PEAK PlasmaBlade versus monopolar electrocautery tonsillectomy in adults: A prospective double-blinded randomized controlled trial.
Am J Otolaryngol
; 40(4): 478-481, 2019.
Article
em En
| MEDLINE
| ID: mdl-30979653
ABSTRACT
OBJECTIVE:
To evaluate the efficacy and compare postoperative pain and recovery following PEAK PlasmaBlade and monopolar electrocautery tonsillectomy in adults. STUDYDESIGN:
Prospective double-blinded randomized controlled trial.METHODS:
Fifty-eight patients were recruited and randomized into 2 groups PEAK PlasmaBlade (nâ¯=â¯29) or monopolar electrocautery (nâ¯=â¯29) tonsillectomy. Postoperative pain, complications, patient satisfaction, number of tablets of analgesia taken and days taken to return to soft diet, normal diet, normal activities and achieve pain-free swallowing were compared and analysed, with the aid of a pain diary given to patients. Statistical analysis was performed with SPSS 13.0 with statistical significance set at Pâ¯<â¯0.05.RESULTS:
Patients in the PEAK PlasmaBlade group were able to achieve pain-free swallowing in a shorter time compared to the electrocautery group (13.28 versus 15.76â¯days, Pâ¯=â¯0.035). Patients were also more satisfied with PEAK PlasmaBlade tonsillectomy (Pâ¯=â¯0.046). No significant differences in the incidence of postoperative haemorrhage, daily visual analog score for pain, number of tablets of analgesia taken and time taken to return to soft diet, normal diet and activities were seen for both groups.CONCLUSIONS:
This study showed that PEAK PlasmaBlade tonsillectomy has a faster recovery period in terms of time taken to achieve pain-free swallowing and may offer advantages when compared to monopolar electrocautery tonsillectomy. LEVEL OF EVIDENCE 1b.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tonsilectomia
/
Eletrocoagulação
Tipo de estudo:
Clinical_trials
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article