Çocuklarda postoperatif kanama ve ağrı açısından bipolar koter ve harmonik bıçak tonsillektominin karşılaştırılması

Year 2020, Volume: 6 Issue: 1, 41 - 46, 23.04.2020

Mehmet Erkan Kaplama

https://doi.org/10.30569/adiyamansaglik.629246

Abstract

Amaç: Çocuklarda bipolar koter ile harmonik bıçak tonsillektomiyi postoperatif kanama ve ağrı açısından karşılaştırmak.

Gereç ve Yöntem: Grup A'daki 25 hastaya bipolar koterle ve grup B'deki 25 hastaya harmonik bıçakla tonsillektomi yapıldı. Postoperatif kanama ve ağrı açısından sonuçları değerlendirildi. Hastaların ağrılarının değerlendirilmesi görsel analog skala ile yapıldı.

Bulgular: Postoperatif kanama her grupta birer hastada meydana geldi. Postoperatif 1. gün ortalama ağrı bipolar tonsillektomi grubunda (BTG) 8.51±1.31, harmonik bıçak grubunda (HBG) 6.02±0.84, 3. gün BTG’de 6.84±1.42, HBG’de 4.98±1.03 ve postoperatif 5. günde BTG’de 5.39±0.73, HBG’de 3.95±0.74 idi ve bu farklar istatistiksel olarak anlamlıydı (p<0.05). Postoperatif 7. günün ağrı skorları incelendiğinde BTG’de 4.23±0.87, HBG’de 3.63±0.61, 10. günde BTG’de 3.21±0.92 ve 2.84±0.59 HBG’de ise bu farklar istatistiksel olarak anlamlı değildi (p>0.05).

Sonuç: Harmonik bıçak tonsillektomi tekniği erken postoperatif dönemde bipolar koter tekniğine kıyasla anlamlı derecede daha az ağrılıdır.

Keywords

Bipolar koter, Harmonik bıçak, Tonsillektomi

Comparison of bipolar cautery dissection and harmonic scalpel tonsillectomy in terms of postoperative bleeding and pain in children

Abstract

Aim: To compare postoperative bleeding and pain in children after tonsillectomy with bipolar diathermy versus tonsillectomy with harmonic scalpel tonsillectomy.

Materias and Methods: Group A, 25 patients were treated by tonsillectomy with bipolar diathermy and group B, 25 patients underwent tonsillectomy with harmonic scalpel. 

Results: Postoperative bleeding occurred in one patient in each group. The mean pain postoperative first day was 8.51±1.31 in the bipolar tonsillectomy group (BTG) and 6.02±0.84 in the harmonic scalpel group (HSG), 3th day 6.84±1.42 in the BTG and 4.98±1.03 in the HSG and at the postoperative 5th day were examined, it was 5.39±0.73 in the BTG and 3.95±0.74 in the HSG and this differences were significant statistically (p<0.05).

Conclusion: Harmonic scalpel tonsillectomy technique is significantly less painful in postoperative early period compared to bipolar cautery technique.

Keywords

Bipolar diathermy, Harmonic scalpel, Tonsillectomy

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