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Post-tonsillectomy pain after using bipolar diathermy scissors or the harmonic scalpel: a randomised blinded study
Vasteras Hosp, Dept Otorhinolaryngol, S-72189 Vasteras, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Dept Anaesthesiol, Cty Hosp, S-72189 Vasteras, Sweden..ORCID iD: 0000-0001-9911-3029
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Clinical Research, County of Västmanland. Dept Otorhinolaryngol, Vasteras Cent Hosp, S-72189 Vasteras, Sweden..
2017 (English)In: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 274, no 5, 2281-2285 p.Article in journal (Refereed) Published
Abstract [en]

To compare the postoperative pain following bipolar diathermy scissors tonsillectomy (higher temperature dissection) with harmonic scalpel tonsillectomy (lower temperature dissection). Sixty patients aged 7-40 years planned for tonsillectomy with no other concurrent surgery were randomised to either bipolar diathermy scissors or harmonic scalpel as surgical technique. Blinded to the surgical technique, the patients recorded their pain scores (VAS, 0-10) at awakening and the worst pain level of the day in the postoperative period. All intake of pain medication was also recorded. No statistically significant differences were found between the two groups regarding postoperative pain levels or consumption of pain medication. Usage of the harmonic scalpel does not render less postoperative pain following tonsillectomy when compared with usage of the bipolar diathermy scissors.

Place, publisher, year, edition, pages
2017. Vol. 274, no 5, 2281-2285 p.
Keyword [en]
Tonsillectomy, Bipolar diathermy, Harmonic scalpel, Postoperative pain
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:uu:diva-322088DOI: 10.1007/s00405-017-4451-9ISI: 000399177100027PubMedID: 28213775OAI: oai:DiVA.org:uu-322088DiVA: diva2:1095972
Available from: 2017-05-16 Created: 2017-05-16 Last updated: 2017-05-16Bibliographically approved

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Enlund, MatsKnutsson, Johan
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