The Journal of laryngology and otology · 2006
Blood splash from different diathermy instruments during tonsillectomy.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Hanna B C, Thompson P, Smyth C, Gallagher G
Аннотация
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.
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.
Предметные рубрики MeSH
AdolescentAdultBloodBlood Loss, SurgicalBlood-Borne PathogensChildChild, PreschoolConjunctivaDiathermyDisposable EquipmentEquipment ReuseEye Protective DevicesFemaleHumansInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalMaleNorthern IrelandSingle-Blind MethodTonsillectomyTonsillitis