomy Method. A Randomized Controlled Trial

Khan¹,

Ibrahim²,

Rana³

et al. 2022

PJMHS

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Aims: To compare the intra-operative bleeding amount during the tonsillectomy operative procedure by using the monopolar electrocautery method versus the cold steel tonsillar dissector method, and to compare postoperative pain for the initial six hours in both groups. Study design: A randomized controlled trial Place and Duration: Departments of ORL (Otorhinolaryngology) and HNS, Kulsumbai Valika Social Security SITE Hospital, Karachi, and in Social Security Landhi Hospital Karachi, Pakistan from January 1st, 2021 to December 31st, 2021 Methodology: One hundred and twenty patients were selected for this study from the outpatient department of both hospitals and they were divided into two groups equally i.e. those patients who will be operated with monopolar electrocautery, included in group C and those patients who will be operated on with the cold steel dissection method by tonsillar dissector, was in group-D. After receiving written informed consent from the patients they were operated on as the first and second cases in each OT List. Blood loss was measured during the operative procedure and calculated by the number of blood-soaked gauzes and post-operative pain was measured by the VAS pain scale, the house officer, and resident doctors on the floor. Results: Females predominance was observed in this study, Female to a male ratio in Group C was 2:1, and in Group D it was 3:1 The Mean ± Standard Deviation of the ages were 11.75 ± 3.25 yrs. and 14.25 ± 3.70 yrs. in both groups. The mean blood loss during tonsillectomy was 16.70 ± 4.70 ml in Group C and 50.70 ± 30.50 in Group D, a statistically significant difference was observed between the two groups and the p-value was < 0.05. The mean time duration of tonsillectomy was 14.10 ± 2.5 minutes in Group C and 20.40 ± 3.50 in Group D. Practical implication: Nowadays monopolar electrocautery is used for tonsillectomy because in this method intraoperative bleeding is minimum and operative time is also short Conclusion: Intra-operative bleeding was minimum while tonsillectomy was done by monopolar cautery and postoperative pain was more in this method which was controlled by analgesics. Keywords: tonsillectomy, cold steel dissection, monopolar electrocautery, intraoperative blood loss, postoperative pain, PACU

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Tonsillectomy by Cold Dissection and Coblation Techniques: A Prospective Comparative Study

Cited by 7 publications

References 12 publications

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Comparative Study between Traditional Tonsillectomy and Tonsillectomy by Coblation

Costs and Charges for Pediatric Tonsillectomy in New York State

Comparison of Complications after Tonsillectomy between Conventional Cold Steel Dissections Method and Electrocautery Tonsillectomy Method. A Randomized Controlled Trial

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