Abstract
Objective: To compare the dissection and monopolar method of tonsillectomy and evaluate their advantages and disadvantages during surgery and convalescence. Materials and Method: Descriptive, prospective, clinical trial on 76 patients who required tonsillectomy were randomly assigned to have one tonsil removed by dissection - method and the other by monopolar at Hue University Hospital and Hue Central Hospital. Main outcome measure: surgery duration, lost blood, postoperative pain, postoperative haemorrhage, recovering time. Result: The mean time of operation related to dissection-method tonsillectomy was 18,9± 3,7 minutes and in monopolar tonsillectomy was 10,5 ±3,4 minutes. The average amount of bleeding was 13,1 ± 3,8ml and 3,1 ± 2,6ml respectively. Postoperative pain of dissection method with 6,0± 1,3 days and monopolar with 7,8 ± 2,3 days. Postoperative haemorrhage of dissection method with 5,3% and monopolar with 13,2%. Conclusion: Although there are some advantages and disavantages in 2 methods, we should choose dissection method tonsillectomy due to its recovering time. Key words: dissection method, monopolar method
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