Bloodless Tonsillectomy Operation With Thermal Welding Device Video - 3

Tonsil Removal Video

On the video, bloodless tonsillectomy operation with thermal welding device is presenting.

Video description: The operation was started under general anesthesia. Automatic mouth retractors were placed with the head in the hyperextension position. Bilateral tonsil was removed using a thermal welding device. Hemorrhage was controlled by suturing the anterior and posterior folds, and the operation was terminated. The mouth retractor was removed and the head position was brought back to normal, allowing the patient to recover from anesthesia.

Thermal welding device reduces thermal damage!

Since this device is thermally insulated, local heat dissipation in the incision area is not more than a few mm. The device has a cutting and coagulation mode (for stopping bleeding). Heat damage to the incision edges can be further reduced when incisions are made with the only cutting mode. In this way, the amount of pain that the patient can feel after the operation can be reduced and the recovery period can be shortened. Generally, I suture the anterior and posterior plica with self-melting vicryl suture materials. In this way, we can reduce the risk of bleeding by cutting only with the cutting mode.

What to do after tonsillectomy?

Patients should pay attention to the following recommendations to increase the recovery time after tonsillectomy:

- increasing the amount of water drunk and the frequency of drinking water (it is very important to prevent dehydration)
- not consuming hot, spicy foods and drinks
- avoiding pressurized coughing and sneezing by covering the mouth
- supporting the microbial flora in the mouth, soft warm diet and honey consumption

While the complete healing of the oral mucosa is usually a few weeks after the operation, this period may be longer in patients who consume less water.

Be careful in terms of bleeding after tonsillectomy operation!

Patients should be careful in terms of bleeding after tonsillectomy, which can sometimes start with just a simple cough and sometimes only with consuming a small amount of hard food. It usually takes 3 weeks for the white healing tissue in the surgical intervention area to be covered by the pink mucosa in the mouth. In other words, if the tonsillectomy area is still covered with white healing tissue, hard, sharp-edged foods should not be eaten (chips, toast, nuts, crackers, biscuits ...), blood thinners such as garlic and chili peppers or products that may cause local irritation should be avoided. One of my patients presented with bleeding that started 2 weeks after tonsillectomy. In the patient's story, he said that because he was tired of eating only a soft diet for two weeks, he ate breakfast by consuming toast and hot tea, and then he started bleeding from the mouth. On examination, the patient's left tonsillectomy area revealed a bleeding area like a razor cut (scratch and bleeding caused by the edge of a toasted bread). During this period, painkillers with blood thinning properties should not be used too much (paracetamol is the safest pain reliever for bleeding). Please pay attention to your doctor's recommendations during the recovery period.

Can tonsillectomy be performed under local anesthesia?

When I was 7 years old, my tonsils were removed with an operation performed under local anesthesia. This is a procedure that can turn into a very traumatic and bleeding surgical procedure. In children, while a person is holding the patient's arms from behind, the patient is asked to open his mouth and the surgeon has little chance of intervening bleeding during the operation. Although it was reported as a procedure that could be performed under local anesthesia in the past; Tonsillectomy under local anesthesia is not preferred because it may increase the risk of complications. In case of severe bleeding during the procedure, it may not be possible for the surgeon to see the bleeding area and to prevent the patient from aspirating the blood. It is ideal to terminate the procedure under general anesthesia with minimal thermal damage and minimal bleeding.

If enough water is not drunk after tonsillectomy, children may experience reflected pain in the ear!

Drinking enough water after tonsillectomy is very important for accelerating recovery. In patients who do not consume water and a soft warm diet because their throat hurts, a vicious cycle occurs due to increasing sore throat and increasing dehydration, especially earache, fever, which increases families at night to wake them up (if it is due to dehydration, they do not benefit much from antipyretic). can report. Even just drinking water can reduce most of these complaints. Consumption of watery foods, especially high in protein, is very important for both preventing dehydration and increasing the rate of recovery.

Consuming honey can be beneficial after tonsillectomy!

In the past, it was aimed to prevent infections by applying honey to the wounds in war times. In the same way, it may be beneficial to eat honey at regular intervals or drink it in the form of honey water in order to heal the surgical wound in the mouth after the tonsillectomy operation and to reduce the pain. Even gargling with honey can help reduce post-tonsillectomy pain (source >> The effect of honey on post-tonsillectomy pain relief: a randomized clinical trial).

Chewing sugar-free, flavorless gum can be beneficial for healing!

After tonsillectomy, chewing gum that does not contain sugar or any flavor can increase saliva production. Saliva is an important antiseptic natural secretion for cleaning the inside of the mouth. It can increase the cleaning of the wound site.

You can find other similar videos at >> Bloodless Tonsillectomy Operation Video With Thermal Welding Device / Bloodless Tonsillectomy Operation Video With Thermal Welding Device

Link group where you can find detailed information about tonsillectomy in istanbul on this website >>

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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