First results of tonsillectomy with the ultrasonic scalpel (Ultracision Harmonic Scalpel)((R))

Background: Tonsillectomy requires an efficient intra- and postoperative he mostasis. The ultrasonically activated scalpel (UAS) uses high-frequency ul trasonic energy to perform tissue dissection and coagulation simultaneously . The present prospective study represents the first published results of U AS in tonsillectomy. Method: 60 patients with tonsillectomy were examined in regard of intra- an d postoperative hemostasis,wound healing and postoperative pain. Also,the q uality of the histopathological specimen was evaluated. Results: In 90% of tonsillectomies by UAS efficient intraoperative hemostas is did not require suture ligature. In 10% additional ligation was required for reason of arterial bleeding. Postoperative bleeding did not occur at a ll, wound healing was uneventful. Surgery related postoperative pain was no t intensified. The histopathological evaluation of specimen was not impaire d. Conclusion: The UAS offers a tissue dissection with efficacious intra- and postoperative hemostasis. Compared to the conventional tonsillectomy the ul trasonical technique of tonsillectomy has especially in children, in anaemi c patients and in the surgery of tonsillar malignomas significant advantage s.