Outcomes of Partial Intracapsular Bizact™ Versus Bipolar Electrocautery Tonsillectomy in Pediatric Patients: A Prospective Analysis

Authors : Elvin Alaskarov, Necdet Özçelik
Pages : 173-180
Doi:10.52827/hititmedj.1581528
View : 41 | Download : 38
Publication Date : 2025-06-23
Article Type : Research Paper
Abstract :Objective: : This study aimed to compare the intraoperative and postoperative outcomes of Partial Intracapsular Bizact™ Tonsillectomy (PIBT) and Bipolar Electrocautery Tonsillectomy (BET) in pediatric patients. Material and Method: We conducted a single-center, prospective, randomized study involving 260 pediatric patients who underwent tonsillectomy under general anesthesia. Patients were randomly assigned to either the PIBT group or the BET group. Demographic and clinical data were collected, and the measured outcomes included operation time, intraoperative bleeding, postoperative pain scores, time to resume a normal diet, and the incidence of secondary bleeding. Results: The mean age of patients was similar between the PIBT and BET groups. The PIBT group demonstrated a significantly shorter operation time (11 ± 3.3 minutes) compared to the BET group (18 ± 3.7 minutes, p<0.05). Intraoperative bleeding was significantly lower in the PIBT group (PIBT: 11 ± 2.7 ml; ET: 13 ± 2.3 ml, p<0.05). Postoperative pain scores were significantly lower in the PIBT group on days 3 and 7. Patients in the PIBT group resumed a normal diet significantly earlier (7.3±1.5 days) than those in the BET group. The incidence of secondary bleeding was slightly lower in the PIBT group (3.6%) compared to the BET group (4.7%). Conclusion: Partial Intracapsular Bizact™ Tonsillectomy offers significant advantages over electrocautery tonsillectomy, including shorter operation time, reduced intraoperative blood loss, decreased postoperative pain, and a faster return to a normal diet. These findings suggest that PIBT may be a preferred technique for pediatric tonsillectomy.
Keywords : Bizact™, intraoperatif kanama, postoperatif ağrı, tonsillektomi

ORIGINAL ARTICLE URL