What is bipolar tonsillectomy?
Abstract. Tonsillectomy is an operation performed by various techniques. We have developed a bipolar diathermy dissection technique that allows a low intra-operative blood loss without an increase in complications. The average blood loss was less than 4 ml in 100 patients.
What is diathermy tonsillectomy?
The surgical techniques were diathermy (the use of high-frequency electrical current to cut tissue, remove the tonsil and control blood loss) and traditional cold dissection (where the tonsil is cut away and blood loss then controlled with ties, stitches or diathermy).
What is bipolar diathermy?
In bipolar diathermy, the two electrodes are found on the instrument itself. The bipolar arrangement negates the need for a dispersive electrode, instead a pair of similar sized electrodes are used in tandem. The current is then passed between the electrodes.
Is Coblation tonsillectomy less painful?
Results: Coblation tonsillectomy was significantly less painful than dissection tonsillectomy on day 1 (P < 0.001), day 2 (P = 0.003) and day 3 (P = 0.018). For all subsequent postoperative days, there was no significant difference in pain levels between the techniques.
When do you know to get your tonsils removed?
There are two main reasons it may be time to undergo a tonsillectomy (removal of the tonsils): You have chronic sleep apnea or snoring that disrupts your sleep. You experience recurrent tonsillitis (inflammation of the tonsils) caused by strep throat or other infections.
What is cold steel tonsillectomy?
Cold steel method uses stainless steel tonsillar knife, tonsillar dissector, Negus ligature tier, Negus forceps and anterior pillar retractor. In this method the tonsil is dissected with its capsule, exposing the underline constrictor muscles.
How do you stop bleeding after a tonsillectomy?
Gently rinse your mouth with cold water and keep your head elevated. If the bleeding continues, seek immediate medical care. If your child has bleeding from the throat that is a rapid flow, turn your child onto his or her side to make sure the bleeding doesn’t obstruct breathing and then call 911.
What is bipolar cautery used for?
bi·po·lar cau·ter·y. electrocautery by high frequency electrical current passed through tissue from an active to a passive electrode; used for hemostasis.
Which is better diathermy or monopolar dissection for tonsillectomy?
There was some evidence that patients who had diathermy tonsillectomy had less bleeding during the operation but more pain afterwards, however more research is needed. There are insufficient data to show that one method of tonsillectomy is superior. There is evidence that pain may be greater after monopolar dissection.
Which is the best way to perform a tonsillectomy?
Tonsillectomy is a commonly performed surgical procedure. There are several operative methods currently in use, but the superiority of one over another has not been clearly demonstrated. To compare the morbidity associated with tonsillectomy by two different techniques – dissection and diathermy.
When was the first Cochrane review of tonsillectomy published?
This is an update of a Cochrane Review first published in The Cochrane Library in Issue 4, 2001 and previously updated in 2003. Tonsillectomy is a commonly performed surgical procedure. There are several operative methods currently in use, but the superiority of one over another has not been clearly demonstrated.
Are there any complications after a tonsillectomy?
Tonsillectomy is one of the most common operations. Complications can include bleeding, during or after the operation, and pain. This review compared the effectiveness of two different surgical techniques in reducing these complications.
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