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Post-tonsillectomy haemorrhage: reusable and disposable instruments compared.

Mary-Louise Montague1, Michael S W Lee, S S Musheer Hussain

  • 1Department of Otolaryngology, Ninewells Hospital and Medical School, DD1 9SY, Dundee, UK.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|August 5, 2003
PubMed
Summary

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The introduction of disposable instruments for tonsillectomy did not significantly change post-tonsillectomy hemorrhage rates in adults or children. This study found no statistical difference in bleeding when comparing reusable and disposable surgical tools.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Patient Safety

Background:

  • Tonsillectomy is a common surgical procedure.
  • Post-tonsillectomy hemorrhage is a significant complication.
  • The use of disposable instruments in surgery is increasing.

Purpose of the Study:

  • To evaluate the impact of disposable instruments on post-tonsillectomy hemorrhage rates.
  • To compare hemorrhage rates between reusable and disposable instruments in adult and pediatric tonsillectomies.
  • To determine if a transition to disposable instruments affects surgical outcomes.

Main Methods:

  • Prospective comparative study design.
  • Comparison of hemorrhage rates in adult and pediatric patients undergoing cold dissection (CD) tonsillectomy.

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  • Data collected from patients using reusable instruments (1999-2000) and disposable instruments (2001).
  • Statistical analysis including confidence intervals and exact levels of significance.

    • Main Results:

    • No statistically significant difference in overall reactionary hemorrhage rates between reusable and disposable instruments (P=0.32).
    • No statistically significant difference in secondary hemorrhage rates between reusable and disposable instruments (P=1.00).
    • Specific hemorrhage rate differences were 0.9% (95% CI; -3.2 to +0.4) for reactionary and 3.4% (95% CI; -0.09 to +0.01) for secondary bleeding.

    Conclusions:

    • The introduction of disposable instruments for tonsillectomy has not led to a statistically significant increase in post-tonsillectomy hemorrhage rates.
    • Disposable instruments appear to be a safe alternative to reusable instruments in tonsillectomy regarding hemorrhage risk.
    • Further research may explore other potential benefits or drawbacks of disposable instruments in this procedure.