Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-26T20:42:55.235Z Has data issue: false hasContentIssue false

Bipolar diathermy or ligation for haemostasis in tonsillectomy? A prospective study on post-operative pain

Published online by Cambridge University Press:  29 June 2007

A. T. K. Choy
Affiliation:
Gray's Essex
A. P. Su*
Affiliation:
Gray's Essex
*
A. P. Su, F.R.C.S., Consultant in Otolaryngology, Orsett Hospital, Essex RM16 3ET.

Abstract

Forty-nine children for tonsillectomy were entered in a prospective controlled single blind study to compare the post-tonsillectomy morbidity of bipolar diathermy as opposed to ligation for haemostasis. We found no significant difference in post-operative discomfort nor reactionary or secondary haemorrhage in the two methods used. This is the first controlled trial where bipolar, rather than unipolar diathermy is used, and compared with ligation in the operation of tonsillectomy

Keywords

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Carmody, D., Vamadevan, T., Cooper, S. M. (1982) Post tonsillectomy haemorrhage. Journal of Laryngology and Otology, 96: 635638.Google Scholar
Goycoolea, M. V., Cubillos, P. M., Martinez, G. C. (1982) Tonsillectomy with a suction coagulator. Laryngoscope, 92: 818819.CrossRefGoogle ScholarPubMed
Hospital Inpatient Enquiry (1985) Department of Health Series MB4 Number 29.Google Scholar
Mawson, S. R. (1979) Acute inflammation of the middle ear cleft. Chapter 8. In Scott-Brown's Diseases of the Ear, Nose and Throat. Fourth edition. (Ballantyne, J.C. and Groves, J.G., eds.) Butterworth: London, p. 175192.Google Scholar
Papangelou, L. (1972) Haemostasis in tonsillectomy. A comparison of electrocoagulation and ligation. Archives of Otolaryngology, 96: 358360.Google Scholar
Ritter, F. N., Fink, J. A. (1972) Electrocoagulation for the control of bleeding at adenotonsillectomy: pros and cons. Transactions of the American Academy of Ophthalmology and Otolaryngology, 76: 13401345.Google ScholarPubMed
Roy, A., De La Rosa, C., Vecchio, Y. A. (1976) Bleeding following tonsillectomy. A study of electrocoagulation and ligation techniques. Archives of Otolaryngology, 102: 910.Google Scholar
Siegel, S. (1958) Non parametric statistics for the behavioural sciences. McGraw-Hill, New York.Google Scholar
Siodlack, M. Z., Gleeson, M. J., Wengraf, C. L. (1985) Post-tonsillectomy secondary haemorrhage. Annals of the Royal College of Surgeons of England, 67: 167168.Google Scholar
Wake, M., Clossop, P. (1989) Guillotine and dissection tonsillectomy compared. Journal of Laryngology and Otology, 103(6): 588591.CrossRefGoogle ScholarPubMed