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- Title
Argon plasma coagulation tonsillectomy versus coblation tonsillectomy: a comparison of efficacy and safety.
- Authors
Loh, R; Stepan, L; Zhen, E; Shaw, C-K L
- Abstract
Background: Tonsillectomy is one of the most common otolaryngological procedures. Nonetheless, there is still no universally approved 'gold standard' technique. Objective: To compare the safety and efficacy of argon plasma coagulation and coblation techniques in tonsillectomy. Methods: A multi-institutional, retrospective cohort study was conducted, comprising 283 patients who underwent bilateral tonsillectomies performed by a single surgeon between 2014 and 2017. The outcome measures included: operative time, intra-operative blood loss, post-operative pain and post-operative haemorrhage. Results: In the argon plasma coagulation group, mean operative time and post-operative haemorrhage rate were significantly reduced, p = 0.0006 and p = 0.003 respectively. There was no statistically significant difference between the two groups in terms of post-operative pain and intra-operative blood loss. Conclusion: The argon plasma coagulation technique is easy, safe and efficacious. Argon plasma coagulation tonsillectomy seems cost-effective compared to coblation tonsillectomy: the single-use disposable electrode tip and wand used in this study cost AUD$76.50 and AUD$380 respectively. Argon plasma coagulation appears to be a favourable alternative to current modalities such as coblation.
- Subjects
ELECTROCOAGULATION (Medicine); COST effectiveness; GASES; HEMORRHAGE; LONGITUDINAL method; PATIENT safety; POSTOPERATIVE pain; SURGICAL complications; TONSILLECTOMY; TREATMENT effectiveness; RETROSPECTIVE studies; ABLATION techniques; SURGICAL blood loss
- Publication
Journal of Laryngology & Otology, 2019, Vol 133, Issue 6, p520
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215119001191