当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY期刊下所有文献 > Postoperative tonsillectomy bleeding complications in children: A comparison of three surgical techniques.

Postoperative tonsillectomy bleeding complications in children: A comparison of three surgical techniques.

Abstract：

OBJECTIVE & HYPOTHESIS:Stated in the Null form: There will be no difference in primary or secondary hemorrhage rate in children undergoing tonsillectomy or adenotonsillectomy across three surgical techniques: PEAK Plasmablade, electric monopolar cautery, coblation. STUDY DESIGN:Retrospective chart analysis. SETTING:Academic Medical Center: Children's Hospital. SUBJECTS & METHODS:Electronic chart data were collected from patient's age 2-18 years who underwent tonsillectomy, with or without adenoidectomy, at a tertiary pediatric hospital between June 2011 to May 2013 by electric monopolar cautery, coblation, or PEAK PlasmaBlade. Treatment outcomes following each of these surgical approaches, relative to rate of post-operative primary and secondary bleeding, hospital admission, and emergency department visits were compared. RESULTS:A total of 1780 patients that had tonsillectomy or adenotonsillectomy were evaluated. There was a significant difference in bleed rate by age with older patients having more bleeding post-procedure than their younger counterparts. There was also a difference in bleeding frequency by diagnosis. Patients with a diagnosis of OSA were less likely to experience a postoperative bleed than children with either recurrent tonsillitis or both. Significance was evident between post-op hemorrhage rate and instrumentation (χ(2) = 11.17, df = 2, p = 0.004). The majority of bleeds occurred with coblation (58.9%), while PEAK had only 17.8% and cautery 23%. CONCLUSION:The null hypothesis was rejected. That is, PEAK PlasmaBlade was safe and effective, with statistically less postoperative bleeding and ED visits, especially when compared to coblation techniques. Coblation patients had the highest rates of postoperative bleeding.

journal_name

Int J Pediatr Otorhinolaryngol

journal_title

International journal of pediatric otorhinolaryngology

authors

Lane JC,Dworkin-Valenti J,Chiodo L,Haupert M

doi

10.1016/j.ijporl.2016.07.007

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

184-8

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(16)30213-0

journal_volume

88

pub_type

杂志文章

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