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Published in: European Archives of Oto-Rhino-Laryngology 6/2011

Open Access 01-06-2011 | Review Article

Hemorrhage rate after coblation tonsillectomy: a meta-analysis of published trials

Authors: Ralph Mösges, Martin Hellmich, Silke Allekotte, Kerstin Albrecht, Myriam Böhm

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2011

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Abstract

After the surgical procedure of tonsillectomy, hemorrhage ranks among its serious postoperative complications. In this systematic review, we analyze hemorrhage following tonsillectomies performed using the coblation technique. 24 prospective, randomized, and controlled studies were included in the meta-analysis. Data of 796 patients who had undergone coblation tonsillectomy were analyzed. Hemorrhages occurred in 33 patients: 2 classified as primary and 26 as secondary hemorrhages. 5 could not be classified into either group. Overall, the total hemorrhage rate for the coblation procedure was 4.1% with a 95% confidence interval from 2.8 to 5.5%. The overall hemorrhage rate of 4.1% found in this meta-analysis shows that coblation is a safe and effective technique for tonsillectomies with a secondary bleeding rate similar to what is reported for comparable techniques such as bipolar diathermia.
Footnotes
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S. Sarny and W. Habermann (Graz), Presentation of results and data analysis of the Austrian Tonsillectomy Study 2009/2010, 54th Annual Meeting of the Austrian Society of Oto-Rhino-Laryngology, Head and Neck Surgery, Salzburg, 2010.
 
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Metadata
Title
Hemorrhage rate after coblation tonsillectomy: a meta-analysis of published trials
Authors
Ralph Mösges
Martin Hellmich
Silke Allekotte
Kerstin Albrecht
Myriam Böhm
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2011
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-011-1535-9

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