Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study
المؤلفون المشاركون
Teymoortash, A.
Hoch, Stephan
Güldner, Christian
Wilhelm, Thomas
Wittlinger, Jan
Georgiew, Robert
Günzel, Thomas
Stankovic, Petar
المصدر
International Journal of Otolaryngology
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-08-08
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Posttonsillectomy hemorrhage (PTH) is the most feared complication.
Dissection near the tonsillar capsule under microscopic view (TEmic) could be assumed to decrease PTH compared to traditional tonsillectomy (TEtrad).
Methods.
In this study, patients were evaluated with respect to the need for surgical control (R/N: return/no return to theater (RTT): the day of surgery [0] or thereafter [1]).
The findings at resection site and pain were measured.
Results.
869 patients were included (183 TEmic; 686 TEtrad).
PTH requiring RTT was not seen in the TEmic group on the day of surgery (R0) while PTH requiring RTT subsequently (R1) was seen in 1.1% of the cases.
In the TEmic group, hemorrhages without a need for surgical control were observed in 0.6% (N0) and 3.4% (N1), respectively.
The corresponding rates for TEtrad were as follows: R0, 0.3%; R1, 1.7%; N0, 0.6%; and N1, 3.6% (p>0.05).
Postoperative edema and local infection at resection site were proven to be predictive of PTH (p=0.007).
Conclusion.
Microscope assistance in tonsillectomy did not statistically have an influence on the PTH even though there was a trend towards lower PTH rate in the TEmic group.
Benefit for TEmic was observed in high-volume and long experienced surgeons.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wilhelm, Thomas& Wittlinger, Jan& Georgiew, Robert& Güldner, Christian& Hoch, Stephan& Teymoortash, A.…[et al.]. 2017. Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study. International Journal of Otolaryngology،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1168020
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wilhelm, Thomas…[et al.]. Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study. International Journal of Otolaryngology No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1168020
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wilhelm, Thomas& Wittlinger, Jan& Georgiew, Robert& Güldner, Christian& Hoch, Stephan& Teymoortash, A.…[et al.]. Does Microscope Assistance in Cold Steel Tonsillectomy Reduce the Risk of Postoperative Hemorrhage? Results of a Prospective Cohort Study. International Journal of Otolaryngology. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1168020
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1168020
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر