Comparison of Bizact™ and Bipolar Tonsillectomy in Pediatric Patients

Abstract

Background: The aim of this study is to compare the effects of Bizact™ and bipolar electrocautery on peroperative and postoperative bleeding, pain, operation time in pediatric patients. Methods: One Hundred and twenty eight (128) pediatric patients who underwent tonsillectomy were included in this prospective study. The patients were operated with indications of recurrent tonsillitis, chronic tonsillitis and obstructive sleep apnea syndrome (OSAS). Patients with a history of bleeding diathesis and peritonsillar abscess were excluded from the study. Results: While the mean peroperative bleeding amount measured in the Bizact™ tonsillectomy group was 16 ml, the mean amount of bleeding in the bipolar cautery group was 65 ml. When the mean operation times were compared, the mean operation time in the Bizact™ group was 15 minutes, and it was significantly lower than in the bipolar cautery group, which was 22 minutes. Patients' postoperative pain scores and return to normal diet were also significantly lower in the Bizact™ group than in the bipolar cautery group. Pain scores of the patients on postoperative 1st, 3rd and 5th days were significantly lower in the Bizact™ tonsillectomy group than in the bipolar cautery group. While bleeding occurred on the 4th day in 1 patient in the bipolar cautery group, no postoperative bleeding was observed in the Bizact™ group. Conclusion: Bizact™ tonsillectomy provides safe peroperative and postoperative bleeding control, less pain, and an earlier return to normal diet and social life.