Mazhar Ifthikhar, Bakht Aziz, Jawad Ahmed, Najam-ul Hasnain Khan.
Tonsillectomy: a Comparison between Conventional Cold Steel Dissection with Contact Diode Laser.
Pak J Med Health Sci Jan ;12(2):807-9.

Aim: To compare the mean operative time, mean blood loss and post operative pain in conventional cold steel dissection tonsillectomy with contact diode laser tonsillectomy Study design: This study was a randomized control study Setting: Department of ENT, Ameer-ud-din Medical College/ PGMI/ Lahore General Hospital, Laho re Duration: 1st September 2017 to 28th February 2018 (six months) Sampling size & technique: 100 patients Non probability purposive sampling Methods: These patients were selected from the OPD department of the hospital, having history of recurrent attacks of acute tonsillitis and filling the inclusion criteria. The age group of the patients ranged between 5 to 15 years. These 100 Patients were divided in two equal groups containing 50 patients each, labeled as group-A and group-B. In the group-A patients requiring tonsillectomy the tonsils were removed with the conventional cold steel dissection method however in the other group-B of the patients requiring tonsillectomy the tonsils were removed by using contact diode laser. Results: The patients in the laser group had mean operative time 25.23 min(+- 10.93) (range, 20-45 min) and the patients in the cold dissection group had mean operative time 36.62 min(+- 12.36) (range, 15-55 min). P value was 0.0004 and statistically significant. The laser group of patients for mean intraoperative bleeding was 28.4 mL +- 13.86 (range, 10-75 mL) compared with 112.6 mL + 56.26 for patients in the cold dissection group (range, 16-250 mL). P value was 0.001 and statistically significant. Conclusion: Tonsillectomy done using contact diode laser has some advantages over the conventional cold steel dissection method. The intra-operative blood loss and time taken for surgery was reduced significantly in contact diode laser surgery . But there was no statistically significant difference seen regarding the postoperative pain when comparing both the surgical methods .

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