scholarly journals Comparative Post-operative Pain Analysis Between Coblator Assisted and Bipolar Diathermy Tonsillectomy in Paediatric Patients

2018 ◽  
Vol 71 (1) ◽  
pp. 90-94 ◽  
Author(s):  
Bhanu Bhardwaj ◽  
Jaskaran Singh
Keyword(s):  
Bipolar Diathermy ◽  
Paediatric Patients ◽  
Post Operative Pain ◽  
Pain Analysis

scholarly journals Comparison of Ultrasonic Device Versus Bipolar Diathermy Tonsillectomy in Children

2019 ◽  
Vol 17 (01) ◽  
pp. 71-75
Author(s):  
Mukesh Kumar Sah ◽  
Yogesh Neupane ◽  
Rajendra Prasad Guragain
Keyword(s):  
Postoperative Pain ◽  
Blood Loss ◽  
Intraoperative Blood Loss ◽  
Bipolar Diathermy ◽  
Analog Scale ◽  
Intraoperative Bleeding ◽  
Ultrasonic Device ◽  
Post Operative Pain ◽  
The Mean ◽  
Group Post

Background: Intraoperative bleeding and postoperative pain are two commonest concerns for both patient and surgeon in tonsillectomy. This study was aimed to compare intraoperative blood loss and early postoperative pain between ultrasonic device and bipolar diathermy tonsillectomy in children.Methods: Prospective, interventional, single blinded, comparative study was carried out from September 2016 to September 2017 including children up to age 15 years who underwent tonsillectomy either by bipolar diathermy or ultrasonic device. Intraoperative blood loss was recorded using standard sized gauge technique. Post-tonsillectomy pain on first five postoperative days (early postoperative pain) was assessed using Visual analog scale for children older than 5 years and FLACC score for children up to 5 years respectively.Means were compared.Results: 38 children (76 tonsils) were included in the study out of which 31 were boys (62 tonsils) and 7 were girls (14 tonsils). The mean intraoperative blood loss in ultrasonic dissection group was 13.94 ml and 13.91 ml in bipolar diathermy group. This difference was not statistically significant (p=0.974). Post-operative pain on 1st, 2nd, 3rd and 4th days were significantly less (p<0.05) in ultrasonic device group compared to bipolar diathermy group. Post-operative pain was less also on 5th post-operative day in ultrasonic device but was not statistically significant (p=0.172).Conclusions: Tonsillectomy in children using ultrasonic device did not differ from bipolar diathermy tonsillectomy in respect to intraoperative blood loss. However, early postoperative pain was significantly lower in ultrasonic device group.Keywords: Bipolar diathermy; tonsillectomy; ultrasonic device.

scholarly journals Intranasal midazolam versus intranasal dexmedetomidine as premedication in paediatric patients: A comparative study

2021 ◽  
Vol 8 (4) ◽  
pp. 532-536
Author(s):  
Vinayak Gour ◽  
Vimal Dangi ◽  
Sushil Chand Verma
Keyword(s):  
Separation Anxiety ◽  
Controlled Trial ◽  
Parental Separation ◽  
Paediatric Patients ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Preanesthetic Medication ◽  
Baseline Values ◽  
Randomised Controlled ◽  
Parental Separation Anxiety

: Preanesthetic medication is important among the paediatric patients undergoing surgeries. A good preanesthetic medication reduces the anxiety and the post-operative pain among paediatric patients. A randomised controlled trial was done to compare the two groups of Dexmedetomidine, and Midazolam given as preanesthetic medication intranasally.: Both the groups had comparable baseline values before premedication but there was a significant difference in the vital parameters of heart rate and systolic blood pressure after medication. The mean Parental Separation Anxiety Scale was found to be 1.4 ± 0.85 and 2.5 ± 0.98 among Dexmedetomidine and Midazolam group respectively. This was found to be significant (p &#60; 0.001). Dexmedetomidine when given as preanesthetic medication intranasally significantly controls the vitals within the normal range and produces better parental separation anxiety scores and mask acceptance scores as compared to Midazolam.

scholarly journals Microscope assisted coblation tonsillectomy: a safe and effective surgical technique

2019 ◽  
Vol 5 (5) ◽  
pp. 1446
Author(s):  
Santosh Kumar Swain ◽  
Alok Das ◽  
Bulu Nahak ◽  
Ishwar Chandra Behera
Keyword(s):  
Surgical Technique ◽  
New Technology ◽  
Normal Diet ◽  
Bipolar Diathermy ◽  
Early Improvement ◽  
Post Operative Pain ◽  
Safe Technique ◽  
Lower Temperature ◽  
Soft Tissue Surgery ◽  
New Surgical Technique

<p>Coblation is a new technology used in soft tissue surgery. This technique uses lower energies than standard bipolar diathermy. It does ablation at lower temperature which causes less damage to the surrounding tissues and also less post-operative pain. Microscope assisted tonsillectomy is a new surgical technique and established as a suitable and standard method of tonsillectomy. Microscope-assisted coblation tonsillectomy reduces the intra-operative and post-operative hemorrhage, post-operative pain and decrease the hospital stay, so that help in an early improvement of the patient. This technique is associated with less pain and quick return to normal diet and daily activity of the patient. This technique is an effective and safe technique for doing tonsillectomy. Surgeons can also operate with precision in enlarged and magnified view in microscope or endoscope assisted tonsillectomy. Moreover, this technique makes it easier to educate the students. The purpose of this review article is to discuss the principle, techniques, outcome, advantages and limitations of microscope assisted coblation tonsillectomy. </p>

Diathermy tonsillectomy: comparisons of morbidity following bipolar and monopolar microdissection needle excision

1997 ◽  
Vol 111 (8) ◽  
pp. 735-738 ◽  
Author(s):  
A. Akkielah ◽  
A. Kalan ◽  
G. S. Kenyon
Keyword(s):  
Soft Tissue ◽  
Tissue Damage ◽  
Soft Tissues ◽  
Bipolar Diathermy ◽  
Operative Blood Loss ◽  
Operative Morbidity ◽  
Post Operative Pain ◽  
Secondary Haemorrhage ◽  
Fine Tungsten ◽  
Sharp Dissection

AbstractTonsillectomy is frequently associated with a considerable post-operative morbidity. In some cases reactionary or secondary haemorrhage occurs and all patients suffer a degree of post-operative pain. The use of bipolar diathermy excision has become popular because it reduces intra-operative blood loss, but all diathermy inevitably produces a degree of damage to adjacent normal soft tissues. In turn this inadvertent injury must act to increase the post-operative pain.Monopolar dissection using a fine tungsten diathermy needle (the Colorado needle) allows sharp dissection at low power levels and in previous studies has been shown to produce a reduction in collateral tissue damage. In this prospective study the morbidity associated with tonsillectomy using this needle was compared to that following a standard bipolar dissection.Using the monopolar needle produced no enhanced risk of reactionary or secondary haemorrhage while causing significantly less post-operative pain and a reduction in eschar. We believe that excision using this needle preserves the advantages associated with bipolar dissection while reducing local soft tissue damage.

scholarly journals Thunderbeat versus bipolar diathermy in surgical outcome of tonsillectomy

2018 ◽  
Vol 4 (2) ◽  
pp. 31
Author(s):  
Bikash Lal Shrestha ◽  
Samir Karmacharya ◽  
Pradeep Rajbhandari
Keyword(s):  
Blood Loss ◽  
Surgical Procedures ◽  
Surgical Outcome ◽  
Age Groups ◽  
Operation Time ◽  
Bipolar Diathermy ◽  
Operative Blood Loss ◽  
Post Operative Pain ◽  
The Social ◽  
Spss Software

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tonsillectomy is one of the most common surgical procedures performed worldwide by otorhinolaryngologists for the different indications. There are different studies in literature comparing bipolar diathermy with either harmonic scalpel or cold dissection but the thunderbeat is still not used in tonsillectomy. The thunderbeat device which is the integration of ultrasonic and advanced bipolar energies used exclusively in laparoscopic surgery but still not used in tonsillectomy. So, the main aim of this study is to compare the thunderbeat device with bipolar diathermy in surgical outcome of tonsillectomy</span>.</p><p class="abstract"><strong>Methods:</strong> This was the prospective study performed in total 25 patients. The patients included in the study underwent tonsillectomy on one side using thunderbeat device and on the other side using bipolar diathermy. The intra-operative blood loss, operative time and post-operative pain were taken for analysis in both the surgical procedures. <span lang="EN-IN">All the data were analyzed with the statistical package for the social sciences (SPSS) software version 20. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> Among the twenty five patients, the age groups range from 19-36 years with mean age 25.36±5.62 years. Out of 25 patients, 7 were male and 18 were female. The comparison of operation time and intra-operative blood loss between thunderbeat and bipolar diathermy showed statistically significant differences. <span lang="EN-IN">The comparison of pain score showed statistically significant result with better pain results in bipolar diathermy</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The thunderbeat uses in tonsillectomies is less time consuming and decrease intra-operative blood loss. But, the post-operative pain is more as compared to bipolar diathermy. Though, it is safe and effective in performing tonsillectomy but its cost is the main drawback for its regular use. </span></p>

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