Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique

Esam-eddin Bakheit Mohammed Ahmed; Faroug Bakheit Mohammed Ahmed

doi:doi:10.11648/j.cmr.20150406.14

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Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique

Esam-eddin Bakheit Mohammed Ahmed, Faroug Bakheit Mohammed Ahmed

Published in Clinical Medicine Research (Volume 4, Issue 6)

Received: 10 October 2015 Accepted: 21 October 2015 Published: 24 November 2015

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Abstract

This is a prospective hospital based study conducted in Omdurman Military Hospital (OMH) from January to December 2009 comparing the conventional dissection tonsillectomy (CDT) versus bipolar diathermy tonsillectomy (BDT). The study was conducted to determine the incidence of post-tonsillectomy haemorrhage and it's relation to technique used. Also to detect the efficacy of bipolar diathermy in intra-operative haemostasis in tonsillectomy procedures. 165 patients who had tonsillectomy during the study period were randomly collected and grouped into two according to the technique used. Questionnaire and SPSS program were used for data collection and analysis respectively. The primary haemorrhage was reported in 3.6% and the secondary one in 1.8% of study sample. The intra-operative bleeding found to be correlated (p < 0.005) to the technique. Insignificant secondary haemorrhage occurred in three cases from the bipolar diathermy group but had no correlation (p > 0.005) with the technique used for tonsillectomy. The primary haemorrhage was found to be correlated to the technique used. The bipolar diathermy is highly efficacious in intra-operative haemostasis during tonsillectomy. The difference was insignificant between bipolar diathermy and conventional dissection methods regarding the secondary haemorrhage.

Published in	Clinical Medicine Research (Volume 4, Issue 6)
DOI	10.11648/j.cmr.20150406.14
Page(s)	189-194
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Tonsillectomy, Bipolar, Diathermy and Conventional

References

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[3]	Scott-Brown's Otorhinolaryngology, Head and Neck Surgery, Tonsillectomy techniques 7th edition (2008), 2:1991.
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[5]	Kocturks S, Yildirim A, Demiary T, Bahar G, Bakici MZ. Cold dissection versus bipolar cauterizing tonsillectomy for bacteraemia. American Journal of otolaryngology (2005), 26:51-3.
[6]	P.K.Moonka- Ligation Vs. Bipolar Diathermy for Haemostasis in Tonsillectomy - A Comparative Study Indian Journal of Otolaryngology and Head and Neck Surgery Vol. 54 No. I, January - March 2002.
[7]	Choy, A. T. K. el al: Journal of laryngology & otology (1992), 106: 21-22.
[8]	Kendrich D, Gibbin K. An audit of the complications of paediatric tonsillectomy, adenoidectomy and adenotonsillectomy. Clinical otolaryngology (1993), 18(2): 115-7.
[9]	Alexander RJ, Kukreja R, Ford GR. Secondary post tonsillectomy haemorrhage and informed consent. Journal of laryngology and otology (2004), 118: 937-940.
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[14]	Y. T. Pang: Paediatric tonsillectomy: bipolar electrodissection and dissection/snare compared. Department of Otolaryngology, University of Manchester School of Medicine, Hope Hospital, Salford, UK. The Journal of Laryngology & Otology (1995), 109:733-736.

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APA Style

Esam-eddin Bakheit Mohammed Ahmed, Faroug Bakheit Mohammed Ahmed. (2015). Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique. Clinical Medicine Research, 4(6), 189-194. https://doi.org/10.11648/j.cmr.20150406.14

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ACS Style

Esam-eddin Bakheit Mohammed Ahmed; Faroug Bakheit Mohammed Ahmed. Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique. Clin. Med. Res. 2015, 4(6), 189-194. doi: 10.11648/j.cmr.20150406.14

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AMA Style

Esam-eddin Bakheit Mohammed Ahmed, Faroug Bakheit Mohammed Ahmed. Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique. Clin Med Res. 2015;4(6):189-194. doi: 10.11648/j.cmr.20150406.14

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@article{10.11648/j.cmr.20150406.14,
  author = {Esam-eddin Bakheit Mohammed Ahmed and Faroug Bakheit Mohammed Ahmed},
  title = {Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique},
  journal = {Clinical Medicine Research},
  volume = {4},
  number = {6},
  pages = {189-194},
  doi = {10.11648/j.cmr.20150406.14},
  url = {https://doi.org/10.11648/j.cmr.20150406.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20150406.14},
  abstract = {This is a prospective hospital based study conducted in Omdurman Military Hospital (OMH) from January to December 2009 comparing the conventional dissection tonsillectomy (CDT) versus bipolar diathermy tonsillectomy (BDT). The study was conducted to determine the incidence of post-tonsillectomy haemorrhage and it's relation to technique used. Also to detect the efficacy of bipolar diathermy in intra-operative haemostasis in tonsillectomy procedures. 165 patients who had tonsillectomy during the study period were randomly collected and grouped into two according to the technique used. Questionnaire and SPSS program were used for data collection and analysis respectively. The primary haemorrhage was reported in 3.6% and the secondary one in 1.8% of study sample. The intra-operative bleeding found to be correlated (p  0.005) with the technique used for tonsillectomy. The primary haemorrhage was found to be correlated to the technique used. The bipolar diathermy is highly efficacious in intra-operative haemostasis during tonsillectomy. The difference was insignificant between bipolar diathermy and conventional dissection methods regarding the secondary haemorrhage.},
 year = {2015}
}

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TY - JOUR
T1 - Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique
AU - Esam-eddin Bakheit Mohammed Ahmed
AU - Faroug Bakheit Mohammed Ahmed
Y1 - 2015/11/24
PY - 2015
N1 - https://doi.org/10.11648/j.cmr.20150406.14
DO - 10.11648/j.cmr.20150406.14
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 189
EP - 194
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20150406.14
AB - This is a prospective hospital based study conducted in Omdurman Military Hospital (OMH) from January to December 2009 comparing the conventional dissection tonsillectomy (CDT) versus bipolar diathermy tonsillectomy (BDT). The study was conducted to determine the incidence of post-tonsillectomy haemorrhage and it's relation to technique used. Also to detect the efficacy of bipolar diathermy in intra-operative haemostasis in tonsillectomy procedures. 165 patients who had tonsillectomy during the study period were randomly collected and grouped into two according to the technique used. Questionnaire and SPSS program were used for data collection and analysis respectively. The primary haemorrhage was reported in 3.6% and the secondary one in 1.8% of study sample. The intra-operative bleeding found to be correlated (p 0.005) with the technique used for tonsillectomy. The primary haemorrhage was found to be correlated to the technique used. The bipolar diathermy is highly efficacious in intra-operative haemostasis during tonsillectomy. The difference was insignificant between bipolar diathermy and conventional dissection methods regarding the secondary haemorrhage.
VL - 4
IS - 6
ER -

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Author Information

Esam-eddin Bakheit Mohammed Ahmed

ENT Department, Faculty of Medicine, Shendi University, Shendi, Sudan
Faroug Bakheit Mohammed Ahmed

Faculty of Science and Technology, Shendi University, Shendi, Sudan

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APA Style

Esam-eddin Bakheit Mohammed Ahmed, Faroug Bakheit Mohammed Ahmed. (2015). Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique. Clinical Medicine Research, 4(6), 189-194. https://doi.org/10.11648/j.cmr.20150406.14

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ACS Style

Esam-eddin Bakheit Mohammed Ahmed; Faroug Bakheit Mohammed Ahmed. Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique. Clin. Med. Res. 2015, 4(6), 189-194. doi: 10.11648/j.cmr.20150406.14

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AMA Style

Esam-eddin Bakheit Mohammed Ahmed, Faroug Bakheit Mohammed Ahmed. Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique. Clin Med Res. 2015;4(6):189-194. doi: 10.11648/j.cmr.20150406.14

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@article{10.11648/j.cmr.20150406.14,
  author = {Esam-eddin Bakheit Mohammed Ahmed and Faroug Bakheit Mohammed Ahmed},
  title = {Post Tonsillectomy Haemorrhage In Bipolar Diathermy Versus Conventional Technique},
  journal = {Clinical Medicine Research},
  volume = {4},
  number = {6},
  pages = {189-194},
  doi = {10.11648/j.cmr.20150406.14},
  url = {https://doi.org/10.11648/j.cmr.20150406.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20150406.14},
  abstract = {This is a prospective hospital based study conducted in Omdurman Military Hospital (OMH) from January to December 2009 comparing the conventional dissection tonsillectomy (CDT) versus bipolar diathermy tonsillectomy (BDT). The study was conducted to determine the incidence of post-tonsillectomy haemorrhage and it's relation to technique used. Also to detect the efficacy of bipolar diathermy in intra-operative haemostasis in tonsillectomy procedures. 165 patients who had tonsillectomy during the study period were randomly collected and grouped into two according to the technique used. Questionnaire and SPSS program were used for data collection and analysis respectively. The primary haemorrhage was reported in 3.6% and the secondary one in 1.8% of study sample. The intra-operative bleeding found to be correlated (p  0.005) with the technique used for tonsillectomy. The primary haemorrhage was found to be correlated to the technique used. The bipolar diathermy is highly efficacious in intra-operative haemostasis during tonsillectomy. The difference was insignificant between bipolar diathermy and conventional dissection methods regarding the secondary haemorrhage.},
 year = {2015}
}

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