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Irish Child Health Database - Peer Reviewed Papers

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  • Blood splash from different diathermy instruments during tonsillectomy

    Published in:

    J Laryngol Otol, Vol: 120, Page: 927-31

    Publication Date:

    November 2006

    Aims & Objectives:

    The aim of this study was to assess the potential risk of blood contamination of the surgeon's conjunctiva during tonsillectomy using disposable bipolar diathermy and reusable monopolar diathermy

    Abstract:

    OBJECTIVE: To compare the potential risk of blood contamination of the surgeon's conjunctiva during tonsillectomy using disposable bipolar diathermy and reusable monopolar diathermy. DESIGN: A prospective, single-blind, randomized, controlled trial. METHODS: Elective tonsillectomy was performed using either disposable bipolar diathermy or reusable monopolar diathermy. The operating surgeon wore a ViewsafeTM protective eyeshield which was later examined under an operating microscope by a blinded observer and the number of blood spots counted. RESULTS: One hundred and sixty-eight patients were enrolled. The relative risk of conjunctival contamination of the surgeon using disposable bipolar diathermy was 2.8 times that with reusable monopolar diathermy (chi-squared test, p < 0.0005). A previous history of peritonsillar abscess and additional adenoidectomy were associated with increased blood splatter. CONCLUSION: The use of disposable bipolar diathermy for haemostasis during tonsillectomy poses a greater risk of conjunctival contamination for the surgeon than using reusable monopolar diathermy.

    Authors:

    B. C. Hanna; P. Thompson; C. Smyth; G. Gallagher

    Study Type:

    Study Papers » A randomized controlled trial » Descriptive Studies - Studies with a health technology dimension

    Categories:

    blood contamination of surgeon

    International Classification:

    Evaluation of the effectiveness of prevention of blood contamination

    Keywords:


    Geography:

    Northern Ireland (Northern Ireland)