Impact of cold dissection tonsillectomy method combined with selective low voltage bipolar diathermy cauterization on the post tonsillectomy pain in the pediatric age group

Background: Pediatric tonsillectomies are commonly performed by cold dissection or electro cautery dissection. Both the techniques have been compared in many articles for their role in controlling the post-operative pain and bleeding. With the electro cautery dissection the blood loss is comparatively less, but the post-operative pain is reported as more. Several expensive new techniques are available to address the problems. A simple technique of cold dissection tonsillectomy combined with selective low voltage bipolar diathermy cauterization performed in the pediatric age group is being studied retrospectively for its impact in managing the post-operative pain.Methods: The case records of 73 patients aged 4-15 years who were operated for tonsillectomy from January 2018 to July 2019 are retrospectively studied. 33 patients underwent cold dissection and ligature tonsillectomy and 40 patients underwent tonsillectomy by cold dissection combined with selective low voltage bipolar diathermy cauterization. The postoperative pain incidence in these two groups is studied. Results: The cold dissection tonsillectomy combined with selective low voltage bipolar diathermy cauterization technique was found to be useful in managing the postoperative pain in pediatric tonsillectomies.Conclusions: Performing cold dissection tonsillectomy with precise mucosal incision, gentle dissection and combining it with selective low voltage bipolar diathermy cauterization of the bleeding points was found to be helpful in controlling the postoperative pain in pediatric tonsillectomies. Prescribing a syrup form of NSAID from the second post-operative day was found to be of additional help.

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Post-tonsillectomy pain management in pediatric patients-a review

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20213336 ◽

2021 ◽

Vol 8 (9) ◽

pp. 1637

Author(s):

Santosh Kumar Swain

Keyword(s):

Pediatric Patients ◽

Hospital Staff ◽

Risk Profile ◽

Review Article ◽

Age Group ◽

Pediatric Age ◽

Clinical Issue ◽

Pediatric Age Group ◽

Post Operative Pain ◽

Active Research

Tonsillectomy is a common surgical procedure performed in the pediatric age group. Although tonsillectomy is a safe surgery, it is associated with significant post-operative pain. Analgesia after tonsillectomy is often inadequate. Severe post-tonsillectomy throat pain has been described for more than a decade. Parents often worry for handling the pain of their children in home. Post-tonsillectomy pain is often considered as a long lasting and intense in nature. Post-tonsillectomy pain in children is an important problem which overstrains the patient, family and hospital staff. Post-tonsillectomy pain in children is an important problem which overstrains the patient, family and hospital staff. Regulatory alteration in the analgesic armamentarium, particularly in pediatric patients are making the treatment of post-tonsillectomy pain more difficult. Post-tonsillectomy pain in pediatric patients continues to be highly debated clinical issue and also an area of active research. Post-tonsillectomy pain can result in significant morbidity among pediatric patients. There are several analgesics available; each one has its own risk profile and unique side effects when used in pediatric age group in post-tonsillectomy period. This review article provides an update on recent management of post-tonsillectomy pain in pediatric patients. This article reviews the epidemiology, pathophysiology, impact of post-tonsillectomy pain in children and details of medications used for controlling post-tonsillectomy pain.

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Atypical Osteoid Osteoma of sacral region in pediatric age group: a case report

European Journal of Medical Case Reports ◽

10.24911/ejmcr/1/7 ◽

2017 ◽

pp. 28-31

Author(s):

Shashi Sharma ◽

Sakshi Dewan ◽

Naveen Bhardwaj ◽

Mir Aziz ◽

Shilpa Singh ◽

...

Keyword(s):

Case Report ◽

Osteoid Osteoma ◽

Age Group ◽

Pediatric Age ◽

Sacral Region ◽

Pediatric Age Group ◽

Group A

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Congenital Lumbar Hernia in an 8-Month-Old Boy

Case Reports in Gastroenterology ◽

10.1159/000511006 ◽

2021 ◽

Vol 15 (1) ◽

pp. 431-435

Author(s):

Mohamed Mansy ◽

Mostafa Kotb ◽

Mohamed Abouheba

Keyword(s):

Congenital Anomalies ◽

Lumbar Hernia ◽

The Body ◽

Age Group ◽

Pediatric Age ◽

Operative Repair ◽

Pediatric Age Group ◽

Organ Systems

Congenital lumbar hernias are uncommonly seen in the pediatric age group, with only about 60 cases reported in the literature. It is usually accompanied by a multitude of congenital anomalies involving different organ systems of the body. For instance, it may involve the ribs, spine, muscles, and the kidneys. Herein, we report a case of congenital lumbar hernia in an 8-month-old boy who underwent an operative repair using a mesh with an uneventful outcome.

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