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Comparison of suture ligation versus electrocoagulation in controlling post tonsillectomy bleeding
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Neamatolah Mirzaie   |
| , Mirzaie85N@yahoo.com |
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Abstract: (35827 Views) |
| Background and Aim: Postoperative hemorrhage is one of the most common serious complications after adenotonsillectomy requiring proper management during and after surgery. This study was conducted to compare effects of electrocoagulation versus suture ligation on control of bleeding after tonsillectomy.
Materials and Methods: This was a blind randomized control trial study including children schedueled for tonsillectomy in Tohid hospital in Sanandaj from April 2004 to May 2006. 110 patient were entered into the study. Surgical indications were tonsillar hypertrophy with obstructive symptoms and recurrent tonsillitis. Method of anesthesia was the same for all the patients and method of surgery was dissection by use of snare. All operations were performed by the same surgon. To control bleeding, suture ligation was used for the left and electrocoagulation for the right side of the operation site in the same patient. The sites of electrocoagulation and suture ligation were alternately changed in the next patients. The time spans required for suture ligation or electrocoagulation, primary and secondary postoperative bleeding, local and recurrent pain, formation of whitish memberane along with its sloughing and cicatrization of tonsillar fossa were recorded. The collected data were analyzed by use of SPSS win and x² and t-student tests.
Results: 46 female and 64 male patients, with mean age of 9±2.7 years were entered into this study. The overall primary and secondary postoperative bleeding rate was 1.8% and 2.7% respectively. Primary bleeding in electrocoagulation site included 0.9% and in suture ligation site 0.9% (p<0.05). All the cases of the secondary bleeding occurred in suture ligation site (p<0.05), massive bleeding was detected in 0.9% of the patients, all of them in the electocoagulation sites. There were no significant correlation between pain after tonsillectomy, recurrent pain, duration of cicatrisation and method of haemostasis (p>0.05).
Conclusion: Results of the study showed no significant difference between electrocoagulation and suture ligation in controling post tonsillectomy bleeding, but secondary bleeding in electrocoagulation was less common than that in suture ligation. In order to control bleeding from vessels, suture ligation is more suitable than electrocoagulation. |
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| Keywords: Tonsillectomy, Postoperative bleeding, Suture ligation, Electrocoagulation |
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Full-Text [PDF 148 kb]
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Type of Study: Original Research |
Subject:
General
Received: 2009/05/12 | Published: 2006/09/15
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