A Comparison Between Dissection-Method And Diathermy Tonsillectomies in Rims, Ranchi
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Introduction: Tonsillectomy is one of the most commonly performed operations in otolaryngology. There are many proven methods of tonsillectomy, including cold dissection and bipolar electrocautery. The objective of this study is to compare the dissection and diathermy methods of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. Material and Method: The study included 50 children who underwent tonsillectomy during one period of time. This study was carried out at Rajendra Institute of Medical Sciences, Ranchi. Patients were randomly selected to have either the right or left tonsils removed by either technique (cold dissection or monopolar dissection technique). We compared both techniques in each side on the same patient. Results: The average amount of bleeding on electrocautery side was 37.2 ± 2.46 ml and on the cold dissection side was 83.7 ± 3.37 ml. The mean time of operation for electrocautery and cold dissection was 11.1 ± 0.39 and 18.11 ± 0.65 minutes respectively. On the second post operative day, 38% of the patients complained of pain on the cauterized side, 28% complained of more pain on the dissection side while 34 % experienced equal pain on both sides. Post-operative complication such as hemorrhage was not seen in both the techniques employed. Conclusion: The bipolar electrocautery appears to cause less bleeding and postoperative pain and it seems to be less time consuming in compare with the cold dissection tonsillectomy,. but patients experience slightly more pain than cold dissection.
Authors and Affiliations
Dr. Rajesh Kumar Choudhary, Dr. Pradeep Kumar Singh, Dr. Nisha Shrivastava
Keywords
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