TY - JOUR AU - Bikash Lal Shrestha, Ashish Dhakal, Sammer Karmacharya, Pradeep Rajbhandari, Bikash Lal Shrestha, Ashish Dhakal, Sammer Karmacharya, Pradeep Rajbhandari PY - 2019/05/02 Y2 - 2024/03/28 TI - Comparison of Bipolar Diathermy with Thunder-beat Device in Surgical Outcome of Tonsillectomy JF - Journal of Rawalpindi Medical College JA - JRMC VL - 23 IS - 2 SE - Articles DO - UR - https://journalrmc.com/index.php/JRMC/article/view/1101 SP - AB - <p>Background:. To compare the thunder-beat device <br>with bipolar diathermy in surgical outcome of <br>tonsillectomy. <br> Methods: In this prospective study 75 patients <br>who underwent tonsillectomy on one side using <br>thunder beat device and on the other side using <br>bipolar diathermy, were included . The intra-<br>operative blood loss, operative time, post-operative <br>pain and post-operative haemorrhage were taken for <br>analysis in both the surgical procedures. <br>Results: Among the seventy five patients, the age <br>groups ranged from 19-36 years with mean age <br>25.36+/-5.54 years. Out of 75 patients, 21 were male <br>and 54 were female.The comparison of operation <br>time and intra-operative blood loss between <br>thunder- beat and bipolar diathermy showed <br>statistically significant differences. The comparison <br>of pain score showed statistically significant result <br>with better pain results in bipolar diathermy <br>whereas the secondary haemorrhage was common in <br>thunder beat device. <br>Conclusion: The thunder-beat use in <br>tonsillectomies is less time consuming with <br>decreased intra-operative blood loss. But, the post-<br>operative pain is more as compared to bipolar <br>diathermy. Though, it is safe and effective in <br>performing tonsillectomy but its cost is the main <br>drawback for its regular use.</p> ER -