Comparing the effectiveness of 'plasma knife' tonsillectomy with two well-established tonsillectomy techniques: Cold dissection and bipolar electrocautery. A Prospective randomized Study
| Autor: | K. Serife Ugur, Muhammed Gozdemir, Cemil Mutlu, Hanifi Kurtaran, Fatih Sadikoglu, Davut Aktaş, Turker Yilmaz, Nebil Ark |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Palatine Tonsil Blood Loss Surgical law.invention Intraoperative Period Randomized controlled trial Blood loss law Electrocoagulation Humans Medicine Prospective randomized study Prospective Studies Child Prospective cohort study Tonsillectomy Pain Postoperative Wound Healing business.industry Dissection General Medicine Surgery Treatment Outcome Otorhinolaryngology Child Preschool Anesthesia Pediatrics Perinatology and Child Health Operative time Female sense organs business |
| Zdroj: | International Journal of Pediatric Otorhinolaryngology. 73:1195-1198 |
| ISSN: | 0165-5876 |
| DOI: | 10.1016/j.ijporl.2009.05.003 |
| Popis: | To evaluate the effectiveness of a new device "plasma knife" for tonsillectomy by comparing to two well-established tonsillectomy techniques: cold dissection, and bipolar electrocautery.A prospective, randomized study conducted on 110 patients undergoing tonsillectomy. Subjects were randomized to plasma knife (PKT), cold dissection (CDT) and bipolar electrocautery (BET) groups. Operative time, intraoperative blood loss and postoperative complications were recorded. Pain/discomfort level of patients and healing time of the tonsillar fossae were assessed postoperatively. Data were recorded and statistically analyzed.Operative time with plasma knife and bipolar electrocautery were associated with a significant decrease in operative time compared to cold dissection (p0.05). Intraoperative blood loss was significantly decreased with plasma knife, compared to cold dissection and bipolar electrocautery (p0.05). Less postoperative pain was observed with plasma knife compared to bipolar electrocautery but more postoperative pain was observed with both compared to CDT (p0.05). Postoperative healing time was longer with plasma knife and bipolar electrocautery, compared to cold dissection (p0.05).Plasma knife is a useful and safe device in tonsillectomy. Its use reduces intraoperative blood loss and provides a fast tonsillectomy with acceptable morbidity. |
| Databáze: | OpenAIRE |
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