Keywords
Coblation tonsillectomy
Paediatric
Intraoperative blood loss
Postoperative pain
Tonsillectomy outcomes.
How to Cite
Abstract
Background:
Tonsillectomy is among the most popular surgical interventions in children that are mainly performed because of a recurrent tonsillitis and obstructive symptoms. Postoperative pain and intraoperative bleed are of importance even with the current developments in surgical practices. The newer method of coblation tonsillectomy has come to be used which could possibly lessen tissue injury and morbidity in comparison to traditional dissection tonsillectomy.
Methodology:
It was a randomized controlled trial at the Department of ENT, Khyber Teaching Hospital, Peshawar that took place from 15-12-2024 to 15-04-2025. There were a total of 92 paediatric patients between the ages of 5 and 15 years distributed equally to two groups and blocked at random. Coblation tonsillectomy was applied to Group A, and dissection tonsillectomy applied to Group B. Intraoperative blood loss was evaluated by the swab weighing method and the postoperative pain was evaluated using the visual analog scale (VAS) on day one. The analyses of data were conducted through the use of IBM SPSS version 25 where p 0.05 was taken to be statistically significant.
Results:
The mean intraoperative blood loss was significantly lower in the coblation group (85.32 ± 22.10 ml) compared to the dissection group (148.76 ± 35.84 ml) (p < 0.001). Similarly, the mean postoperative pain score was significantly lower in the coblation group (3.18 ± 1.42) than in the dissection group (4.26 ± 1.58) (p < 0.001). Both groups were comparable in baseline demographic characteristics.
Conclusion:
Coblation tonsillectomy is also known to result in much lower rates of intraoperative blood loss and less postoperative pain than that of dissection tonsillectomy in the paediatric patient group, so it is a better choice of surgery in situations where resources are available.