Post-operative bleeding is less after partial intracapsular tonsillectomy than bipolar total procedure.

摘要: Abstract Objective To compare bleeding after partial intracapsular tonsillectomy (PIT) and bipolar diathermy (BDT). Design Retrospective chart review. Setting Stollery Children's Hospital, tertiary pediatric referral centre. Patients All children (≤17 years of age) who had tonsillectomy. incomplete information or less than 2-weeks follow-up were excluded. Main outcome measure (1) Post-tonsillectomy bleeding, (2) other data collected included demographics, length follow-up, indication(s) for surgery, procedures performed, co-morbidities. Results Over a 4.5-year period 677 patients (333 BDT, 344 PIT) identified in our search, 77 (38 39 The mean age was 7.7 ± 3.8 the BDT group 6.5 ± 3.2 PIT group. Sex distribution similar 2 groups (chi square p = 0.61). Twenty (6.8%) experienced post-tonsillectomy compared to three (0.98%) (p = 0.0001, 95% CI 1.52–2.18, OR = 7.32). 3 times as many (153) co-morbid conditions (44); this statistically significant p  Conclusion results significantly BDT. These findings favor over total techniques with respect reducing important complication.