Bipolar versus unipolar diathermy for per-operative haemorrhage control during tonsillectomy

ABSTRACT

To compare per operative haemorrhage control, and post operative pain during tonsillectomy using bipolar and monopolar diathermy. This retrospective study was conducted at Department of ENT CMH Rawalpindi. Data were collected from hospital admission and discharge register from March 2011 to June 2012. One hundred and twelve patients undergoing tonsillectomy were divided into two groups of fifty six each. All patients underwent tonsillectomy with bipolar diathermy being used in Group A and monopolar diathermy in Group B for haemorrhage control. No statistical difference was found among two groups regarding per operative haemorrhage control. While post operative pain control was significantly better in Group A. Bipolar as well as unipolar diathermy effectively control haemorrhage in tonsillectomy and bipolar diathermy is more effective controlling post operative pain