ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT CẮT AMIĐAN BẰNG DAO ĐIỆN LƯỠNG CỰC TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2021-2024

Abstract

Background: Currently, there are many tonsillectomy techniques such as: bipolar electric knife, bipolar cautery, laser... being performed with different advantages and disadvantages, and there is no one technique that is considered the most optimal. when resolving chronic inflammation of the tonsils. At Can Tho University of Medicine and Pharmacy Hospital, tonsillectomy with a bipolar cautery has been performed for all tonsillectomy, so we conducted this study to monitor and evaluate the effectiveness as well as getting the real experiences related to using this technique in tonsillectomy. Objectives: Describe the clinical characteristics of patients with chronic tonsillitis having tonsillectomy and evaluate the results of tonsillectomy by using bipolar cautery at Can Tho University Hospital of Medicine and Pharmacy in 2021- 2024. Materials and methods: Prospective cross-sectional description at Can Tho University of Medicine and Pharmacy Hospital from June 2021 to March 2024 with 110 cases diagnosed with chronic tonsillitis and hospitalized for doing tonsillectomy using a bipolar cautery. Result: 110 patients. Male (47 patients, 42.5%) and female (63, 57.5%). The average age was 31.23 ± 6.95 years. Hypertrophy tonsils account for 72.5%. Grade II hypertrophic tonsils account for 37/110 cases. The average amount of blood loss was 3.25 ± 1.32 mL. There are 0.7% of cases of late bleeding after surgery. The average pain score on day 14 after surgery was 0.05 ± 0.21. The average time to return to work was 7.24 ± 1.31 days. Conclusion: When using a bipolar cautrery to cut tonsils, it brings many good results such as: less blood loss, less pain after cutting and can be used in patients with accompanying diseases