A Comparative Study of the Dissection Technique and the Snare and Electrocautery Technique for Tonsillectomy at a Tertiary Care Centre
DOI:
https://doi.org/10.48047/Keywords:
Dissection technique, Snare, Electrocautery technique, TonsillectomyAbstract
Background: Comparative analysis of the dissection technique and the snare and electro-cautery techniques for
tonsillectomy.
Materials and Methods: All patients in the present research provided prior informed consent. To account for potential dropouts throughout the follow-up period, it was determined that a minimum of 50 patients would be enrolled in each group, resulting in a total sample size of 100. The research included individuals clinically diagnosed with chronic tonsillitis who were beyond the age of six, regardless of their gender. All 100 patients included in the study were randomly assigned to either group A or group B in order to maintain a single-blind status. Tonsillectomy was performed on all cases by a single consultant surgeon using either the dissection and snare method or the electro-cautery method.
Results: The average amount of blood lost during surgery was 4.93 mL in group A and 2.65 mL in group B, with a statistically significant difference (p<0.001). The average post-operative discomfort was 5.67 in group A and 6.46 in group B, with a p-value of less than 0.001. The average length of operation was 6.42 minutes for group A and 4.66 minutes for group B, with a statistically significant difference (p<0.001). The average length of stay remained below two days in both groups. Group A had duration of 31.28 hours, whereas group B had duration of 45.76 hours, with a p-value of 0.01. In group A, there were 5 instances that required longer postoperative procedures such as ligation and cauterization for haemostasis, whereas in group B, there were 8 cases. Additionally, in group A, 7 patients required an extra dosage of analgesics, but in group B, there were 20 cases. Group-B subjects needed a greater mean extra dosage of analgesia. During the post-operative follow-up, slough was seen in the tonsillar fossa in 4 out of 14 patients in groups A and B. The p-value was 0.08.
