Bhankhodia Bindi P, Aiyer R G, Raval Jayman B
Department of E.N.T., Medical College Baroda, Vadodara, Gujarat, India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5324-5328. doi: 10.1007/s12070-021-02381-7. Epub 2021 Feb 20.
Tonsillectomy is the most common surgical procedure performed since many years. Various methods of tonsillectomy (Electrocautery, LASER, Harmonic scalpel, Coblation) have been practiced over the last century aiming for reducing intra and postoperative morbidity. We carried out prospective randomized control study using retrospective data as secondary data to compare blood loss, excision and hemostasis time, pain, recovery time and complication between CO LASER and Electrocautery assisted with conventional method. Average time for surgery with CO LASER (82.17 min) was more than conventional (77.77 min) and electrocautery (21.40 min) was least. The postoperative pain and recovery time was more in CO LASER and Electrocautery group than conventional. The blood loss was more in conventional group compared to other two group. We concluded that CO LASER group has longest operative time but least blood loss. Postoperative pain was more and lasted longer in Electrocautery group. Conventional method had least recovery time, least tissue reaction and least hospital stay.
扁桃体切除术是多年来最常见的外科手术。在过去的一个世纪里,人们采用了各种扁桃体切除方法(电灼、激光、谐波手术刀、低温等离子),旨在降低术中及术后的发病率。我们进行了一项前瞻性随机对照研究,使用回顾性数据作为辅助数据,比较二氧化碳激光与传统方法辅助电灼在出血量、切除和止血时间、疼痛、恢复时间及并发症方面的差异。二氧化碳激光手术的平均时间(82.17分钟)比传统手术(77.77分钟)长,而电灼手术的平均时间(21.40分钟)最短。二氧化碳激光组和电灼组的术后疼痛和恢复时间比传统组更长。传统组的出血量比其他两组更多。我们得出结论,二氧化碳激光组的手术时间最长,但出血量最少。电灼组的术后疼痛更严重且持续时间更长。传统方法的恢复时间最短、组织反应最小且住院时间最短。