Tonsillectomy Using an Ultrasonically Activated Scalpel

Ochi, Kentaro; Ohashi, Toru; Sugiura, Natsuki; Komatsuzaki, Yasushi; Okamoto, Atsushi

doi:10.1097/00005537-200007000-00034

Cited by 28 publications

(16 citation statements)

References 2 publications

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“…A hook blade was normally used for UT. Details of the surgical procedure have been published previously [3]. The injection protocol was the same as for BT.…”

Section: Surgical Techniquesmentioning

confidence: 99%

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Postoperative Pain in Tonsillectomy: Comparison of Ultrasonic Tonsillectomy versus Blunt Dissection Tonsillectomy

Sugiura

Ochi

Komatsuzaki

et al. 2002

ORL

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Intraoperative blood loss, postoperative pain, and postoperative appetite were compared between 15 adult patients who underwent tonsillectomy using an ultrasonically activated scalpel (UT) and 15 adult patients who underwent blunt dissection tonsillectomy with cold steel instruments (BT). The average intraoperative blood loss of the UT group was 4.6 ± 1.9 ml (mean ± standard deviation), while that of BT group was 41.9 ± 12.9 ml. This difference was highly statistically significant (p < 0.0001). In contrast, there were no significant differences in the VAS pain and appetite scores between patients who underwent UT and those who underwent BT on any day in the 6-day postoperative period. Our current results show that UT is a safe technique, and we believe that it should be considered a useful alternative for tonsil surgery.

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“…A hook blade was normally used for UT. Details of the surgical procedure have been published previously [3]. The injection protocol was the same as for BT.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…This instrument minimizes the damage caused by incision of the tissue and coagulation. Recently we introduced a method of tonsillectomy using an ultrasonically activated scalpel, in which we especially stressed the effectiveness of this device [3]. However, postoperative complications such as pain and appetite loss were not evaluated.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Pain in Tonsillectomy: Comparison of Ultrasonic Tonsillectomy versus Blunt Dissection Tonsillectomy

Sugiura

Ochi

Komatsuzaki

et al. 2002

ORL

Self Cite

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“…Since there is no literature comparing above procedure, however, the ultrasonic scalpel study with bipolar diathermy in different literature also mentioned less intraoperative time and less blood loss in ultrasonic scalpel method. [11][12][13][14][15] Regarding the pain score, our study showed that the postoperative pain score at rest is significantly less on day 3 rd , 4 th , 5 th and 6 th post-operatively in bipolar diathermy as compared to thunderbeat. Similarly, the comparison of post-operative pain score between thunderbeat and bipolar diathermy on swallowing showed statistically significant decrease at 4 hours, 48 hours, 72 hours, on day 4 th , day 6 th and day 7 th in bipolar diathermy as compared to thunderbeat.…”

Section: Discussionmentioning

confidence: 62%

Thunderbeat versus bipolar diathermy in surgical outcome of tonsillectomy

2018

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Background: Tonsillectomy is one of the most common surgical procedures performed worldwide by otorhinolaryngologists for the different indications. There are different studies in literature comparing bipolar diathermy with either harmonic scalpel or cold dissection but the thunderbeat is still not used in tonsillectomy. The thunderbeat device which is the integration of ultrasonic and advanced bipolar energies used exclusively in laparoscopic surgery but still not used in tonsillectomy. So, the main aim of this study is to compare the thunderbeat device with bipolar diathermy in surgical outcome of tonsillectomy.Methods: This was the prospective study performed in total 25 patients. The patients included in the study underwent tonsillectomy on one side using thunderbeat device and on the other side using bipolar diathermy. The intra-operative blood loss, operative time and post-operative pain were taken for analysis in both the surgical procedures. All the data were analyzed with the statistical package for the social sciences (SPSS) software version 20. Results: Among the twenty five patients, the age groups range from 19-36 years with mean age 25.36±5.62 years. Out of 25 patients, 7 were male and 18 were female. The comparison of operation time and intra-operative blood loss between thunderbeat and bipolar diathermy showed statistically significant differences. The comparison of pain score showed statistically significant result with better pain results in bipolar diathermy.Conclusions: The thunderbeat uses in tonsillectomies is less time consuming and decrease intra-operative blood loss. But, the post-operative pain is more as compared to bipolar diathermy. Though, it is safe and effective in performing tonsillectomy but its cost is the main drawback for its regular use.

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“…Die Methode des ultraschallaktivierten Skalpells zur Durchführung einer Tonsillektomie wurde erstmals im Jahr 2000 beschrieben [64]. …”

Section: Ultraschallaktiviertes Skalpellunclassified

New techniques of tonsil surgery in children with obstructive sleep apnea syndrome

et al. 2009

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Tonsillectomy Using an Ultrasonically Activated Scalpel

Cited by 28 publications

References 2 publications

Postoperative Pain in Tonsillectomy: Comparison of Ultrasonic Tonsillectomy versus Blunt Dissection Tonsillectomy

Postoperative Pain in Tonsillectomy: Comparison of Ultrasonic Tonsillectomy versus Blunt Dissection Tonsillectomy

Thunderbeat versus bipolar diathermy in surgical outcome of tonsillectomy

New techniques of tonsil surgery in children with obstructive sleep apnea syndrome

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