Indian Journal of Public Health Research & Development
  • Year: 2019
  • Volume: 10
  • Issue: 10

Comparison of Intraoperative Bleeding and Postoperative Pain of Tonsillectomy Using Method of Radiofrequency Dissection and Excision Dissection

1Department of Ear, Nose, throat, head-neck surgery, Faculty of Medicine, Hasanuddin University, Makassar

*Corresponding author: Wilda Heike Lokey, Department of Ears, Nose, Throat, Head-Neck Surgery, Faculty of Medicine at Hasanuddin University, Makassar, 90245, Indonesia. Email: heikelokey86@gmail.com

Online published on 23 December, 2019.

Abstract

The operation of tonsillectomy in addition to the technique of simple tonsillectomy can also be done by the technique of bipolar radiofrequency that in research in 2007 in German universities found postoperative pain and Intraoperative bleeding is significantly lower with the use of bipolar radiofrequency compared with simple tonsillectomy. To date, there has been no research on the comparison of radiofrequency techniques and excision dissection in Indonesia, especially in Makassar.

Find the best tonsillectomy technique based on the volume of bleeding and postoperative pain.

This research is done by the cross sectional of fourteen patients. The tonsillectomy procedure done by using radiofrequency dissection of 6 patients and with excision dissection of 8 patients, then measured the number of intraoperative bleeding and postoperative pain.

This study showed that there was a decrease in the volume of intraoperative bleeding and a lighter pain in radiofrequency dissection compared to the excision dissection that was evaluated during the 6-hour post-operative. The 24-hour postoperative evaluation does not exhibit significant pain differences in both dissection techniques.

The use of radiofrequency techniques in tonsillectomy procedure is better than the excision dissection technique because it can reduce the volume of intraoperative bleeding as well as the lighter postoperative pain complained.

Keywords

Chronic tonsillitis, radiofrequency, excision dissection