JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2011, Vol. 25 ›› Issue (3): 89-92.

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Application of bipolar coagulation forceps in tonsillectomy under general anaesthesia 

SHEN Zhi-hao1, LUO Hua-jie2, JIN Xiao-jie2, CHEN Li1,  YANG Zhi-gang1, ZHANG Yi2, LIU Jun2, ZHOU Qin-yi2   

  1. 1.Department of Otorhinolaryngology, Affiliated Jiading District Central Hospital, School of Medicine,  Jiaotong University,
     Shanghai 201800, China; 2. Department of Otorhinolaryngology and Head & Neck Surgery, Affiliated Renji Hospital,
    School of Medicine,  Jiaotong University, Shanghai 200001, China
  • Received:2011-01-10 Revised:2011-02-02 Online:2011-06-16 Published:2011-06-16

Abstract:

Objective      To explore the effect of bipolar coagulation forceps in tonsillectomy under general anaesthesia.Methods       65 patients were randomly divided into three groups:the tonsillectomy with bipolar coagulation forceps surgery (TEBCFS)group, the tonsillectomy with monopolar electrosurgery (TE-MES)group and the traditional blunt dissection tonsillectomy(TE-TBDT)group. The surgery duration and intraoperative blood loss were determined and compared. The postoperative pain scale,time of returning to a normal diet, and postoperative complications were also evaluated. Results       Surgical time was significantly shorter, and intra-operative blood loss and postoperative complication occurrence were statistically less in the TE-BCFS group, especially in patients with obvious adhesions between tonsils and the surrounding tissues, and patients with embedded tonsil. Conclusion       Under general anaesthesia, TE-BCFS offers a better effect than TEMES and TE-TBDT do, on those patients with obvious adhesions between tonsils and the surrounding tissues, and patients with embedded tonsil.

Key words: Bipolar coagulation forceps; Tonsillectomy

CLC Number: 

  • R766.9
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