The comparison of bleeding and pain after tonsillectomy in bipolar electrocautery vs cold dissection.
OBJECTIVE
Although tonsillectomy is one of the most common surgeries performed in pediatric, it has potential major complications such as pain and bleeding. This study aimed to compare the bleeding and pain after tonsillectomy in bipolar electrocautery tonsillectomy versus cold dissection.


METHODS
This double blind clinical trial was conducted on 70 pediatric patients who were candidate of tonsillectomy. Patients were divided into two groups of including bipolar cautery (BC) and cold dissection (CD). operation time, intraoperative blood loss, and postoperative bleeding and pain were evaluated in the current study.


RESULTS
In both of the CD and BC groups, no significant difference was found in terms of sex and age. The average amount of the intraoperative blood loss in BC group was 14.086 ± 5.013 ml and in CD group was 26.14 ± 4.46 ml (p. v = 0.0001). The mean time of operation in BC group was 19 ± 2.89 min and in CD group was 29.31 ± 5.29 min (p. v = 0.0001). patients were evaluated in terms of pain on the first, third, fifth, and seventh days after the operation. No statistically significant difference was found between two groups. Moreover, Compared pain scores in all times across two groups, no significant difference was found. In terms of postoperative bleeding, none of the patients in both groups had bleeding during follow-up.


CONCLUSIONS
Our study showed that bipolar electrocautery tonsillectomy can significantly reduce the operation time and intraoperative blood loss; however, postoperative pain and blood loss were similar in both techniques. We recommend bipolar electrocautery as the most suitable alternative method for tonsillectomy, especially in children.
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohammad Hossein
MH
Dadgarnia
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Electronic address: drmohammadaliaghaei@gmail.com.
Mohammad Ali
MA
Aghaei
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Saeid
S
Atighechi
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Nasim
N
Behniafard
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohammad Reza
MR
Vahidi
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mojtaba
M
Meybodian
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Vahid
V
Zand
Department of Pathology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Maryam
M
Vajihinejad
Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Abdollah
A
Ansari
D000233:Adenoidectomy / Q000379:methods*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D003080:Cold Temperature; D004210:Dissection / Q000379:methods*; D004311:Double-Blind Method; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology*; D019106:Postoperative Hemorrhage / Q000453:epidemiology*; D011446:Prospective Studies; D012008:Recurrence; D012891:Sleep Apnea Syndromes / Q000601:surgery*; D014068:Tonsillectomy / Q000379:methods*; D014069:Tonsillitis / Q000601:surgery*
Adenoidectomy; Bleeding; Pain; Pediatrics; Sleep-disorder; Tonsillectomy; Tonsillitis