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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Ligasure versus diathermy scissors tonsillectomy: A controlled randomized study.
Per Attner1, Claes Hemlin, Anne-Charlotte Hessén Söderman
1Department of Otolaryngology, Head and Neck Surgery, Karolinska University Hospital, Stockholm, Sweden. per.attner@karolinska.se
Acta Oto-Laryngologica
|April 10, 2010
Summary
Ligasure tonsillectomy took longer than bipolar diathermy scissors tonsillectomy, with comparable blood loss and similar postoperative pain. Postoperative hemorrhage rates were higher than expected in both groups, warranting further investigation.
Area of Science:
- Otolaryngology
- Surgical Technology
Background:
- Tonsillectomy is a common surgical procedure.
- Evaluating new surgical devices like Ligasure is crucial for improving patient outcomes and surgical efficiency.
Purpose of the Study:
- To compare the efficacy of Ligasure versus bipolar diathermy scissors for tonsillectomy.
- Key metrics include operative time, blood loss, and complication rates.
Main Methods:
- A prospective randomized study involving 150 patients over 15 years of age undergoing tonsillectomy.
- Patients were randomized to either Ligasure or bipolar diathermy scissors for the procedure.
- Operative time, peroperative blood loss, postoperative pain, and complications were meticulously recorded.
Main Results:
- Operative time was on average 8 minutes longer for Ligasure tonsillectomy compared to bipolar diathermy scissors.
- Peroperative blood loss and postoperative pain were similar between the two groups.
- A postoperative hemorrhage rate of 13% was observed, higher than anticipated, with no significant difference between the devices.
Conclusions:
- Ligasure tonsillectomy is associated with longer operative times but comparable hemostasis to bipolar diathermy scissors.
- The overall rate of postoperative hemorrhage requires further investigation.
- A specialized handpiece for Ligasure may enhance surgical performance in tonsillectomy.
