[Low-temperature coblation-assisted versus conventional dissection tonsillectomy in surgeries for children]

Area of Science:

• Otolaryngology
• Surgical Innovation
• Pediatric Surgery

Background:

• Tonsillectomy is a common surgical procedure.
• Traditional dissection tonsillectomy can involve significant bleeding and prolonged recovery.
• Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

• To compare low-temperature coblation-assisted tonsillectomy with conventional dissection tonsillectomy.
• To evaluate intraoperative and postoperative outcomes in pediatric patients.

Main Methods:

• A randomized controlled trial involving 92 pediatric patients.
• Comparison between coblation-assisted tonsillectomy (Arthrocine EVac 70 T&A Wand) and conventional dissection.
• Outcomes measured included operative time, bleeding, pain, diet, activity, and complications.

Main Results:

• Coblation-assisted tonsillectomy showed significantly shorter operative time (10.2 min vs. 36.5 min) and reduced intraoperative bleeding (6.83 ml vs. 30.07 ml).
• Pediatric patients in the coblation group experienced less pain on postoperative days 1-3.
• Earlier return to a normal diet was observed in the coblation group, with similar return to normal activities for both groups.

Conclusions:

• Coblation-assisted tonsillectomy is an effective alternative to traditional dissection.
• The technique offers advantages such as reduced bleeding, shorter operation time, and improved early postoperative recovery.
• It provides a potentially less painful and faster recovery option for pediatric tonsillectomy patients.