Blunt dissection to bipolar forcep tonsillectomy- a comparision.

Abstract

Bipolar diathermy forcep or scissors dissection is safe and trusted and established procedure now and have an edge over blunt dissection. If monopolar diathermy is used, high voltage current should be used for dissection with fine point and if bipolar is used, low voltage current should be used, diathermy tip should be cleaned with wet gauge piece, fossae should be packed with wet gauge only, minimum required current and only coagulation should be attempted, avoid injury to surrounding tissue resulting to minimum sloughing. Avoiding thermal injury to surrounding tissues leads to lesser post operative pain. Results depends upon the precision of technique and expertise developed over a time especially coagulating the vessel during dissection before spurt. Considering cost effectiveness, bipolar diathermy is much economical than ultrasonic and laser to provide comparable results in terms of better results, duration of surgery, anaesthesia and overall postoperative morbidity.