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document
Thermal welding versus bipolar tonsillectomy : a comparative study . OBJECTIVE To compare thermal welding tonsillectomy ( TWT ) with bipolar electrocautery tonsillectomy ( BET ) procedure . STUDY DESIGN AND SETTING A prospective randomized study was conducted on 150 consecutive adult patients undergoing tonsillectomy . Indications included chronic tonsillitis and obstructive sleep apnea syndrome . Exclusion criteria included peritonsillar abscess history , bleeding disorders , and any other procedure together with tonsillectomy . Patients were randomly assigned to TWT or BET groups . Intraoperative bleeding , operative time , postoperative pain , complication rates , and return to normal diet were evaluated . RESULTS In the TWT group there was no measurable intraoperative bleeding , while mean bleeding for BET group was 16 mL . No significant difference regarding mean operative time was noticed . Mean postoperative pain score and mean time for return to normal diet were significantly lower in the TWT group . Primary hemorrhage occurred in 1 subject of the BET group . Secondary postoperative hemorrhage was noticed in 1 subject of the TWT group and 3 subjects of the BET group . CONCLUSION Thermal welding tonsillectomy procedure provides sufficient hemostasis , lower postoperative pain , and quick return to normal diet . EBM RATING A-1b .
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Intervention_Surgical
Thermal welding
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Intervention_Surgical
bipolar tonsillectomy
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Intervention_Surgical
thermal welding tonsillectomy
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Intervention_Physical
( TWT )
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Intervention_Surgical
bipolar electrocautery tonsillectomy ( BET ) procedure
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Intervention_Surgical
tonsillectomy
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Intervention_Surgical
TWT
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Intervention_Surgical
BET
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Intervention_Surgical
TWT
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Intervention_Surgical
BET
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Intervention_Surgical
TWT
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Intervention_Surgical
BET
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Intervention_Surgical
TWT
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Intervention_Surgical
BET
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Intervention_Surgical
Thermal welding tonsillectomy procedure
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Outcome_Physical
Intraoperative bleeding
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Outcome_Other
operative time
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Outcome_Pain
postoperative pain
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Outcome_Adverse-effects
complication rates
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Outcome_Mental
return to normal diet
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Outcome_Physical
intraoperative bleeding
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Outcome_Physical
mean bleeding
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Outcome_Other
mean operative time
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Outcome_Pain
Mean postoperative pain score
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Outcome_Mental
mean time for return to normal diet
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Outcome_Physical
Primary hemorrhage
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Outcome_Physical
Secondary postoperative hemorrhage
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Outcome_Physical
hemostasis
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Outcome_Pain
postoperative pain
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Outcome_Mental
quick return to normal diet
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Participant_Condition
chronic tonsillitis
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Participant_Condition
obstructive sleep apnea syndrome .
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Participant_Condition
peritonsillar abscess
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Participant_Condition
bleeding disorders
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Participant_Condition
tonsillectomy