[Hydrodissection for Tonsillectomy. Results of a Pilot Study--intraoperative Blood Loss, Postoperative Pain Symptoms and Risk of Secondary Hemorrhage]

Overview

Journal HNO

Specialty Otorhinolaryngology

Date 2004 Sep 2

PMID 15340701

Citations 3

Authors

K J Lorenz

A Kresz

H Maier

Affiliations

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Abstract

: Tonsillectomy is one of the most common procedures in head and neck surgery. Various techniques have been developed to reduce the risk of postoperative bleeding and postoperative pain. Water-jet technology has been designed for a gentle dissection of parenchymal organs. We report the results of a first pilot study using the water-jet technique for tonsillectomy.METHODS.: Water-jet-cutting tonsillectomy was compared with conventional blunt dissection tonsillectomy. 60 Patients were stratified in two groups within a preliminary prospective randomised study. Postoperative pain scores, frequency of postoperative bleeding and intraoperative blood loss were documented.RESULTS.: There was no difference in the average duration of the surgical procedure. The intraoperative bloodloss was markedly decreased in water-jet-cutting tonsillectomy. Postoperative bleeding and postoperative pain were decreased in the water-jet-cutting group.CONCLUSION.: The results of this pilot study demonstrate that water-cutting tonsillectomy is associated with less intraoperative bleeding, reduced frequency of postoperative bleeding events and with less postoperative pain.

Citing Articles

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[Histomorphologic findings in the facial nerve after waterjet dissection of the parotid gland. Animal studies in dogs].

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Electrosurgery as a risk factor for secondary post-tonsillectomy hemorrhage.

Windfuhr J, Wienke A, Chen Y Eur Arch Otorhinolaryngol. 2008; 266(1):111-6.

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