Çocuklarda postoperatif kanama ve ağrı açısından bipolar koter ve harmonik bıçak tonsillektominin karşılaştırılması

Amaç: Çocuklarda bipolar koter ile harmonik bıçak tonsillektomiyi postoperatif kanama ve ağrı açısından karşılaştırmak.

Anahtar Kelimeler:

Bipolar koter, Harmonik bıçak, Tonsillektomi

Comparison of bipolar cautery dissection and harmonic scalpel tonsillectomy in terms of postoperative bleeding and pain in children

Aim: To compare postoperative bleeding and pain in children after tonsillectomy with bipolar diathermy versus tonsillectomy with harmonic scalpel tonsillectomy.

Keywords:

Bipolar diathermy, Harmonic scalpel, Tonsillectomy,

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1. Potts KL, Augenstein A, Goldman JL. A parallel group analysis of tonsillectomy using the harmonic scalpel vs electrocautery. Arch Otolaryngol Head Neck Surg 2005;131:49-51.
2. Andrea M. Microsurgical bipolar cautery tonsillectomy. Laryngoscope 1993;103:1177-1178.
3. Amaral JF. experimental development of an ultrasonically activated scalpel for laparoscopic use. Surg Laparosc Endosc 1994;4:92-99.
4. Hayashi A, Takamori S, Matsuo T, Tayama K, Mitsuoka M, Shirouzu K. Experimental and clinical evaluation of the harmonic scalpel in thoracic surgery. Kurume Med J 1999;46:25-29.
5. Tosun F, Karapınar U. Complıcations of tonsillectomy and adenoidectomy. Turkiye Klinikleri J Surg Med Sci 2005;1:26-29.
6. Kristensen S, Tveteras K. Post-tonsillectomy haemorrhage: a retrospective study of 1150 operations. Clin Otolaryngol 1984;9:347-350.
7. Rasmussen N. Complications of tonsillectomy and adenoidectomy. Otolaryngol Clin North Am 1987;20: 383-390.
8. Conley SF, Ellison MD. Avoidance of primary posttonsillectomy hemorrhage in a teaching program. Arch Otolaryngol Head Neck Surg 1999; 125: 330-333.
9. Leaper M, Mahadevan M, Vokes D, Sandow D, Anderson BJ, West T. A prospective randomised single blinded study comparing harmonic scalpel tonsillectomy with bipolar tonsillectomy. Int J Pediatr Otorhinolaryngol 2006;70:1389-1396.
10. Roth JA, Pincock T, Sacks R et al. Harmonic scal-pel tonsillectomy versus monopolar diather-my tonsillectomy: a prospective study. Ear Nose Throat J. 2008;87(6):346-349.
11. Polites N, Joniau S, Wabnitz D et al. Postoperative pain following coblation tonsillectomy: randomized clinical trial.ANZ J Surg. 2006;76(4):226-229.
12. Sayin I, Cingi C. Recent medical devices for tonsillectomy. Hippokratia 2012;16:11-16.
13. Kemal O. Harmonic scalpel versus bipolar tonsillectomy: a double-blind clinical trial. Eur Arch Otorhinolaryngol 2012;269:1533-1536.
14. Ali NS, Ikram M, Akhtar S, Moghira I, Nawaz A, Arain A. Harmonic scalpel versus elevtrocautery tonsillectomy: a comparitive studdy in adult patients J Pak Med Assoc. 2011;61(3):256-9.