Guillotine versus dissection tonsillectomy: randomised, controlled trial
| Autor: | Rami J. Salib, Parmod K. Jain, S J Frampton, V S Sunkaraneni, Hasnaa Ismail-Koch, Zoe A. Sheppard, M J A Ward |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Palatine Tonsil Blood Loss Surgical Secondary haemorrhage law.invention Randomized controlled trial Blood loss law medicine Humans Dissection tonsillectomy Child Tonsillectomy Pain Postoperative business.industry Dissection fungi Gold standard technology industry and agriculture General Medicine Surgery Tonsillitis Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Child Preschool Anesthesia Tonsil Female business |
| Zdroj: | The Journal of Laryngology & Otology. 126:1142-1149 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s002221511200196x |
| Popis: | Objective:This trial aimed to compare the guillotine technique of tonsillectomy with ‘cold steel’ dissection, the current ‘gold standard’.Design:A single centre, randomised, controlled trial.Methods:One hundred children aged 3 to 11 years who were listed for bilateral tonsillectomy were recruited. Patients had one tonsil removed by each technique, and were blinded to the side. The operative time, intra-operative blood loss, haemostasis requirement and post-operative pain scores were recorded and compared.Results:Operative time and intra-operative blood loss were both significantly less for the guillotine technique (p p p Conclusion:This study provides level Ib evidence that guillotine tonsillectomy in children with mobile tonsils is an effective and time-efficient procedure which produces less intra-operative blood loss and post-operative pain than cold steel dissection. |
| Databáze: | OpenAIRE |
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