A comparison of intraoperative haemostatic techniques during tonsillectomy: Suture vs electrocauteryA study to assess postoperative pain scores and duration to resumption of normal diet

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dc.contributor.authorCassano, M.
dc.contributor.authorMuluk, N. Bayar
dc.contributor.authorDi Taranto, F.
dc.contributor.authorSubramaniam, S.
dc.date.accessioned2020-06-25T18:29:24Z
dc.date.available2020-06-25T18:29:24Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.descriptionCassano, Michele/0000-0002-2293-2832
dc.description.abstractObjectivesTo assess postoperative pain and pattern of recovery to normal diet in children who underwent tonsillectomy. MethodsCold steel tonsillectomy (or adenotonsillectomy) was performed in 61 children. Haemostasis was attained with sutures in Group 1 (n = 30, 8 tonsillectomy and 22 adenotonsillectomy), and electrocautery in Group 2 (n = 31, 6 tonsillectomy and 25 adenotonsillectomy). Information obtained included postoperative pain scores and the number of postoperative days taken to resume normal diet. The pain score was evaluated with the Wong-Baker FACES((R)) Pain Rating Scale (WBFS). ResultsPain values in Group 1 (haemostasis with sutures) were significantly lower than those in Group 2 (haemostasis with cauterisation) from the 6th hour to the 7th postoperative day (P < .05). For both liquid and solid food, Group 1 returned to normal diet earlier, compared to Group 2 (P < .05). When comparing patients undergoing tonsillectomy vs adenotonsillectomy, resumption of normal diet was achieved later in the adenotonsillectomy patients (P < .05). In terms of postoperative bleeding, there were 2 significant events in Group 2 (electrocautery group), occurring on the 1st (severe) and 10th day (slight) in 2 children (6.5%). There were no postoperative bleeding events in Group 1. ConclusionOur results showed that suture haemostatis causes less pain and faster resumption of normal diet compared to electrocautery. In view of this, we recommend the use of sutures for achieving intraoperative haemostasis in paediatric patients.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1111/coa.13129
dc.identifier.endpage1225en_US
dc.identifier.issn1749-4478
dc.identifier.issn1749-4486
dc.identifier.issue5en_US
dc.identifier.pmid29733506
dc.identifier.scopus2-s2.0-85047496732
dc.identifier.scopusqualityQ2
dc.identifier.startpage1219en_US
dc.identifier.urihttps://doi.org/10.1111/coa.13129
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7299
dc.identifier.volume43en_US
dc.identifier.wosWOS:000444539800004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWileyen_US
dc.relation.ispartofClinical Otolaryngology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadenotonsillectomyen_US
dc.subjectcold dissectionen_US
dc.subjectelectrocauterisationen_US
dc.subjecthaemostasisen_US
dc.subjectsuturesen_US
dc.subjecttonsillectomyen_US
dc.subjectWong-Baker FACES((R)) pain rating scale (WBFS)en_US
dc.titleA comparison of intraoperative haemostatic techniques during tonsillectomy: Suture vs electrocauteryA study to assess postoperative pain scores and duration to resumption of normal dieten_US
dc.typeArticle

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