Vessel Sealing System May Be Superior Tonsillectomy Method

Significantly shorter operative time, less bleeding and pain with vessel sealing system

TUESDAY, June 21 (HealthDay News) -- The vessel sealing system (VSS) may be a superior tonsillectomy method than other conventional or modern technology-assisted methods, according to a meta-analysis published in the June issue of the Archives of Otolaryngology -- Head & Neck Surgery.

Vangelis G. Alexiou, M.D., from Northampton General Hospital in the United Kingdom, and colleagues reviewed the literature to assess evidence regarding modern technology-assisted tonsillectomy. Thirty-three randomized controlled trials including 3,139 patients compared total tonsillectomy performed using VSS, Harmonic Scalpel (HS), or radiofrequency ablation (Coblation) with the conventional technique of cold steel and/or electrocautery dissection (CS/EC). Outcome measures included operative time, perioperative and postoperative bleeding, and postoperative pain.

The investigators found that, compared to the CS/EC group, the VSS group had a significantly shorter operative time (weighted mean difference, −4.09 minutes), significantly less perioperative bleeding (standardized mean difference, −1.67), and postoperative bleeding (odds ratio, 0.28), and significantly less pain on the first and seventh postoperative days (standardized mean difference, −1.73 and −1.46, respectively). While there was significantly less perioperative bleeding in the HS group compared to the CS/EC group, other outcomes were not significantly different. There were no significant differences in any of the parameters in the Coblation and CS/EC treated groups.

"For tonsillectomies, the Coblation and HS techniques do not provide any significant advantage compared with CS/EC. Synthesis of the limited and heterogeneous data regarding VSSs showed a significant benefit in all studied outcomes," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.


Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.


Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events