Outcome of Vessel Sealing System Tonsillectomy vs Electrocautery Tonsillectomy, Kalasin Hospital

Authors

  • Patchareeya Chukchuen Department of Otolaryngology Kalasin Hospital, Kalasin Province

Keywords:

tonsillectomy, bessel sealing system, electrocautery dissection

Abstract

Background and Objective: Tonsillectomy is performed due to recurring infections and inflammation. The upper respiratory tract obstruction and tonsil cancer may be present due to the size of the tonsils. There are many different surgical procedures, but problems still occur. The outcomes of vessel sealing system tonsillectomy and electrocautery tonsillectomy in this study are compared about operative time, intraoperative blood loss, postoperative bleeding, length of hospital stay and medical expense.

Methods:  Retrospective descriptive analysis of 95 individuals who were done tonsillectomy from 1 January 2020 to 31 May 2023.

Results: The mean values of vessel sealing system tonsillectomy and electrocautery tonsillectomy are contrasted. The mean operative time 24.34±6.49 and 30.59±10.28 minutes. Intraoperative blood loss 5.97±4.11 and 9.71±5.50 cc. Length of hospital stay 3.48±0.67 and 3.41±0.56 days. Medical expense 17,556.90±2,854.60 and 13,249.02±2,800.40 Bahts, respectively. Statistically significant shows that the surgical method is related to the operative time, intraoperative blood loss and medical expense. (p< 0.05).

Conclusion: As the results, there are less operative time and intraoperative blood loss after  vessel sealing system tonsillectomy. When comparing the two surgical procedures, nearby results of tonsillectomy were obtained. Selecting treatment options and choosing between surgical treatment is what makes tonsillectomy safe and beneficial for patients.

References

Chuesubhorobol N. Comparative study of pain after tonsillectomy using ablation machine stop bleeding and ultrasound tissue cutting with an ablation machine. Hemostatic and electrocution in Amnat Charoen Hospital. Amnatcharoen Journal 2021;12(1):41-53 .

Metcalfe C, MuzaFFar J, Daultrey C. Coblation tonsillectomy: a systematic review and descriptive analysis. Eur Arch Otorhinolaryngol 2017;274(6):2637-47. doi: 10.1007/s00405-017-4529-4.

Muninnobpamasa T, Khamproh K,Moungthong G. Prevalance of tonsillectomy and adenoidectomy complication at Pramongkutklao Hospital. J Med Assoc Thai 2012;95(suppl 5):69-74.

Jongsuebsit T. Results of adenoid and tonsillectomy by ablation in Surin Hospital. Medical Journal of Sisaket Surin Buriram Hospitals 2019;34(1):149-56.

Grobler A, Carney A. Radiofrequency coblation tonsillectomy. Br J Hosp Med (Lond) 2006; 67(6):309-12. doi: 10.12968/hmed.2006.67.6.21290.

Shin JM, Byun JY, Baek BJ, Lee JY Effect of cold-water cooling of tonsillar fossa and pharyngeal mucosa on post-tonsillectomy pain. Am J Otolaryngol 2014;35(3):353-6. doi: 10.1016/j.amjoto.2014.01.005.

Horii A, Hirose M, Mochizuki R, Yamamoto K, Kawamoto M, Kitahara T, et al. Effects of cooling the pharyngeal mucosa after bipolar scissors tonsillectomy on postoperative pain. Acta Otolaryngol 2011;131(7):764-8. doi: 10.3109/00016489.2011.566580.

Chaikitthai N. Hiranwiwatkul K. Efficacy and side effects of tonshi surgery using surgical instruments that stop bleeding compared to conventional methods: a pilot study. Chulalongkorn Medical Journal 2009;53(5):381 – 8.

Cohen J. Statistical power analysis for behavioral sciences. (2nd ed). Hillsdale, NJ :Lawrence Erlbau; 1988.

Srisathitnarakur B. Research methodology in nursing (5th ed.). Bangkok: You & I Inter Media; 2010.

Polyomma E. A study on the effects of radio frequency tonsillectomy using bipolar tickles in Rayong Hospital. Rayong Hospital Academic Journal 2020;19(36):14-23.

Yata K. Factors used to predict wound pain levels after tonsillectomy. Journal of Public Health 2019;28(2):313-21.

Pookpan N.Tonsillectomy: efficacy, safety and complications. Medical Journal of Ubon Hospital 2015;36( 2) : 61- 73.

Asanasen P. Tonsillectomy.Bangkok : Faculty of Medicine Siriraj Hospital ,Mahidol university; 21 Aug 2017. [cited June 1, 2023]. Available from : https://www.si.mahidol.ac.th/th/healthdetail.asp?

Limpakornkul T. Factors affecting complications in tonsillectomy patients. Krabi Hospital. Krabi Medical Journal 2019;2(2):1-7.

Boonyaopas P. Use of local anesthesia to reduce pain after tonsillectomy. Kamphaengphet Hospital Journal 2014;18(2):1-10.

Dadgarnia M, Aghaei M, Atighechi S. The comparison of bleeding and pain after tonsillectomy in bipolar electrocautery vs cold dissection Int J Pediatr Otorhinolaryngol 2016;89:38-41. doi: 10.1016/j.ijporl.2016.07.022.

Na Ranong K. Effects of tonsillectomy by electrocution in combination with the use of cold saline solution to wash the wound after surgery in Phra Narai Maharaj Hospital. Singburi Hospital Journal 2022;30(3):22-32.

Kongtangjita P. Study the effect of surgery by the method Microdebrider intracapsular tonsillectomy Compare with method extracapsular electrocautery tonsillectomy. Ear, Nose and Throat and Face Journal 2013;17(1):18-32.

Brodsky L. Modern assessment of tonsils and adenoids. Pediatr Clin North Am 1989;36(6):1551-69. doi: 10.1016/s0031-3955(16)36806-7.

Published

2024-02-19

How to Cite

1.
Chukchuen P. Outcome of Vessel Sealing System Tonsillectomy vs Electrocautery Tonsillectomy, Kalasin Hospital. SRIMEDJ [Internet]. 2024 Feb. 19 [cited 2024 Dec. 4];39(1):8-15. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/259604

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Section

Original Articles