کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4111409 1605980 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Postoperative tonsillectomy bleeding complications in children: A comparison of three surgical techniques
ترجمه فارسی عنوان
عوارض خونریزی پس از عمل جراحی لوزه در کودکان: مقایسه سه تکنیک جراحی
کلمات کلیدی
تنسیلکتومی؛ Adenotonsillectomy؛ تیغه پلاسما PEAK؛ الکترو کاترین؛ سازگاری؛ عوارض؛ خون ریزی؛ خونریزی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

Objective & hypothesisStated 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 designRetrospective chart analysis.SettingAcademic Medical Center: Children's Hospital.Subjects & methodsElectronic 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.ResultsA 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 (χ2 = 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%.ConclusionThe 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.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Pediatric Otorhinolaryngology - Volume 88, September 2016, Pages 184–188
نویسندگان
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