Blunt dissection to bipolar forcep tonsillectomy- a comparision |
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Authors: | M K Taneja |
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Institution: | (1) Indian Institute Of Ear Diseases, E - 982,C.R. Park, 110019 New Delhi |
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Abstract: | Conclusion Bipolar diathermy forcep or scissors dissection is safe and trusted and established procedure now and have an edge over blunt
dissection. If monopolar diathermy is used, high voltage current should be used for dissection with fine point and if bipolar
is used, low voltage current should be used, diathermy tip should be cleaned with wet gauge piece, fossae should be packed
with wet gauge only, minimum required current and only coagulation should be attempted, avoid injury to surrounding tissue
resulting to minimum sloughing. Avoiding thermal injury to surrounding tissues leads to lesser post operative pain. Results
depends upon the precision of technique and expertise developed over a time especially coagulating the vessel during dissection
before spurt. Considering cost effectiveness, bipolar diathermy is much economical than ultrasonic and laser to provide comparable
results in terms of better results, duration of surgery, anaesthesia and overall postoperative morbidity. |
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