Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques

The plasma blade is an innovative device that was recently introduced for performing tonsillectomy. While one of the benefits of the plasma blade is limited thermal damage, the effects of plasma blades on postoperative hemorrhage have not been thoroughly investigated. Patients who underwent tonsille...

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Main Authors: Andy Wei-Ge Chen, Mu-Kuan Chen
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/10/2051
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author Andy Wei-Ge Chen
Mu-Kuan Chen
author_facet Andy Wei-Ge Chen
Mu-Kuan Chen
author_sort Andy Wei-Ge Chen
collection DOAJ
description The plasma blade is an innovative device that was recently introduced for performing tonsillectomy. While one of the benefits of the plasma blade is limited thermal damage, the effects of plasma blades on postoperative hemorrhage have not been thoroughly investigated. Patients who underwent tonsillectomy in our institution between January 2013 and September 2018 were retrospectively enrolled in the study. A total of 1214 patients were enrolled in the study, with 759 participants who underwent monopolar tonsillectomy and 455 participants who underwent plasma blade tonsillectomy. In total, 14 bleeding events occurred in the monopolar group, and 10 events occurred in the plasma blade group. The odds ratio for postoperative bleeding in the plasma blade group was 1.20 (95% CI 0.52 to 2.72). After adjusting for potential confounders, the adjusted odds ratio was 1.34 (95% CI 0.58 to 3.07). In conclusion, there is no significant difference in post-tonsillectomy hemorrhage rates between the traditional monopolar technique and plasma blade technique. Plasma blade tonsillectomy can be considered as safe as traditional monopolar tonsillectomy.
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spelling doaj.art-08557816d83a4cb895adb368f29686442023-11-21T19:06:59ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-011010205110.3390/jcm10102051Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade TechniquesAndy Wei-Ge Chen0Mu-Kuan Chen1Department of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of Otorhinolaryngology, Head and Neck Surgery, Changhua Christian Hospital, Changhua 500, TaiwanThe plasma blade is an innovative device that was recently introduced for performing tonsillectomy. While one of the benefits of the plasma blade is limited thermal damage, the effects of plasma blades on postoperative hemorrhage have not been thoroughly investigated. Patients who underwent tonsillectomy in our institution between January 2013 and September 2018 were retrospectively enrolled in the study. A total of 1214 patients were enrolled in the study, with 759 participants who underwent monopolar tonsillectomy and 455 participants who underwent plasma blade tonsillectomy. In total, 14 bleeding events occurred in the monopolar group, and 10 events occurred in the plasma blade group. The odds ratio for postoperative bleeding in the plasma blade group was 1.20 (95% CI 0.52 to 2.72). After adjusting for potential confounders, the adjusted odds ratio was 1.34 (95% CI 0.58 to 3.07). In conclusion, there is no significant difference in post-tonsillectomy hemorrhage rates between the traditional monopolar technique and plasma blade technique. Plasma blade tonsillectomy can be considered as safe as traditional monopolar tonsillectomy.https://www.mdpi.com/2077-0383/10/10/2051tonsillectomyplasma bladeuvulopalatopharyngoplasty
spellingShingle Andy Wei-Ge Chen
Mu-Kuan Chen
Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques
Journal of Clinical Medicine
tonsillectomy
plasma blade
uvulopalatopharyngoplasty
title Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques
title_full Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques
title_fullStr Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques
title_full_unstemmed Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques
title_short Comparison of Post-Tonsillectomy Hemorrhage between Monopolar and Plasma Blade Techniques
title_sort comparison of post tonsillectomy hemorrhage between monopolar and plasma blade techniques
topic tonsillectomy
plasma blade
uvulopalatopharyngoplasty
url https://www.mdpi.com/2077-0383/10/10/2051
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