Title: A Comparative Study of Conventional Tonsillectomy versus Coblation Tonsillectomy
Authors: Dr A. Balakrishnan, Dr T. Ramanathan, Dr P. Ramasundar, Dr A. Mathanraj
DOI: https://dx.doi.org/10.18535/jmscr/v9i10.05
Abstract
Aim: To compare and study the advantages of conventional (Dissection and snare method) Tonsillectomy versus coblational tonsillectomy with regards to Intraoperative time, Intraoperative blood loss, Post-operative pain and early return to normalcy.
Objective: Prospective study to systemically analyze the advantages of conventional (Dissection and snare method) Tonsillectomy versus coblation tonsillectomy with regards to intraoperative time, intraoperative blood Loss and Post-operative pain and outcomes.
Study Design: It is a prospective cohort study analyzing 50 patients who were divided into 2 groups each group comprising of 25 patients. Group-I were analysed with regards to conventional tonsillectomy with group-II who underwent coblational tonsillectomy based on peroperative bleeding, per operative time, postoperative pain, and return to normalcy. Every patients were tested on basic blood investigations including complete blood count, renal function test, bleeding time, clotting time, urine routine, X-ray soft tissue skull, Diagnostic nasal endoscopy to rule out adenoids, HIV, VDRL and With prior preoperative anesthetic assessment. Every patient on the day of operation was given preoperative antibiotics and underwent surgery under General anesthesia. On the table per operative time and amount of bleeding were noted. Postoperatively all patients were put under IV antibiotics on 1st day and oral antibiotics from next day for subsequent 3 days. Postoperative pain (visual analogue scale), early diet intake and return to normalcy were recorded into statistical data.
Conclusion: Cost effectiveness, surgical skills and microscopical settings were three main disadvantages with the coblation method. Coblation method was found to be superior to conventional method using systemic criteria based on this prospective analysis.
Keywords: Tonsillectomy, Coblational tonsillectomy, Radiofrequency.
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