Coblation versus cold dissection in paediatric tonsillectomy: a systematic review and meta-analysis
| Autor: | M R S Siddiqui, Ian Street, Thomas Hampton, M U Ahmad, A N Wardak |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Radiofrequency ablation medicine.medical_treatment Operative Time Blood Loss Surgical law.invention 03 medical and health sciences 0302 clinical medicine Blood loss law Electrocoagulation Coblation tonsillectomy Humans Medicine Dissection tonsillectomy 030212 general & internal medicine Child 030223 otorhinolaryngology Tonsillectomy Pain Postoperative business.industry Dissection General Medicine Surgery Otorhinolaryngology Cryotherapy Child Preschool Meta-analysis Operative time Female business |
| Zdroj: | The Journal of Laryngology & Otology. 134:197-204 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215120000377 |
| Popis: | BackgroundCold dissection is the most commonly used tonsillectomy technique, with low post-operative haemorrhage rates. Coblation is an alternative technique that may cause less pain, but could have higher post-operative haemorrhage rates.ObjectiveThis study evaluated the peri-operative outcomes in paediatric tonsillectomy patients by comparing coblation and cold dissection techniques.MethodsA systematic review was conducted of all comparative studies of paediatric coblation and cold dissection tonsillectomy, up to December 2018. Any studies with adults were excluded. Outcomes such as pain, operative time, and intra-operative, primary and secondary haemorrhages were recorded.ResultsSeven studies contributed to the summative outcome. Coblation tonsillectomy appeared to result in less pain, less intra-operative blood loss (p < 0.01) and a shorter operative time (p < 0.01). There was no significant difference between the two groups for post-operative haemorrhage (p > 0.05).ConclusionThe coblation tonsillectomy technique may offer better peri-operative outcomes when compared to cold dissection, and should therefore be offered in paediatric cases, before cold dissection tonsillectomy. |
| Databáze: | OpenAIRE |
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