Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding

Stefan Konsulov; Spas Konsulov; Karen Dzhambazov; Petar Kopanov

doi:doi:10.11648/j.ijo.20170301.11

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Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding

Stefan Konsulov, Spas Konsulov, Karen Dzhambazov, Petar Kopanov

Published in International Journal of Otorhinolaryngology (Volume 3, Issue 1)

Received: 27 March 2017 Accepted: 5 April 2017 Published: 26 April 2017

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Abstract

Background: The tonsillectomy is one of the most common surgical procedure in the world. Common complications are postoperative pain and bleeding. Coblation tonsillectomy is recent method of these surgical procedure and there are few publications in the literature and published information which are focused on the specific aspects of this surgical techniques or early postoperative complications. This study compare coblation and traditional tonsillectomy techniques in view of their advantages and complications. methods: In our prospective study type we include 60 children and adolescents, divided equally:30 conventional tonsillectomy versus 30 surgically treated with Coblation II system Arthrocare (Smith and Nephew). We compared the postoperative pain and intraoperative bleeding in the patients underwent surgery within conventional method versus coblation assisted tonsillectomy. To measure the pain we used visual-analogue scale of Wong-Baker with face expressions (0 no hurt; 10-hurts worst). We follow-up the level of pain in the day 1,2 and 7 after the surgery Estimated blood loss for coblation tonsillectomy was calculated by deducting the total amount of blood in suction jar with estimate saline used for the surgery. Results: Average age of participants surgically treated with conventional method group are 6,87±3,01. In the group where we used coblation method the average age of participant were 8.16±4,74. We found statistically significant differences (p-value<0.0001) in these parameters in both surgical techniques: the pain is less weak in intensity in the patients treated with the Coblation method in all the three days. In regard of intraoperative bleeding we found statistically significant difference between both methods (p-value -9.3132*10^-10). The average bleeding in the conventional method is 97,5 ml ±12,12 ml, comparing with the coblastion-assisted tonsillectomy the average intraoperative bleeding is 27,1 ml ±14,28 ml. Conclusions: This study revealed a significantly less intraoperative or postoperative complications and morbidity in coblation tonsillectomy in comparison with traditional method. Coblation was associated with less pain and quick return to normal diet and daily activity. These findings addressed coblation tonsillectomy as an advanced method.

Published in	International Journal of Otorhinolaryngology (Volume 3, Issue 1)
DOI	10.11648/j.ijo.20170301.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Coblation, Tonsillectomy, Complications

References

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[2]	Balbani APS. Personagens da História da Otorrinolaringologia. Arq. Int. Otorrinolaringol. 1998; 2(2):54.
[3]	Blakley BW, Magit AE. The role of tonsillectomy in reducing recurrent pharyngitis: a systematic review. Otolaryngol Head Neck Surg. 2009; 140: 291-297.
[4]	Burton MJ, Doree C. Coblation versus other surgical techniques for tonsillectomy. Cochrane Database Syst Rev. 2007; 18(3): CD004619.
[5]	Haddow, K., M. L. Montague and S. S. Hussain (2006). "Post-tonsillectomy haemorrhage: a prospective, randomized, controlled clinical trial of cold dissection versus bipolar diathermy dissection." J Laryngol Otol 120(6): 450-4.
[6]	Hockenberry MJ, Wilson D, Winkelstein ML: Wong's Essentials of Pediatric Nursing, ed. 7, St. Louis, 2005, p. 1259.
[7]	Johnson LB, Elluru RG, Mayer III CM. Complication of adenotonsillectomy Laryngoscope 2002;112:35-37.
[8]	Kay DJ, Mehta V, Goldsmith AJ: Perioperative adeno-tonsillectomy management in children: Current practices. Laryngoscope 113:592-597, 2003.
[9]	Mohammadreza O, Behrouz B, Navid O, Ahmad RO, Seyed A, Ghazizadeh H, Coblation versus traditional tonsillectomy: A double blind randomized controlled trial. J Res Med Sci. 2012 Jan; 17(1): 45–50.
[10]	Mitic S, Tvinnereim M, Lie E, Saltyte BJ. A pilot randomized controlled trial of coblation tonsillectomy versus dissection tonsillectomy with bipolar diathermy haemostasis. Clin Otolaryngol. 2007; 32(4): 261-7
[11]	Noordzij JP, Affleck BD, Coblation versus unipolar electrocautery tonsillectomy: a prospective, randomized, single-blind study in adult patients. Laryngoscope. 2006 Aug;1 16(8):1303-9.
[12]	Paradise JL: Tonsillectomy and adenoidectomy. In Bluestone CD, Stool SE, Alper CM, et al (eds): Pediatric Otolaryngology 4th ed. Philadelphia, W. B Saunders:1210- 1222, 2002
[13]	Polites N, Joniau S, Wabnitz D, Fassina R, Smythe C, Varley P, Carney AS. Postoperative pain following coblation tonsillectomy: randomized clinical trial. ANZ J Surg. 2006; 76(4): 226-229.
[14]	Temple RH, Timms MS. Paediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngol. 2001; 61(3):195–8.
[15]	Weir N. History of Medicine: Otorhinolaryngology. Postgrad. Med. J. 2000;76:65-69.
[16]	Wagner J, Einfluss des Coblation®-Verfahrens bei der Tonsillektomie auf die Häufigkeit von Nachblutungen und postoperativen Schmerzen, Dissertation zur Erlangung des Grades eines Doktors der Medizin der Medizinischen Fakultät der Heinrich-Heine-Universität Düsseldorf, Hals- Nasen- Ohren- Klinik der Heinrich-Heine-Universität Düsseldorf, Germany.
[17]	Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2006; 132:281-286.
[18]	Young J. R, Bennett J. History of Tonsillectomy. ENT News. 2004;1 3:34-35.

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APA Style

Stefan Konsulov, Spas Konsulov, Karen Dzhambazov, Petar Kopanov. (2017). Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding. International Journal of Otorhinolaryngology, 3(1), 1-5. https://doi.org/10.11648/j.ijo.20170301.11

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ACS Style

Stefan Konsulov; Spas Konsulov; Karen Dzhambazov; Petar Kopanov. Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding. Int. J. Otorhinolaryngol. 2017, 3(1), 1-5. doi: 10.11648/j.ijo.20170301.11

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AMA Style

Stefan Konsulov, Spas Konsulov, Karen Dzhambazov, Petar Kopanov. Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding. Int J Otorhinolaryngol. 2017;3(1):1-5. doi: 10.11648/j.ijo.20170301.11

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@article{10.11648/j.ijo.20170301.11,
  author = {Stefan Konsulov and Spas Konsulov and Karen Dzhambazov and Petar Kopanov},
  title = {Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding},
  journal = {International Journal of Otorhinolaryngology},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijo.20170301.11},
  url = {https://doi.org/10.11648/j.ijo.20170301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20170301.11},
  abstract = {Background: The tonsillectomy is one of the most common surgical procedure in the world. Common complications are postoperative pain and bleeding. Coblation tonsillectomy is recent method of these surgical procedure and there are few publications in the literature and published information which are focused on the specific aspects of this surgical techniques or early postoperative complications. This study compare coblation and traditional tonsillectomy techniques in view of their advantages and complications. methods: In our prospective study type we include 60 children and adolescents, divided equally:30 conventional tonsillectomy versus 30 surgically treated with Coblation II system Arthrocare (Smith and Nephew). We compared the postoperative pain and intraoperative bleeding in the patients underwent surgery within conventional method versus coblation assisted tonsillectomy. To measure the pain we used visual-analogue scale of Wong-Baker with face expressions (0 no hurt; 10-hurts worst). We follow-up the level of pain in the day 1,2 and 7 after the surgery Estimated blood loss for coblation tonsillectomy was calculated by deducting the total amount of blood in suction jar with estimate saline used for the surgery. Results: Average age of participants surgically treated with conventional method group are 6,87±3,01. In the group where we used coblation method the average age of participant were 8.16±4,74. We found statistically significant differences (p-value<0.0001) in these parameters in both surgical techniques: the pain is less weak in intensity in the patients treated with the Coblation method in all the three days. In regard of intraoperative bleeding we found statistically significant difference between both methods (p-value -9.3132*10-10). The average bleeding in the conventional method is 97,5 ml ±12,12 ml, comparing with the coblastion-assisted tonsillectomy the average intraoperative bleeding is 27,1 ml ±14,28 ml. Conclusions: This study revealed a significantly less intraoperative or postoperative complications and morbidity in coblation tonsillectomy in comparison with traditional method. Coblation was associated with less pain and quick return to normal diet and daily activity. These findings addressed coblation tonsillectomy as an advanced method.},
 year = {2017}
}

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TY - JOUR
T1 - Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding
AU - Stefan Konsulov
AU - Spas Konsulov
AU - Karen Dzhambazov
AU - Petar Kopanov
Y1 - 2017/04/26
PY - 2017
N1 - https://doi.org/10.11648/j.ijo.20170301.11
DO - 10.11648/j.ijo.20170301.11
T2 - International Journal of Otorhinolaryngology
JF - International Journal of Otorhinolaryngology
JO - International Journal of Otorhinolaryngology
SP - 1
EP - 5
PB - Science Publishing Group
SN - 2472-2413
UR - https://doi.org/10.11648/j.ijo.20170301.11
AB - Background: The tonsillectomy is one of the most common surgical procedure in the world. Common complications are postoperative pain and bleeding. Coblation tonsillectomy is recent method of these surgical procedure and there are few publications in the literature and published information which are focused on the specific aspects of this surgical techniques or early postoperative complications. This study compare coblation and traditional tonsillectomy techniques in view of their advantages and complications. methods: In our prospective study type we include 60 children and adolescents, divided equally:30 conventional tonsillectomy versus 30 surgically treated with Coblation II system Arthrocare (Smith and Nephew). We compared the postoperative pain and intraoperative bleeding in the patients underwent surgery within conventional method versus coblation assisted tonsillectomy. To measure the pain we used visual-analogue scale of Wong-Baker with face expressions (0 no hurt; 10-hurts worst). We follow-up the level of pain in the day 1,2 and 7 after the surgery Estimated blood loss for coblation tonsillectomy was calculated by deducting the total amount of blood in suction jar with estimate saline used for the surgery. Results: Average age of participants surgically treated with conventional method group are 6,87±3,01. In the group where we used coblation method the average age of participant were 8.16±4,74. We found statistically significant differences (p-value<0.0001) in these parameters in both surgical techniques: the pain is less weak in intensity in the patients treated with the Coblation method in all the three days. In regard of intraoperative bleeding we found statistically significant difference between both methods (p-value -9.3132*10-10). The average bleeding in the conventional method is 97,5 ml ±12,12 ml, comparing with the coblastion-assisted tonsillectomy the average intraoperative bleeding is 27,1 ml ±14,28 ml. Conclusions: This study revealed a significantly less intraoperative or postoperative complications and morbidity in coblation tonsillectomy in comparison with traditional method. Coblation was associated with less pain and quick return to normal diet and daily activity. These findings addressed coblation tonsillectomy as an advanced method.
VL - 3
IS - 1
ER -

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Author Information

Stefan Konsulov

Department of Ear Nose and Throat Disease, University Hospital Kaspela, Medical Univesity-Plovdiv, Plovdiv, Bulgaria
Spas Konsulov

Deaprtment of Ear Nose and Throat Disease University Hospital St. George Plovdiv, Medical University-Plovdiv, Plovdiv, Bulgaria
Karen Dzhambazov

Deaprtment of Ear Nose and Throat Disease University Hospital St. George Plovdiv, Medical University-Plovdiv, Plovdiv, Bulgaria
Petar Kopanov

Faculty of Mathematics and Information, University of Plovdiv Paisii Hilendarski, Plovdiv, Bulgaria

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APA Style

Stefan Konsulov, Spas Konsulov, Karen Dzhambazov, Petar Kopanov. (2017). Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding. International Journal of Otorhinolaryngology, 3(1), 1-5. https://doi.org/10.11648/j.ijo.20170301.11

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ACS Style

Stefan Konsulov; Spas Konsulov; Karen Dzhambazov; Petar Kopanov. Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding. Int. J. Otorhinolaryngol. 2017, 3(1), 1-5. doi: 10.11648/j.ijo.20170301.11

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AMA Style

Stefan Konsulov, Spas Konsulov, Karen Dzhambazov, Petar Kopanov. Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding. Int J Otorhinolaryngol. 2017;3(1):1-5. doi: 10.11648/j.ijo.20170301.11

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@article{10.11648/j.ijo.20170301.11,
  author = {Stefan Konsulov and Spas Konsulov and Karen Dzhambazov and Petar Kopanov},
  title = {Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding},
  journal = {International Journal of Otorhinolaryngology},
  volume = {3},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijo.20170301.11},
  url = {https://doi.org/10.11648/j.ijo.20170301.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20170301.11},
  abstract = {Background: The tonsillectomy is one of the most common surgical procedure in the world. Common complications are postoperative pain and bleeding. Coblation tonsillectomy is recent method of these surgical procedure and there are few publications in the literature and published information which are focused on the specific aspects of this surgical techniques or early postoperative complications. This study compare coblation and traditional tonsillectomy techniques in view of their advantages and complications. methods: In our prospective study type we include 60 children and adolescents, divided equally:30 conventional tonsillectomy versus 30 surgically treated with Coblation II system Arthrocare (Smith and Nephew). We compared the postoperative pain and intraoperative bleeding in the patients underwent surgery within conventional method versus coblation assisted tonsillectomy. To measure the pain we used visual-analogue scale of Wong-Baker with face expressions (0 no hurt; 10-hurts worst). We follow-up the level of pain in the day 1,2 and 7 after the surgery Estimated blood loss for coblation tonsillectomy was calculated by deducting the total amount of blood in suction jar with estimate saline used for the surgery. Results: Average age of participants surgically treated with conventional method group are 6,87±3,01. In the group where we used coblation method the average age of participant were 8.16±4,74. We found statistically significant differences (p-value<0.0001) in these parameters in both surgical techniques: the pain is less weak in intensity in the patients treated with the Coblation method in all the three days. In regard of intraoperative bleeding we found statistically significant difference between both methods (p-value -9.3132*10-10). The average bleeding in the conventional method is 97,5 ml ±12,12 ml, comparing with the coblastion-assisted tonsillectomy the average intraoperative bleeding is 27,1 ml ±14,28 ml. Conclusions: This study revealed a significantly less intraoperative or postoperative complications and morbidity in coblation tonsillectomy in comparison with traditional method. Coblation was associated with less pain and quick return to normal diet and daily activity. These findings addressed coblation tonsillectomy as an advanced method.},
 year = {2017}
}

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