Document Detail


Argon plasma coagulation versus cold dissection tonsillectomy in adults: a clinical prospective randomized study.
MedLine Citation:
PMID:  17980769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Argon plasma coagulation (APC) is a new surgical procedure based on a conductive plasma of ionized argon between an activating electrode and a tissue surface. It is a good alternative for tonsillectomy because of its effective hemostasis and limited penetration depth of the coagulation beam. The aim of this prospective, randomized trial was to evaluate operative time, intraoperative bleeding, and postoperative morbidity of the "hot" APC tonsillectomy as with regard to with a traditional "cold" dissection tonsillectomy in adults. MATERIALS AND METHODS: Two hundred twenty six adult patients (age, >18 years) were randomized into 2 groups: TA (tonsillectomy with APC, n = 113) and TB (conventional tonsillectomy, n = 113). The outcome measures were (1) operative time; (2) intraoperative blood loss; (3) postoperative pain (evaluated using a Visual Analogue Scale with a range score 0-10 on postoperative days 1, 3, 5, 8, and 15); and (4) postoperative primary and secondary hemorrhage. Statistical analysis was carried out using the Student t test. RESULTS: In the TA group, the mean duration of operative time and the intraoperative blood loss were significantly reduced (P < .001). There was no statistically significant difference between 2 groups in the intensity of postoperative pain and the incidence of postoperative hemorrhage (P > .05). CONCLUSIONS: Tonsillectomy with APC is a safe technique and offers an innovative procedure as with regard to the conventional cold dissection. It significantly reduces the operative time and the intraoperative blood loss without increasing the postoperative morbidity.
Authors:
Emanuele Ferri; Enrico Armato; Paolo Capuzzo
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of otolaryngology     Volume:  28     ISSN:  0196-0709     ISO Abbreviation:  Am J Otolaryngol     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-05     Completed Date:  2008-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8000029     Medline TA:  Am J Otolaryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  384-7     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology, Hospital of Dolo (Venice), Italy. emaferri@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Loss, Surgical
Electrocoagulation*
Female
Humans
Male
Middle Aged
Pain, Postoperative / etiology
Pharyngeal Diseases / surgery*
Postoperative Hemorrhage / etiology
Prospective Studies
Time Factors
Tonsillectomy / adverse effects,  methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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