title: Bipolar cautery tonsillectomy using different energy doses: pain and bleeding.
abstract: OBJECTIVE
  Tonsillectomies are the most frequently applied operations in the ENT practice. Even though different surgical tonsillectomy techniques have been used, bipolar cautery is the most frequently used one. Our aim was to compare postoperative bleeding rates, pain scores and recovery times in tonsillectomies performed by using bipolar cautery in Joules (1Watt·sec or Ws) calculated by multiplying Watts by the duration of cauterization.
  
  
  METHODS
  Adenotonsillectomy and tonsillectomy patients, admitted to the Department of otorhinolaryngology of Izmir Ataturk Training and Research Hospital and Mardin State Hospital, between January 2007 and December 2012 constituted the study group prospectively. The patients divided into 4 groups due to the energy they exposed.
  
  
  RESULTS
  Patients in Group 1 recovered most rapidly (mean recovery time, 13.9 ± 1.8 days). Statistically significant results were obtained between Groups 1 and 4 and also Groups 2 and 4 when recovery times of the patient groups were evaluated with Bonferroni correction test.
  
  
  CONCLUSIONS
  As a result, for hemostatic control, electrocauterization should be used at lower doses and short-term as possible so as to decrease frequency of bleeding episodes, alleviate postoperative pain and accelerate wound healing.
authors.affiliation: Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey.
authors.forename: Fatih Kemal
authors.initials: FK
authors.lastname: Soy
authors.affiliation: Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey.
authors.forename: Rıza
authors.initials: R
authors.lastname: Dündar
authors.affiliation: Department of Otorhinolaryngology, Balikesir University Faculty of Medicine, Balikesir, Turkey.
authors.forename: Hasmet
authors.initials: H
authors.lastname: Yazici
authors.affiliation: Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey. Electronic address: erkankulduk@yahoo.com.
authors.forename: Erkan
authors.initials: E
authors.lastname: Kulduk
authors.affiliation: Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Aslan
authors.affiliation: Department of Otorhinolaryngology, Mardin State Hospital, Mardin, Turkey.
authors.forename: Engin Umut
authors.initials: EU
authors.lastname: Sakarya
mesh_terms: D000233:Adenoidectomy / Q000295:instrumentation / Q000379:methods*; D000293:Adolescent; D000704:Analysis of Variance; D016063:Blood Loss, Surgical / Q000503:physiopathology / Q000517:prevention & control; D002425:Cautery / Q000295:instrumentation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D025802:Electric Capacitance / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010147:Pain Measurement; D019106:Postoperative Hemorrhage / Q000503:physiopathology* / Q000517:prevention & control; D011446:Prospective Studies; D014068:Tonsillectomy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome
keywords: Analog pain scale; Bipolar cautery; Tonsillectomy