Open AccessLigation vs. bipolar diathermy for haemostasis in tonsillectomy—a comparative study
Author(s) -
P. K. Moonka
Publication year - 2002
Publication title -
indian journal of otolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 2231-3796
pISSN - 0973-7707
DOI - 10.1007/bf02911003
Subject(s) - diathermy , tonsillectomy , medicine , otorhinolaryngology , ligation , surgery , anesthesia , chronic tonsillitis , head and neck surgery
The use of diathermy for haemostasis in Tonsillectomy remains controversial. A thorough scan of English literature comparing the ligation with diathermy has been presented. The reasoning of using Bipolar instead of Unipolar is explained. A prospective randomized study of 376 tonsillectomy is being presented. This is the first study in India where Bipolar instead of Unipolar diathermy is being used.No significant difference was found in P.O. Hg. rates when either diathermy or ligatures were used. Diathermy is significantly faster method of securing haemostasis resulting in shorter operative a & anesthetic time, thus saving on cost.Long term follow-up has shown better results with diathermy & is associated with less pharyngitis, hyper-trophied nodes & resulis in more smooth tonsillar fossae.