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CO2-Lasertonsillotomy Under Local Anesthesia in Adults

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Published on: November 6, 2019

Bipolar scissors tonsillectomy: what are the advantages?

Mahmoud Ashraf Ragab¹, Ahmed Atef, Mohamed Mosleh

¹Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt.

Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'Oto-Rhino-Laryngologie Et De Chirurgie Cervico-Faciale

|April 27, 2011

Summary

Bipolar scissors tonsillectomy and bipolar diathermy forceps tonsillectomy show comparable outcomes in operative time, blood loss, and postoperative hemorrhage. Both methods are safe and effective for tonsil removal.

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Area of Science:

Otolaryngology
Surgical Techniques
Minimally Invasive Procedures

Background:

Tonsillectomy is a common surgical procedure with various techniques described.
Optimal surgical methods for tonsillectomy lack definitive evidence in current literature.

Purpose of the Study:

To compare the outcomes of bipolar scissors tonsillectomy versus bipolar diathermy forceps tonsillectomy.
Evaluate operative time, blood loss, and postoperative hemorrhage for both techniques.

Main Methods:

A prospective study involving 91 patients at Cairo University Hospital.
Right tonsils removed with bipolar scissors (Group A), left tonsils with bipolar forceps (Group B).
Comparison of operative time, intraoperative blood loss, and postoperative bleeding rates.

Main Results:

No statistically significant difference in mean operative time between bipolar scissors (14.68 min) and bipolar forceps (14.66 min) tonsillectomy.
Mean intraoperative blood loss was comparable: 27.55 mL (scissors) vs. 29.98 mL (forceps), with no significant difference.
Postoperative bleeding rates were similar: 3.3% for bipolar scissors and 2.2% for bipolar forceps.

Conclusions:

Bipolar scissors tonsillectomy is an easy, safe, and effective surgical option.
Bipolar diathermy forceps tonsillectomy, while using less expensive equipment, offers comparable outcomes to bipolar scissors.
Both techniques are viable for tonsillectomy with similar safety and efficacy profiles.