[Complications associated with the surgical instruments used in tonsillectomies]
Martin G
Record ID 32012000849
French
Original Title:
Complications associées aux instruments chirurgicaux utilisés pour les amygdalectomies
Authors' recommendations:
Despite the limitations of the identified studies and the low number of comparable studies, the results indicate that:
There is less intraoperative hemorrhage with hot instruments than with cold instruments; the microdebrider causes more intraoperative hemorrhage, regardless of the comparator;
The frequency of primary hemorrhage does not differ significantly between hot and cold instruments;
In the case of secondary or delayed hemorrhage, which generally occurs after discharge from hospital:
controlled studies observe frequency rates that tend to be lower with cold instruments than with hot instruments, but these differences are not significant;
consistently, according to the audits and large case series, there is a trend toward a lower frequency with cold instruments, in particular, for hemorrhage requiring a return to the operating room;
and, according to a more targeted systematic review, the use of Coblation, a hot technique, causes significantly more cases requiring a return to the operating room than the use of cold instruments.
Lastly, it should be noted that tonsillar dissection with cold instruments is completed with hemostasis, which is often performed with electrosurgical instruments. Since high power settings for electrosurgery might be associated with a higher frequency of delayed postoperative hemorrhage, caution should be exercised when using these instruments.
Details
Project Status:
Completed
Year Published:
2012
URL for published report:
https://www.inesss.qc.ca/publications/repertoire-des-publications/publication/complications-associees-aux-instruments-chirurgicaux-utilises-pour-les-amygdalectomies.html
URL for additional information:
http://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/Chirurgie/ETMIS2012_Vol8_No4_amygdalectomies_SUMMARY.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Postoperative Complications
- Surgical Wound Infection
- Surgical Instruments
- Tonsillectomy
- Surgical Procedures, Operative
Contact
Organisation Name:
Institut national d'excellence en sante et en services sociaux
Contact Address:
L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
L'Institut national d'excellence en sante et en services sociaux (INESSS)
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