Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy
Introduction It is generally accepted that the ideal method of tonsillectomy should have less operative time, blood loss, post-operative haemorrhage and morbidity.1 Objective: To compare post-operative pain, intra-operative blood loss and duration of surgery between cold dissection and bipolar...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2023-07-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/888 |
| _version_ | 1797279693464928256 |
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| author | Mohammad Naksh Kamar Srijita Mahapatra Parna Saha Ajoy Khaowas Dwaipayan Mukherjee |
| author_facet | Mohammad Naksh Kamar Srijita Mahapatra Parna Saha Ajoy Khaowas Dwaipayan Mukherjee |
| author_sort | Mohammad Naksh Kamar |
| collection | DOAJ |
| description | Introduction
It is generally accepted that the ideal method of tonsillectomy should have less operative time, blood loss, post-operative haemorrhage and morbidity.1
Objective: To compare post-operative pain, intra-operative blood loss and duration of surgery between cold dissection and bipolar diathermy dissection method of Tonsillectomy.
Materials and Methods
This study was a prospective and comparative hospital-based study. It was conducted from January 2021 - June 2022 at the Department of ENT of a tertiary referral hospital, Kolkata. 90 patients were included in this study fulfilling the inclusion and exclusion criteria.
Results
In bipolar diathermy method, the mean total blood loss (in ml) (mean±s.d.) of patients was 15.0778±4.6011 and in cold steel method it was 33.0000±5.8737. Post-operative pain for cold dissection on day 1, day 3 and day 10 was [4.4889±.6613], [2.0222±.7830] and [.3778±.4903] respectively. Post-operative pain for bipolar diathermy on day 1, day 3 and day 10 was [4.9556±.2084], [2.5778±1.0111] and [1.6222±.7474] respectively. Duration (in minutes) for bipolar diathermy dissection was [15.2889±1.9612] and for cold dissection it was [24.0444±2.3351].
Conclusion
The blood loss and duration were less in bipolar diathermy method but post-operative pain was more as compared to cold steel method.
Keywords
Tonsillectomy, cold steel, bipolar diathermy, post-operative pain. |
| first_indexed | 2024-03-07T16:29:41Z |
| format | Article |
| id | doaj.art-92b0f3c46ab642a88a9515c51cfe473d |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T16:29:41Z |
| publishDate | 2023-07-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-92b0f3c46ab642a88a9515c51cfe473d2024-03-03T11:28:27ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072023-07-0130328729210.47210/bjohns.2022.v30i3.888886Comparison between Cold Steel Method and Bipolar Diathermy Method of TonsillectomyMohammad Naksh Kamar0Srijita Mahapatra1Parna Saha2Ajoy Khaowas3Dwaipayan Mukherjee4KPC Medical College & Hospital, Jadavpur, Kolkata.KPC Medical College & Hospital, Jadavpur, Kolkata.KPC Medical College & Hospital, Jadavpur, Kolkata.KPC MEDICAL COLLEGE & HOSPITAL, KOLKATAKPC Medical College & Hospital, Jadavpur, Kolkata.Introduction It is generally accepted that the ideal method of tonsillectomy should have less operative time, blood loss, post-operative haemorrhage and morbidity.1 Objective: To compare post-operative pain, intra-operative blood loss and duration of surgery between cold dissection and bipolar diathermy dissection method of Tonsillectomy. Materials and Methods This study was a prospective and comparative hospital-based study. It was conducted from January 2021 - June 2022 at the Department of ENT of a tertiary referral hospital, Kolkata. 90 patients were included in this study fulfilling the inclusion and exclusion criteria. Results In bipolar diathermy method, the mean total blood loss (in ml) (mean±s.d.) of patients was 15.0778±4.6011 and in cold steel method it was 33.0000±5.8737. Post-operative pain for cold dissection on day 1, day 3 and day 10 was [4.4889±.6613], [2.0222±.7830] and [.3778±.4903] respectively. Post-operative pain for bipolar diathermy on day 1, day 3 and day 10 was [4.9556±.2084], [2.5778±1.0111] and [1.6222±.7474] respectively. Duration (in minutes) for bipolar diathermy dissection was [15.2889±1.9612] and for cold dissection it was [24.0444±2.3351]. Conclusion The blood loss and duration were less in bipolar diathermy method but post-operative pain was more as compared to cold steel method. Keywords Tonsillectomy, cold steel, bipolar diathermy, post-operative pain.https://bjohns.in/journal3/index.php/bjohns/article/view/888tonsillectomycold steelbipolar diathermypost-operative pain |
| spellingShingle | Mohammad Naksh Kamar Srijita Mahapatra Parna Saha Ajoy Khaowas Dwaipayan Mukherjee Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy Bengal Journal of Otolaryngology and Head Neck Surgery tonsillectomy cold steel bipolar diathermy post-operative pain |
| title | Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy |
| title_full | Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy |
| title_fullStr | Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy |
| title_full_unstemmed | Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy |
| title_short | Comparison between Cold Steel Method and Bipolar Diathermy Method of Tonsillectomy |
| title_sort | comparison between cold steel method and bipolar diathermy method of tonsillectomy |
| topic | tonsillectomy cold steel bipolar diathermy post-operative pain |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/888 |
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