Elif Ayanoğlu AKSOY, Şenol POLAT, Gediz Murat SERİN, Ferhan ÖZ, Asım KAYTAZ

Termal Welding Sistemi ile Tonsillektomi Sonrası Ağrı Değerlendirilmesi

Amaç: Prospektif olarak termal welding sistemi ve soğuk teknik diseksiyon ile tonsillektomi uygulanmış pediatrik olgularda postoperatif ağrının karşılaştırılması. Hastalar ve Yöntem: Bu çalışmaya prospektif olarak Ocak ve Şubat 2007’de kurumumuza bağlı KBB Kliniklerinde genel anestezi altında adenotonsillektomi uygulanmış 44 çocuk hasta dahil edilmiştir. Hastalar taburcu edilirken Wong Baker görsel ağrı değerlendirme skalası verilip 1 hafta boyunca her sabah uyanınca analjezik almadan önce ağrılarının şiddetini değerlendirmeleri istenmiştir. Bulgular: Termal welding sistemi TWS tonsillektomi grubunda cerrahi süresi ortalama 29,17 dakika, soğuk teknik ST tonsillektomi grubunda ise 45,95 dakika idi. Cerrahi süreleri kıyaslandığında iki grup arasında istatistiksel olarak anlamlı bir fark vardı. p < 0.01 . TWS grubunda kanama miktarı ortalama 19,5ml iken ST grubunda 123,9 ml idi. İstatistiksel olarak ST grubunda kanama miktarı anlamlı olarak daha fazla idi. p < 0.01 . TWS grubu ve ST grubu arasında ortalama ağrı skorları arasında istatistiksel olarak anlamlı bir fark gözlenmedi P > 0.05 . Sonuç: TWS pediatrik hasta grubunda klasik yönteme göre postoperatif ağrı bakımından anlamlı bir farklılık göstermemektedir. Ancak etkin, güvenilir, yeterli hemostaz sağlayan, cerrahi süreyi kısaltan bir yöntemdir.

Postoperative Evaluation of Pain After Tonsillectomy Wth Thermal Welding System

Objective: To compare postoperative pain in pediatric population after thermal welding system tonsillectomy and cold knife tonsillectomy prospectively. Patients and Methods: Forty-four children who had adenotonsillectomy under general anesthesia at two different hospitals of our institution’s ENT Clinics in January and February 2007 were included in the study groups prospectively. Wong Baker visual analogue pain scales were given to the patients at discharge. They were asked to note the pain scores every morning before taking analgesic drugs during the first seven days after surgery. Results: The mean length of surgery time in thermal welding system group was 29,17 minutes, while it was 45,95 minutes in cold knife tonsillectomy group. When the length of surgery in both groups were compared, there was a statistically significant difference p

Keywords:

thermal welding system, cold knife tonsillectomy, tonsillectomy, pain,

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