Comparison Between Coblation Assisted Tonsillectomy Versus Conventional Tonsillectomy Regarding the Postoperative Pain and Bleeding

The tonsillectomy is one of the most common surgical procedure in the world. Common complications are postoperative pain and bleeding. Coblation tonsillectomy is recent method of these surgical procedure and there are few publications in the literature and published information which are focused on the specific aspects of this surgical techniques or early postoperative complications. This study compare coblation and traditional tonsillectomy techniques in view of their advantages and complications. Methods: In our prospective study type we include 60 children and adolescents, divided equally: 30 conventional tonsillectomy versus 30 surgically treated with Coblation II system Arthrocare (Smith and Nephew). We compared the postoperative pain and intraoperative bleeding in the patients underwent surgery within conventional method versus coblation assisted tonsillectomy. Results: Average age of participants surgically treated with conventional method group are 6,87 ± 3,01. In the group where we used coblation method the average age of participant were 8.16 ± 4,74. We found statistically significant differences (p-value < 0.0001) in these parameters in both surgical techniques: the pain is less weak in intensity in the patients treated with the Coblation method in all the three days. In regard of intraoperative bleeding we found statistically significant difference between both methods (p-value -9.3132*10 – 10). The average bleeding in the conventional method is 97,5 ml ± 12,12 ml, comparing with the coblastion-assisted tonsillectomy the average intraoperative bleeding is 27,1 ml ± 14,28 ml. Publication History Publication Date: 23 April 2019 (online) © 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). Georg Thieme Verlag KG Stuttgart · New York