The long-term objective of this study is to prove: * the equivalence of the number of post-operation hemorrhages, and maybe a decrease of the number of secondary hemorrhages * the decrease of pain and quicker re-feeding * an easier haemostasis * the simplification of the tonsillectomy surgical kit * the decrease of dissection time
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
74
University Hospital, Grenoble
Grenoble, Isère, France
RECRUITINGComparison of cauterization time to obtain the tonsillectomy wounds hemostasis using bipolar forceps between conventional surgery group and the vacuum device group
Cauterization time (seconds) needed to obtain wounds tonsillectomy hemostasis using bipolar forceps(electric power of 20W)
Time frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
Assessment of the vacuum device hemostatic technique at his installation on the wound
* Number of success or failure to install the device * Cases of no immediately hemostasis
Time frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours
Assessment between two arm of the postoperative pain until 10 days after the surgery
Pain score every day (FLACC -\> children between 3 and 7 years old Faces pain scale -\> children between 8 and 10 years old)
Time frame: 10 days
Comparison of the time of the first complaint of pain after surgery between conventional surgery group and the vacuum device group
Time between general anesthesia and first complaint of pain
Time frame: Time between general anesthesia and discharge hospitalization: an average of one day
Comparison of surgery time between the 2 arm
Time between the first incision and final wounds hemostasis verification
Time frame: An expected average of 2 hours
Comparison between the 2 arms of re-feeding without pain (liquids,semi-liquids ands solids)
Time or/and day of the first meal without pain
Time frame: Until 11 days after surgery
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Comparison between the 2 arms of the number of primary hemorrhages
Number of primary hemorrhages
Time frame: Until 24 hours after surgery
Comparison between the 2 arms of the number of secondary hemorrhages
Number of secondary hemorrhages
Time frame: From 24 hours after surgery until 11 days after surgery
Comparison between the 2 arms of the number of rehospitalisation (all circumstances)
Number of rehospitalisation
Time frame: From 24 hours after surgery until 11 days after surgery
Comparison between the 2 arms of the number of strong analgesics doses
Number of strong analgesics doses per day. Strong analgesics are used only if the child has a FLACC score higher than 3 (children from 3 to 7 years old) and a Faces Pain Scale score higher than 4 (children from 8 to 10 years old).
Time frame: Until 11 days after surgery
Clinician evaluation about the feasibility of the vacuum device installation
Score from a qualitative satisfaction scale
Time frame: From the beginning to the end of a tonsillectomy: an expected average of 2 hours