Tonsillectomy with the ultrasound activated scalpel. Initial results of technique with Ultracision Harmonic Scalpel

Tonsillectomy requires an efficient intra- and postoperative hemostasis. The ultrasonically activated scalpel (UAS) uses high-frequency ultrasonic energy to perform tissue dissection and coagulation simultaneously. The present prospective study represents the first published results of UAS in tonsil...

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Bibliographic Details
Published in:HNO 2001-06, Vol.49 (6), p.465-470
Main Authors: Metternich, F U, Sagowski, C, Wenzel, S, Jäkel, K
Format: Article
Language:ger
Subjects:
Adolescent
Adult
Aged
Child
Child, Preschool
Chronic Disease
Equipment Design - instrumentation
Female
Hemostasis, Surgical - instrumentation
Humans
Hyperplasia
Male
Middle Aged
Pain Measurement
Palatine Tonsil - pathology
Postoperative Hemorrhage - prevention & control
Prospective Studies
Tonsillectomy - instrumentation
Tonsillitis - pathology
Tonsillitis - surgery
Ultrasonic Therapy - instrumentation
Wound Healing - physiology
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Summary:Tonsillectomy requires an efficient intra- and postoperative hemostasis. The ultrasonically activated scalpel (UAS) uses high-frequency ultrasonic energy to perform tissue dissection and coagulation simultaneously. The present prospective study represents the first published results of UAS in tonsillectomy. 60 patients with tonsillectomy were examined in regard of intra- and postoperative hemostasis, wound healing and postoperative pain. Also, the quality of the histopathological specimen was evaluated. In 90% of tonsillectomies by UAS efficient intraoperative hemostasis did not require suture ligature. In 10% additional ligation was required for reason of arterial bleeding. Postoperative bleeding did not occur at all, wound healing was uneventful. Surgery related postoperative pain was not intensified. The histopathological evaluation of specimen was not impaired. The UAS offers a tissue dissection with efficacious intra- and postoperative hemostasis. Compared to the conventional tonsillectomy the ultrasonical technique of tonsillectomy has especially in children, in anaemic patients and in the surgery of tonsillar malignomas significant advantages.
ISSN:0017-6192