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[9000442.] رقم البحث : 9000442 - |
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HARMONIC SCALPEL TONSILLECTOMY VERSUS COBLATION TONSILLECTOMY / |
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قطاع الدراسات الطبية / أنف وأذن |
| تخصص البحث : أنف وأذن |
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Menoufia Medical Journal / / Vol. 25, No. 2 - July 2012 |
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Magdy A. Salama |
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tonsillectomy; Harmonic scalpel, Coblation |
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OBJECTIVES: To determine if there was a difference between harmonic scalpel
tonsillectomy and coblation tonsillectomy in terms of morbidity and operative time in
children. STUDY DESIGN AND SETTING: A prospective single-blind randomized
controlled trial comparing harmonic scalpel and coblation tonsillectomy in children aged
between 5 and 15 years who underwent tonsillectomy for recurrent acute tonsillitis.
RESULTS: One hundred and fifty children were included in this study. Patients
completed the pain and dietary scales. The average operative time was less in harmonic
scalpel tonsillectomy (P<0.05). The post-operative pain was lower in harmonic scalpel
group in the 1st, 2nd and 3rd post-operative days and it was found statistically significant (P
< 0.001, 002 and 0.012, respectively). The intra-operative blood loss was 2.40 ± 3.42 ml
for Harmonic scalpel and was 3.43± 3.42 ml (P>0.05, not significant). Similar rates of
nausea and vomiting were detected among our patients.
CONCLUSION: We can conclude that the harmonic scalpel instrument is safe, very effective,
with minimal intra-operative blood loss and with less post-operative pain. So, the use of the
harmonic scalpel for tonsillectomy may have several advantages over standard methods and
coblation tonsillectomy. |
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