دراسة مقارنة بين طريقتين لاستئصال اللوزتين: التسليخ الكليل والتسليخ بالمنفذ الحراري ثنائي القطب

الموضوعات

طب

روابط وملفات

التعريف والنوع

رقم الوثيقة

0a9584d1-15b4-4c7f-80e8-73b8947f2578

رقم العقد

0

نوع الوسائط

Crawler

نوع المحتوى

الرسائل العلمية

صيغة المصدر

رسائل ماجيستير

نوع الملف

pdf text

أسماء الملفات

1958925_1.pdf

بيانات النشر

ترجمة العنوان

A Comparison Study between Two Tonsillectomy Methods: Blunt Dissection and Bipolar Diathermy Dissection

ألقاب المؤلفين

[{"name_ar":" عروة خاسكي","title_ar":"اعداد","title_en":"Preparation"},{"name_ar":" قيصر منصور","title_ar":"اشراف","title_en":"Supervision"}]

اللغة

Arabic

المصدر والدورية

اسم المصدر

دراسة مقارنة بين طريقتين لاستئصال اللوزتين: التسليخ الكليل والتسليخ بالمنفذ الحراري ثنائي القطب

المحتوى والصفحات

عدد الصفحات

88

ترجمة الملخص

Tonsillectomy is one of the most frequently operations done by ENT specialists, and there are many methods to perform it.Objective: To compare between two different methods for tonsillectomy: blunt dissection and bipolar diathermy dissection; with respect to intra-operative bleeding and the pain after surgery for each method.Methods: Prospective study, including 80 patients (Age: 8-28 yrs.) underwent tonsillectomy in ENT department at Aleppo University Hospital in Aleppo, Syria, from July 2012 to September 2013.All patients had their right tonsil removed by bipolar diathermy dissection method and their left tonsil removed by blunt dissection method. Intra-operative bleeding and side of worst pain were recorded for each method.Results: The average intra-operative blood loss was 36.5 ml with bipolar diathermy dissection method and 47 ml with blunt dissection method, with statistically significant difference between the two methods (p= 0.00).The pain was mostly equal for the two methods with no statistically significant difference between the two methods at the second post-operative day [15patients (19%) had worse pain at bipolar side, 13 patients (16%) had worse pain at bluntdissection side, 52patients (65%) had equal pain for both sides, p= 0.6].The pain was significantly worse for the bipolar diathermy dissection method side compared to the blunt dissection method side at the sixth post-operative day [50 patients (62.5%) had worse pain at bipolar side, 17 patients (21.2%) had worse pain at blunt dissection side, 12 patients (15%) had equal pain for both sides, one patient (1.3%) had no pain, p= 0.00].Primary post-operative bleeding occurred in two patients (2.5%) and bothwere at blunt dissection side without significantly difference between the two methods (p= 0.1) and we had no secondary bleeding in our study. Conclusion: Bipolar diathermy dissection method is easy and safe to perform especially regarding intra-operativebleeding and complications, although it is accompanied with more pain than the blunt dissectionmethod.When performing tonsillectomy with bipolar diathermy dissection method, we should consider post-operative pain by good analgesia.

إشراف وإعداد

الإشراف

قيصر منصور

الإعداد

عروة خاسكي

الاقتباسات الببليوغرافية