Comparison between dissection and bipolar diathermy method tonsillectomy

ABSTRACT

To compare dissection method and diathermy method tonsillectomy in terms of intraoperative mean blood loss, time taken for surgery and frequency of post operative bleeding. It was a grass experimental study carried out at Liaquat National Hospital, Karachi from January 2004 to January 2005. Patients of ages between 5 years and 25 years were selected from the out patient department. Sampling technique was convenient sampling. Sample was of 100 patient. First 50 patients were selected for dissection method [Group A] and the last 50 patients for bipolar method tonsillectomy [Group B]. Data collection procedure was interview and observational facts. Data was analyzed by using SPSSS version 10. For mean comparison, student's test was used. Significance of the test was taken at p<0.05. The difference in result between dissection method tonsillectomy and diathermy method tonsillectomy was statistically significant [P<0.001] in terms of intraoperative blood loss and time taken for surgery. Regarding postoperative hemorrhage, the difference between diathermy and ligation was insignificant. Tonsillectomy with bipolar diathermy was a better and safer technique as compared to ligation method especially in terms of intraoperative blood loss and time taken for surgery. The frequency of postoperative bleeding was similar in both methods: