Raheel Ahmad, Farhan Salam, Abdul Saeed Khan, Faisal Bashir, Atif Rafique.
Tonsillectomy in paediatric population; comparison of bipolar electrocautry and cold dissection method.
Professional Med J Jan ;23(04):499-503.

Objectives: To compare mean operative time and Intra operative blood loss between bipolar electro dissection and cold dissection tonsillectomy in paediatric population. Study Design: Randomized controlled trial. Place and Duration: Department of ENT and Head and Neck Surgery, Continental Medical College, Hospital Lahore, from 1 January 2015 to 30 September 2015. Materials and Methods: This study included 164 patients of age group 4 to 12 years of either gender undergoing tonsillectomy. The patients were divided into two equal groups designated as A and B each having 82 patients using simple random sampling. Patients in group A were operated for tonsillectomy by bipolar electrocautry while group B underwent tonsillectomy by cold steel dissection method. All patients in both groups were assessed for operating time and intra-operative blood loss. Results: Out of 82 cases of Bipolar Dissection Group 49(60%) patients were male and 33(40%) patients were female. Whereas in 82 cases of Cold Dissection Group 51(62%) patients were male and 31(38%) patients were female. Mean age of patients was 7.2(SD ± 1.97) years. Mean operation time was 15 minutes with standard deviation ± 1.21 in group A as compared to group B where mean operation time was 20 minutes with standard deviation ± 1.87. Mean blood loss was 7 ml with standard deviation ± 2.53 in patients of group A as compared to Patients in group B who mean blood loss of 30 ml with standard deviation ± 3.46. Group A had statistically significant lower operative time and blood loss than group B. Conclusion: Tonsillectomy with bipolar electro dissection method is much better than cold steel dissection method. It has an advantage of less blood loss during surgery. It significantly reduces intra operative time.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com