European Archives of Oto-Rhino-Laryngology

, Volume 268, Issue 2, pp 255–260 | Cite as

Tissue welding tonsillectomy provides an enhanced recovery compared to that after monopolar electrocautery technique in adults: a prospective randomized clinical trial

  • Juha Silvola
  • Aarre Salonen
  • Jouko Nieminen
  • Hannu KokkiEmail author


We have compared tonsillectomy (TE) with tissue welding (TW) technology using a specially designed forceps versus conventional monopolar electrocautery to evaluate whether this new technology may improve recovery after TE. This was a single-blind, randomized clinical trial with two parallel groups. Sixty healthy adult day-surgery patients were allocated into the TW-TE group (n = 31) and the monopolar electrocautery-TE group (n = 29). We recorded intraoperative events and short- and long-term recovery for 2 weeks postoperatively. The patients and study nurses evaluating patients during recovery were blinded to the operation method used. All patients in the TW-TE group completed the study as per protocol, but in the monopolar electrocautery-TE group, there was one drop-out in the hospital and another after discharge. There was no difference in the perioperative parameters and early recovery between the two groups. After discharge, recovery was significantly faster in the TW group than in the monopolar group: (1) the duration of postoperative pain was 2 days shorter, and (2) activities of normal daily living were less affected, and (3) the need for hospital contacts after discharge, and (4) the incidence of postoperative bleeding was less in the TW group than that in the monopolar group. No patients in the TW group developed secondary bleeding versus three patients in the monopolar group requiring electrocautery to control bleeding. In conclusion; our results indicate that, TW technique may provide reduced pain, faster recovery, and fewer complications compared to electrocautery TE.


Otorhinolaryngological surgical procedures Tonsillectomy Tissue welding Surgical instruments Ketoprofen Oxycodone 



The work was performed at Päijät-Häme Central Hospital in Lahti, Lahti, Finland. We did not receive any financial or material support for this research from any external body. The authors do not have any financial interests in companies or other entities that have an interest in the information presented here.

Conflict of interest statement

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Juha Silvola
    • 1
  • Aarre Salonen
    • 1
  • Jouko Nieminen
    • 1
  • Hannu Kokki
    • 2
    Email author
  1. 1.Department of OtorhinolaryngologyPäijät-Häme Central Hospital of LahtiLahtiFinland
  2. 2.Department of Anesthesiology and Intensive CareKuopio University Hospital and University of Eastern FinlandKuopioFinland

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