A Comparative Study of Monopolar Versus Bipolar Electrocautery Post Tonsillectomy Outcomes.

N/AActive Not RecruitingNCT07265531

Indus Hospital and Health Network74 enrolled

Overview

This study aims to compare surgical techniques (monopolar and bipolar electrocautery -used during tonsillectomy,a common procedure to remove toonsils.The goal is to determine which method results in less pain and bleeding for patients after surgery .

To evaluate and compare post operative pain and bleeding outcomesbetween monopolar and bipolar electrocautery technique used dutring tonsillectomy . Methodology : Total 112 patients were randomly divided into two groups (56 each groups ).Pain was assessed postoperatively and classified as mild ,moderate or severe .

Study Type

OBSERVATIONAL

Enrollment

Conditions

Chronic Tonsillitis

Eligibility

Sex: ALLMin age: 5 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria * Patients aged between 5 and 40 years. * Indicated for elective tonsillectomy due to recurrent tonsillitis, obstructive sleep apnea, or chronic tonsillar hypertrophy. * Medically stable to undergo general anesthesia and surgical procedure. * Ability to understand and provide informed consent (or parental/guardian consent for minors). * Willing to complyy with study procedures and follow-up schedule. Exclusion Criteria * History of bleeding disorders (e.g., hemophilia, thrombocytopenia). * Use of anticoagulants or antiplatelet therapy within 7 days prior to surgery. * Known allergy or adverse reaction to anesthesia agents used in the procedure. * Previous tonsillar surgery or peritonsillar abscess drainage. * Severe comorbidities that may interfere with surgery or recovery (e.g., uncontrolled diabetes, heart failure). * Patients with craniofacial abnormalities affecting the airway. * Inability to understand or comply with study requirements.

Locations (1)

Indus Hospital Karachi

Karachi, Sindh, Pakistan

Outcomes

Primary Outcomes

Post operative pain and bleeding in patient undergone tonsillectomy

Postoperative Bleeding: Occurrence of postoperative reactionary and secondary bleeding Reactionary bleeding: If bleeding occurs within the first 24 hours after surgery. Secondary bleeding: If bleeding occurs beyond 24 hours within 7-10 days after surgery. Pain: Pain will be evaluated by Visual analog score on 1st postoperative day,3rd postoperative day and 7th post operative, visual analog score will be 0 (no pain)1 to 3 (mild),3 to 6(moderate),6 to 9 (severe),10(worst).

Time frame: 24 hours after surgery and beyond 24 hours

Data from ClinicalTrials.gov

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