About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

New Tonsillectomy Procedure Inducing Reduced Postoperative Pain and Bleeding

by Medindia Content Team on September 18, 2007 at 4:18 PM
Font : A-A+

New Tonsillectomy Procedure Inducing Reduced Postoperative Pain and Bleeding

According to a report published in the September issue of Archives of Otolaryngology-Head & Neck Surgery, a JAMA/Archives journal, "intracapsular" technique, a tonsillectomy procedure, seems to induce less pain and cause less postoperative bleeding than the routine surgery employed to remove the tonsils entirely. This technique involves removal of only 90 percent of tonsil tissue but leaves the tonsil capsule intact as opposed to traditional surgery.

Tonsillectomy (removal of the tonsils) with or without removal of the adenoids (tissue at the back of the throat) is one of the most commonly performed surgeries in the United States, according to background information in the article. "The technique for performing tonsillectomy, dissection of all tonsillar tissue free of the underlying pharyngeal constrictor muscle, has not changed significantly in more than 60 years," the authors write. "The most common serious complication of tonsillectomy is delayed hemorrhage [severe bleeding], which occurs in 2 percent to 4 percent of all patients. In addition, an expected sequela [consequence] of the procedure is pain, which typically lasts from seven to 10 days and can be moderate to severe in intensity."

Advertisement

Richard Schmidt, M.D., and colleagues at the Alfred I. duPont Hospital for Children, Wilmington, Del., analyzed the medical records of 2,944 patients who underwent tonsillectomy with or without adenoidectomy between 2002 and 2005. For 1,731 patients, surgeons used a newer technique known as intracapsular tonsillectomy, which involves using an instrument known as a microdebrider to remove 90 percent of the tonsil tissue and preserving a layer of tonsil (the capsule) over the throat muscles. A total of 1,212 underwent traditional tonsillectomy, in which all tonsil tissue is cut and removed.

Among those in the traditional tonsillectomy group, 3.4 percent had delayed (more than 24 hours after surgery) hemorrhage and 2.1 percent required treatment in the operating room for bleeding, compared with 1.1 percent and 0.5 percent among those in the intracapsular tonsillectomy group. Three percent of those undergoing intracapsular tonsillectomy and 5.4 percent of those undergoing traditional tonsillectomy required emergency room treatment for pain or dehydration, which often occurs after tonsil surgery when pain restricts fluid intake. Eleven patients (0.64 percent) who had intracapsular tonsillectomies and none of those who had traditional tonsillectomies needed revision tonsillectomies.
Advertisement

"The ideal tonsillectomy would have minimal or no risks and be completely effective," the authors write. "Although the risks for intracapsular tonsillectomy are lower than those for traditional tonsillectomy, the procedure is not always effective. Eleven patients required revision tonsillectomy in the intracapsular tonsillectomy group compared with none in the traditional tonsillectomy group. However, an additional surgical procedure (including control of hemorrhage in the operating room) may be more likely with traditional tonsillectomy than with intracapsular tonsillectomy."

Source: Eurekalert
GAN/J
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
International Day of Persons with Disabilities 2021 - Fighting for Rights in the Post-COVID Era
Effect of Blood Group Type on COVID-19 Risk and Severity
Woman with Rare Spinal Cord Defect from Birth Sues Doctor
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Tonsillitis Tonsillectomy Thoracic Outlet Syndrome Ear, Nose, Throat Surgery and Procedures Tonsil Stones 

Recommended Reading
Tonsillectomy - Animation
Multimedia flash depicting the surgical procedure of Tonsillectomy done through the dissection ......
Thoracic Outlet Syndrome
Thoracic outlet syndrome (TOS) is a rare condition that occurs when blood vessels or nerves become c...
Tonsil Stones
Tonsil stones or tonsilloliths are deposits of calcified debris of bacterial cells, lymphocytes, and...
Tonsillitis
In Tonsillitis the tonsils are inflamed and swollen and it usually occurs due to bacterial or viral ...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use