]>
IRCT20230107057071N1 IRCT 2023-01-16 Ilam University of Medical Sciences SURGERY DURATION, WOUND HEALING PROCESS AND COMPLICATIONS OF BIPOLAR ELECTROCAUTERY DISSECTION VERSUS COLD DISSECTION TONSILLECTOMY IN ADULTS. SURGERY DURATION, WOUND HEALING PROCESS AND COMPLICATIONS OF BIPOLAR ELECTROCAUTERY DISSECTION VERSUS COLD DISSECTION TONSILLECTOMY IN ADULTS. 2023-01-21 anticipated 60 Complete https://irct.ir/trial/67886 interventional Randomization: N/A, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Blinding description: The participants will not know which of the left or right tonsils will be operated on by Bipolar Electrocautery or Cold dissection. Those responsible for data collection will not know which of the left or right tonsils was operated by bipolar electrocautery or cold dissection. The data analysts will not know which of the left or right tonsils was operated by bipolar electrocautery or cold dissection. N/A Tonsillectomy. Intervention 1: Intervention group: Bipolar Electrocautery method will be used to remove the palatal tonsil on one side (for example, the right palatine tonsil). In this method, the incision will be made by bipolar forceps and the tonsil will be separated with forceps. Then the bleeding will be controlled by electrocoagulation. Intervention 2: Control group: To remove the palatine tonsil on the other side (for example, the left side), the Cold Dissection method will be used. In this method, the tonsil will be separated from its bed by a scalpel cut and removed with forceps. Then the bleeding will be controlled by suturing. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information.
public Meysam Jahanbakhsh
Ilam University of Medical Sciences; Banganjab; Pazhuhesh Blvd
Ilam Iran (Islamic Republic of) 6939177143 +98 914 755 4043 meysam.j17@gmail.com Ilam University of Medical Sciences scientific Meysam Jahanbakhsh
Ilam University of Medical Sciences; Banganjab; Pazhuhesh Blvd
Ilam Iran (Islamic Republic of) 6939177143 +98 914 755 4043 meysam.j17@gmail.com Ilam University of Medical Sciences Iran (Islamic Republic of) Need to perform tonsillectomy Age range above 18 years Consent to study 18 years no limit Both Having a preoperative infection Bleeding diseases and any disorders in coagulation tests Mental retardation underlying diseases (diabetes, malignancy, severe asthma, sickle cell anemia, etc.) Failure to complete the forms Lack of cooperation after the operation Treatment - Surgery Treatment - Surgery Intervention group: Bipolar Electrocautery method will be used to remove the palatal tonsil on one side (for example, the right palatine tonsil). In this method, the incision will be made by bipolar forceps and the tonsil will be separated with forceps. Then the bleeding will be controlled by electrocoagulation. Control group: To remove the palatine tonsil on the other side (for example, the left side), the Cold Dissection method will be used. In this method, the tonsil will be separated from its bed by a scalpel cut and removed with forceps. Then the bleeding will be controlled by suturing. The amount of bleeding during surgery. Timepoint: After the end of the surgical procedure. Method of measurement: By measuring the amount of suctioned blood in the graduated suction minus the suctioned serum. Duration of surgery. Timepoint: After the end of the surgical procedure. Method of measurement: The duration of the surgery from the moment of cutting to the moment of complete control of bleeding will be recorded by a timer. The severity of sore throat. Timepoint: 24 hours, day 8, day 15, and day 22 after tonsillectomy. Method of measurement: Using the Visual Analogue Scale. The severity of earache. Timepoint: 24 hours, day 8, day 15, and day 22 after tonsillectomy. Method of measurement: Using the Visual Analogue Scale. Number of bleeding episodes after surgery. Timepoint: Within 22 days after surgery. Method of measurement: Based on the patient's complaint within 22 days after surgery and also examination by the doctor at 24 hours, 8 days, 15 days, and 22 days after tonsillectomy. The percentage of pseudomembrane formed. Timepoint: 24 hours, day 8, day 15, and day 22 after tonsillectomy. Method of measurement: Macroscopically by the doctor's examination. The percentage of absorbed pseudomembrane. Timepoint: 24 hours, day 8, day 15, and day 22 after tonsillectomy. Method of measurement: Macroscopically by the doctor's examination. Ilam University of Medical Sciences Approved 2022-12-19 Ethics committee of Ilam University of Medical Sciences Ilam University of Medical Sciences; Banganjab; Pazhuhesh Blvd Ilam Ilam Iran (Islamic Republic of)