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Very-Low Energy Monopolar Reduces Post-Tonsillectomy Hemorrhage Versus Standard Energy Techniques
- Source :
- The LaryngoscopeBIBLIOGRAPHY. 131(11)
- Publication Year :
- 2021
-
Abstract
- OBJECTIVES/HYPOTHESIS To compare rates of post-tonsillectomy hemorrhage (PTH) between a very-low energy transfer monopolar technique (VLET) and standard energy techniques. STUDY DESIGN Retrospective controlled cohort study. METHODS All tonsillectomies performed by practice physicians during the period January 1, 2010 to August 31, 2019 were identified. Three groups were created based on surgeon technique utilization: the study group (VLET) and two control groups (exclusive standard energy monopolar [Standard]; exclusive "hot" technique without exclusive monopolar use [Mixed "Hot"]). Each group's PTH occurrences requiring surgical intervention (PTHRSI) were identified and rates compared. RESULTS During the study period 11,348 tonsillectomies were performed (4,427 Standard, 1,374 VLET, 5,547 Mixed "Hot"), and 167 (1.47%) PTHRSI events identified (14 primary ( 24 hours), 12 repeat (>1PTHRSI/patient). Compared to the Standard group secondary and total PTHRSI rates (1.47%, 1.60%), the Mixed "Hot" group experienced similar rates (1.57%, P = .54; 1.68%, P = .64), but the VLET group experienced significantly lower rates (0.15%, P = .0026, adjusted odds ratio [OR] 0.114 [0.028-0.469]; 0.22%, P = .0016, adjusted OR 0.155 [0.048-0.494]). Age was a significant risk factor for both secondary and total PTHRSI (P = .0025, P = .0024, adjusted OR 1.02/year [1.01-1.03]). No significant difference in rate of primary PTHRSI was seen collectively or in any age group. The
- Subjects :
- Male
Adolescent
medicine.medical_treatment
Energy transfer
Postoperative Hemorrhage
03 medical and health sciences
Young Adult
0302 clinical medicine
Low energy
Risk Factors
medicine
Electrocoagulation
Humans
Significant risk
030223 otorhinolaryngology
Child
Retrospective Studies
Tonsillectomy
business.industry
Significant difference
Age Factors
Infant
Diathermy
Odds ratio
Otorhinolaryngology
030220 oncology & carcinogenesis
Anesthesia
Child, Preschool
Female
business
Cohort study
Subjects
Details
- ISSN :
- 15314995
- Volume :
- 131
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- The LaryngoscopeBIBLIOGRAPHY
- Accession number :
- edsair.doi.dedup.....8c00912acd7ea93f4b138fd4e64aa394