Blunt dissection versus electronic molecular resonance bipolar dissection for tonsillectomy

Operative time and intraoperative and postoperative bleeding and pain

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To compare operative time, intraoperative and postoperative bleeding and pain using two different techniques for tonsillectomy: electronic molecular resonance bipolar tonsillectomy and blunt dissection tonsillectomy. Methods: From January 2005 to December 2006, a prospective, randomised study was performed in 800 children, aged from 3 to 10 years, admitted to the ENT (Ear Nose Throat) Unit of Giannina Gaslini Institute, Genoa, Italy to undergo tonsillectomy. Patients were randomised into two surgical groups, Group A (electronic molecular resonance tonsillectomy, EMRBT) and Group B (blunt dissection tonsillectomy). Operative time, intraoperative blood loss and postoperative complications were recorded. During 10 days after surgery, children and their parents were also asked to provide a rating of the patients' current pain intensity using a visual analogue scale. In this period, the parents were also asked to note the analgesic drugs administered. Results: Duration of surgery and blood loss were significantly much lower in the group undergoing electronic molecular resonance bipolar tonsillectomy (p <0.0001). Postoperative pain scores resulted significantly different between the two methods on days 5 (p = 0.05) and 8 (p = 0.001) in evaluations by mothers. Moreover, in evaluations by patients pain scores resulted significantly different between the two methods on days 3 (p = 0.02), 8 (p = 0.005) and 9 (p = 0.01). We found no difference between boys and girls in pain scores in the 10 days considered, nor between children older than 5 yrs and children younger than or aged 5 years. No statistically significant differences between the two techniques were found in the use of analgesics in all postoperative evaluations. Conclusions: This study showed that the use of electronic molecular resonance bipolar tonsillectomy, compared to blunt dissection, has several advantages. Reduced operative time and intraoperative bleeding make EMRBT more cost effective and allow an increased number of operations. Concerning postoperative pain, the two techniques did not present significant differences in the use of analgesics. The number of postoperative bleeding episodes was also similar in the two groups of patients.

Original languageEnglish
Pages (from-to)1077-1084
Number of pages8
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume72
Issue number7
DOIs
Publication statusPublished - Jul 2008

Fingerprint

Tonsillectomy
Operative Time
Postoperative Pain
Dissection
Hemorrhage
Analgesics
Pain
Parents
Pharynx
Visual Analog Scale
Ambulatory Surgical Procedures
Nose
Italy
Ear
Mothers
Prospective Studies
Costs and Cost Analysis

Keywords

  • Blunt dissection tonsillectomy (BDT)
  • Child
  • Electronic molecular resonance bipolar tonsillectomy (EMRBT)
  • Postoperative pain
  • Tonsillectomy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine
  • Surgery

Cite this

@article{a9d206a7d9bb4af6a26ede8a59ff67dd,
title = "Blunt dissection versus electronic molecular resonance bipolar dissection for tonsillectomy: Operative time and intraoperative and postoperative bleeding and pain",
abstract = "Objective: To compare operative time, intraoperative and postoperative bleeding and pain using two different techniques for tonsillectomy: electronic molecular resonance bipolar tonsillectomy and blunt dissection tonsillectomy. Methods: From January 2005 to December 2006, a prospective, randomised study was performed in 800 children, aged from 3 to 10 years, admitted to the ENT (Ear Nose Throat) Unit of Giannina Gaslini Institute, Genoa, Italy to undergo tonsillectomy. Patients were randomised into two surgical groups, Group A (electronic molecular resonance tonsillectomy, EMRBT) and Group B (blunt dissection tonsillectomy). Operative time, intraoperative blood loss and postoperative complications were recorded. During 10 days after surgery, children and their parents were also asked to provide a rating of the patients' current pain intensity using a visual analogue scale. In this period, the parents were also asked to note the analgesic drugs administered. Results: Duration of surgery and blood loss were significantly much lower in the group undergoing electronic molecular resonance bipolar tonsillectomy (p <0.0001). Postoperative pain scores resulted significantly different between the two methods on days 5 (p = 0.05) and 8 (p = 0.001) in evaluations by mothers. Moreover, in evaluations by patients pain scores resulted significantly different between the two methods on days 3 (p = 0.02), 8 (p = 0.005) and 9 (p = 0.01). We found no difference between boys and girls in pain scores in the 10 days considered, nor between children older than 5 yrs and children younger than or aged 5 years. No statistically significant differences between the two techniques were found in the use of analgesics in all postoperative evaluations. Conclusions: This study showed that the use of electronic molecular resonance bipolar tonsillectomy, compared to blunt dissection, has several advantages. Reduced operative time and intraoperative bleeding make EMRBT more cost effective and allow an increased number of operations. Concerning postoperative pain, the two techniques did not present significant differences in the use of analgesics. The number of postoperative bleeding episodes was also similar in the two groups of patients.",
keywords = "Blunt dissection tonsillectomy (BDT), Child, Electronic molecular resonance bipolar tonsillectomy (EMRBT), Postoperative pain, Tonsillectomy",
author = "Roberto D'Agostino and Vincenzo Tarantino and Calevo, {Maria Grazia}",
year = "2008",
month = "7",
doi = "10.1016/j.ijporl.2008.03.018",
language = "English",
volume = "72",
pages = "1077--1084",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",
number = "7",

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T1 - Blunt dissection versus electronic molecular resonance bipolar dissection for tonsillectomy

T2 - Operative time and intraoperative and postoperative bleeding and pain

AU - D'Agostino, Roberto

AU - Tarantino, Vincenzo

AU - Calevo, Maria Grazia

PY - 2008/7

Y1 - 2008/7

N2 - Objective: To compare operative time, intraoperative and postoperative bleeding and pain using two different techniques for tonsillectomy: electronic molecular resonance bipolar tonsillectomy and blunt dissection tonsillectomy. Methods: From January 2005 to December 2006, a prospective, randomised study was performed in 800 children, aged from 3 to 10 years, admitted to the ENT (Ear Nose Throat) Unit of Giannina Gaslini Institute, Genoa, Italy to undergo tonsillectomy. Patients were randomised into two surgical groups, Group A (electronic molecular resonance tonsillectomy, EMRBT) and Group B (blunt dissection tonsillectomy). Operative time, intraoperative blood loss and postoperative complications were recorded. During 10 days after surgery, children and their parents were also asked to provide a rating of the patients' current pain intensity using a visual analogue scale. In this period, the parents were also asked to note the analgesic drugs administered. Results: Duration of surgery and blood loss were significantly much lower in the group undergoing electronic molecular resonance bipolar tonsillectomy (p <0.0001). Postoperative pain scores resulted significantly different between the two methods on days 5 (p = 0.05) and 8 (p = 0.001) in evaluations by mothers. Moreover, in evaluations by patients pain scores resulted significantly different between the two methods on days 3 (p = 0.02), 8 (p = 0.005) and 9 (p = 0.01). We found no difference between boys and girls in pain scores in the 10 days considered, nor between children older than 5 yrs and children younger than or aged 5 years. No statistically significant differences between the two techniques were found in the use of analgesics in all postoperative evaluations. Conclusions: This study showed that the use of electronic molecular resonance bipolar tonsillectomy, compared to blunt dissection, has several advantages. Reduced operative time and intraoperative bleeding make EMRBT more cost effective and allow an increased number of operations. Concerning postoperative pain, the two techniques did not present significant differences in the use of analgesics. The number of postoperative bleeding episodes was also similar in the two groups of patients.

AB - Objective: To compare operative time, intraoperative and postoperative bleeding and pain using two different techniques for tonsillectomy: electronic molecular resonance bipolar tonsillectomy and blunt dissection tonsillectomy. Methods: From January 2005 to December 2006, a prospective, randomised study was performed in 800 children, aged from 3 to 10 years, admitted to the ENT (Ear Nose Throat) Unit of Giannina Gaslini Institute, Genoa, Italy to undergo tonsillectomy. Patients were randomised into two surgical groups, Group A (electronic molecular resonance tonsillectomy, EMRBT) and Group B (blunt dissection tonsillectomy). Operative time, intraoperative blood loss and postoperative complications were recorded. During 10 days after surgery, children and their parents were also asked to provide a rating of the patients' current pain intensity using a visual analogue scale. In this period, the parents were also asked to note the analgesic drugs administered. Results: Duration of surgery and blood loss were significantly much lower in the group undergoing electronic molecular resonance bipolar tonsillectomy (p <0.0001). Postoperative pain scores resulted significantly different between the two methods on days 5 (p = 0.05) and 8 (p = 0.001) in evaluations by mothers. Moreover, in evaluations by patients pain scores resulted significantly different between the two methods on days 3 (p = 0.02), 8 (p = 0.005) and 9 (p = 0.01). We found no difference between boys and girls in pain scores in the 10 days considered, nor between children older than 5 yrs and children younger than or aged 5 years. No statistically significant differences between the two techniques were found in the use of analgesics in all postoperative evaluations. Conclusions: This study showed that the use of electronic molecular resonance bipolar tonsillectomy, compared to blunt dissection, has several advantages. Reduced operative time and intraoperative bleeding make EMRBT more cost effective and allow an increased number of operations. Concerning postoperative pain, the two techniques did not present significant differences in the use of analgesics. The number of postoperative bleeding episodes was also similar in the two groups of patients.

KW - Blunt dissection tonsillectomy (BDT)

KW - Child

KW - Electronic molecular resonance bipolar tonsillectomy (EMRBT)

KW - Postoperative pain

KW - Tonsillectomy

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