A PROSPECTIVE STUDY TO ASSESS THE MODIFICATION EFFECTS OF MONOPOLAR DIATHERMY TONSILLECTOMY FOR REDUCTION OF POSTOPERATIVE BLEEDING

Objective: This research aims to assess the modifications effects of the present strategy of monopolar diathermy tonsillectomy on an onset of postoperative bleeding and we also compared the outcomes with available international research outcomes. Methodology: The design of the research is longitudinal prospective experimental research carried out on a total of 1500 patients in the timeframe of February 2016 to February 2017 at Mayo hospital Lahore. The range of the patient's age was in between 5 years - 15 years. Every patient underwent tonsillectomies through the modified method of monopolar diathermy. Every patient was also assessed for an onset of postoperative bleeding. Results: Significant secondary haemorrhage developed in two patients which required another visit to operation theatre in order to control the incidence of postoperative bleeding among patients. One of these patients of secondary haemorrhage also required transfusion of blood in the operation theatre. There were five cases of minor secondary bleeding which was later managed through conservative resources. An incidence of reactionary bleeding was found in only two patients which were also managed at operation theatre before shifting to the concerned ward. Conclusion: Modifications produces a significant decrease in the incidence of postoperative bleeding through present management technique in comparison to the tonsillar fossae. It also produces comparatively better outcomes than available international literature.