Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique
Clinical Medicine Research
Volume 4, Issue 6, November 2015, Pages: 189-194
Received: Oct. 10, 2015; Accepted: Oct. 21, 2015; Published: Nov. 24, 2015
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Authors
Esam-eddin Bakheit Mohammed Ahmed, ENT Department, Faculty of Medicine, Shendi University, Shendi, Sudan
Faroug Bakheit Mohammed Ahmed, Faculty of Science and Technology, Shendi University, Shendi, Sudan
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Abstract
This is a prospective hospital based study conducted in Omdurman Military Hospital (OMH) from January to December 2009 comparing the conventional dissection tonsillectomy (CDT) versus bipolar diathermy tonsillectomy (BDT). The study was conducted to determine the incidence of post-tonsillectomy haemorrhage and it's relation to technique used. Also to detect the efficacy of bipolar diathermy in intra-operative haemostasis in tonsillectomy procedures. 165 patients who had tonsillectomy during the study period were randomly collected and grouped into two according to the technique used. Questionnaire and SPSS program were used for data collection and analysis respectively. The primary haemorrhage was reported in 3.6% and the secondary one in 1.8% of study sample. The intra-operative bleeding found to be correlated (p < 0.005) to the technique. Insignificant secondary haemorrhage occurred in three cases from the bipolar diathermy group but had no correlation (p > 0.005) with the technique used for tonsillectomy. The primary haemorrhage was found to be correlated to the technique used. The bipolar diathermy is highly efficacious in intra-operative haemostasis during tonsillectomy. The difference was insignificant between bipolar diathermy and conventional dissection methods regarding the secondary haemorrhage.
Keywords
Tonsillectomy, Bipolar, Diathermy and Conventional
To cite this article
Esam-eddin Bakheit Mohammed Ahmed, Faroug Bakheit Mohammed Ahmed, Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique, Clinical Medicine Research. Vol. 4, No. 6, 2015, pp. 189-194. doi: 10.11648/j.cmr.20150406.14
Copyright
Copyright © 2015 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Young J. R, Bennett J. History of Tonsillectomy. ENT News (2004),13:34-35.
[2]
Feldmann H., 200 year history of tonsillectomy. Images from the history of otorhinolaryngology, highlighted by instruments from the collection of the German Medical History Museum in Ingolstadt. Laryngorhinootologie (1997), 76(12): 751-60.
[3]
Scott-Brown's Otorhinolaryngology, Head and Neck Surgery, Tonsillectomy techniques 7th edition (2008), 2:1991.
[4]
Nave H, Gebert A, Pabst R. Morphology and immunology of the human palatine tonsil. Anat Embryol. (2001), 204:367. (Review summarizing current data on anatomy, histology, pathology, and immunology of palatine tonsils.) [PMID: 11789984].
[5]
Kocturks S, Yildirim A, Demiary T, Bahar G, Bakici MZ. Cold dissection versus bipolar cauterizing tonsillectomy for bacteraemia. American Journal of otolaryngology (2005), 26:51-3.
[6]
P.K.Moonka- Ligation Vs. Bipolar Diathermy for Haemostasis in Tonsillectomy - A Comparative Study Indian Journal of Otolaryngology and Head and Neck Surgery Vol. 54 No. I, January - March 2002.
[7]
Choy, A. T. K. el al: Journal of laryngology & otology (1992), 106: 21-22.
[8]
Kendrich D, Gibbin K. An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy. Clinical otolaryngology (1993), 18(2): 115-7.
[9]
Alexander RJ, Kukreja R, Ford GR. Secondary post tonsillectomy haemorrhage and informed consent. Journal of laryngology and otology (2004), 118: 937-940.
[10]
G. D. Barr. How To Reduce Diathermy In Tonsillectomy - Vessel Dissection Tonsillectomy (VDT): Description Of Technique And Analysis Of Results. The Internet Journal of Otorhinolaryngology (2006), Volume 4 Number 2.
[11]
Malik, M. K.. Bhatia. B. P. R. Kumar. A. Control of haemorrhage in tonsillectomy. Journal of Indian Medical Association (1992), 79: 115-117.
[12]
Roberts, C, Jayaramchandran, S., Raine, C. H. A prospectiave study of factors which may predispose to postoperative tonsillar fossa haemorrhage. Clinical Otolaryngology (1992), 17: 13-17.
[13]
K Haddow, M. L. Montague and S. M. Hussain. The Journal of Laryngology & Otology (2006), 120: 450-454.
[14]
Y. T. Pang: Paediatric tonsillectomy: bipolar electrodissection and dissection/snare compared. Department of Otolaryngology, University of Manchester School of Medicine, Hope Hospital, Salford, UK. The Journal of Laryngology & Otology (1995), 109:733-736.
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