ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT CẮT AMIĐAN BẰNG DAO ĐIỆN ĐƠN CỰC TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2022-2024

Abstract

Background: Chronic tonsillitis is one of the common diseases in otorhinolaryngology but it is still a remarkable issue currently and tonsillectomy is among the most often performed operations. At Can Tho Central General Hospital, tonsillectomy method with monopolar electrocautery is choice in the most tonsillectomy surgery. To objectively evaluate advantages and disadvantages of tonsillectomy method with monopolar electrocautery, it is necessary to consider clinical results of treatment. Objectives: 1). To determine clinical characteristics of chronic tonsillitis patients who were used monopolar electrocautery for tonsillectomy at Can Tho Central General Hospital in 2022 – 2024; 2). To evaluate the results of using monopolar electrocautery for tonsillectomy at Can Tho Central General Hospital in 2022 - 2024. Materials and methods: Cross – sectional descriptive and prospective study on 86 adult patients who were diagnosed with chronic tonsillitis and used monopolar electrocautery for tonsillectomy at Can Tho Central General Hospital from June 2022 to March 2024. Result: 86 patients included males (44.18%) and females (55.82%); mean age was 28.13 ± 7.95. The rate of tonsil hypertrophy was 80,23%. The number of grade II tonsil hypertrophy cases was 37/86 cases. Intraoperative estimated blood loss was 5.43 ± 2.92 mL. Complications after surgery only met 2.33% of late bleeding.  At week 2, postoperatively, the pain was 0.05 ± 0.21 pain score. The average time of returning activities was 8.24 ± 1.51 days. Conclusion: Advantages of tonsillectomy by monopolar electrocautery: less blood loss, less pain after surgery, and short recovery time. The tonsillectomy method with monopolar electrocautery gives good results.