하모닉 스칼펠을 사용한 편도 절제술의 결과 분석

• 영문명: Results of Tonsillectomy Using Harmonic Scalpel
• 발행기관: 대한두경부종양학회
• 저자명: 민현진(Hyun Jin Min) 최은창(Eun Chang Choi) 김세헌(Se-Heon Kim)
• 간행물 정보: 『대한두경부종양학회지』제24권 제2호, 179~183쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2008.11.30

영문 초록

Objective ：To evaluate efficacy and postoperative morbidity in tonsillectomy using the harmonic scalpel vs conventional electrocautery. Materials and Methods ：1) We compared intra-operative bleeding and operation time and analyzed the degree of pain, oral feeding and the ability to return to normal activities from the questionnaire. 2) Animal study：Using rats, we made each linear wound with harmonic scalpel or electrocautery, then compare the width of thermal injury area with trichrome stain. Result ：Harmonic scalpel tonsillectomy had significant advantages over electrocautery tonsillectomy in terms of post operative pain, oral diet tolerance and the time of return to normal life. In addition, it increased patients’ overall satisfaction with the surgery. In animal study, it was found that the thermal injury was less severe in the wound caused by harmonic scalpel than by electrocautery. Conclusion ：Harmonic scalpel tonsillectomy decreases the thermal injury of the adjacent tissue, thus it has advantages over electrocautery in post tonsillectomy morbidity.

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키워드

Harmonic scalpel Tonsillectomy Electrocautery 하모닉 스칼펠 편도 절제술 전기 소작술.