{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:41:15Z","timestamp":1792802475784,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,5,13]],"date-time":"2015-05-13T00:00:00Z","timestamp":1431475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To analyse post\u2010tonsillectomy haemorrhage (\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      ) rates related to technique for dissection and haemostasis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      Register study from the National Tonsil Surgery Register in Sweden (\n                      <jats:styled-content style=\"fixed-case\">NTSRS<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      All patients, subjected to tonsillectomy (\n                      <jats:styled-content style=\"fixed-case\">TE<\/jats:styled-content>\n                      ) without adenoidectomy from 1 March 2009 to 26 April 2013, were included in the study. The surgeon reports data about technique and early\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      , while late\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      is reported by the patient in a questionnaire 30\u00a0days after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      15734 patients with complete data concerning technique for dissection and for haemostasis were identified in the\n                      <jats:styled-content style=\"fixed-case\">NTSRS<\/jats:styled-content>\n                      . Techniques used were cold steel dissection with uni\u2010 or bipolar diathermy haemostasis (65.3%), diathermy scissors (15.7%), coblation (9.1%), cold steel dissection with cold haemostasis (7.4%) and ultrascision (2.5%). Early and late\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      were reported in 3.2% and 9.4% of the cases, respectively, and return to theatre (\n                      <jats:styled-content style=\"fixed-case\">RTT<\/jats:styled-content>\n                      ) in 2.7%. The rates for\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">RTT<\/jats:styled-content>\n                      related to technique were analysed. Compared with cold dissection+ cold haemostasis, late\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      rate was 2.8 times higher after cold dissection + hot haemostasis, 3.2 times higher after coblation, 4.3 times higher after diathermy scissors and 5.6 times higher after ultrascision. The risk for\n                      <jats:styled-content style=\"fixed-case\">RTT<\/jats:styled-content>\n                      was higher for all hot techniques except for coblation, while ultrascision resulted in a lower risk for early\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      All hot techniques resulted in a higher risk for late\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      compared with cold steel dissection +cold haemostasis. The risk for\n                      <jats:styled-content style=\"fixed-case\">RTT<\/jats:styled-content>\n                      was higher for all hot techniques except for coblation, while ultrascision resulted in a lower risk for early\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      . An early\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      was associated with an increased risk for late\n                      <jats:styled-content style=\"fixed-case\">PTH<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.12361","type":"journal-article","created":{"date-parts":[[2014,12,16]],"date-time":"2014-12-16T12:21:46Z","timestamp":1418732506000},"page":"248-254","source":"Crossref","is-referenced-by-count":88,"title":["Post\u2010tonsillectomy haemorrhage rates are related to technique for dissection and for haemostasis. An analysis of 15734 patients in the National Tonsil Surgery Register in Sweden"],"prefix":"10.1111","volume":"40","author":[{"given":"A.\u2010C. Hess\u00e9n","family":"S\u00f6derman","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Aleris Sabbatsberg Stockholm Sweden"},{"name":"Division of Clinical Science, Intervention and Technology Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Odhagen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Sahlgrenska University Hospital Gothenburg Sweden"},{"name":"Institute of Clinical Sciences Sahlgrenska Academy at the University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Ericsson","sequence":"additional","affiliation":[{"name":"School of Health and Medical Sciences \u00d6rebro University \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Hemlin","sequence":"additional","affiliation":[{"name":"Sollentuna Specialist Clinic Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Hultcrantz","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Sunnergren","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Ryhov County Hospital and Futurum the Academy for Health and Care County Council J\u00f6nk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Stalfors","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Sahlgrenska University Hospital Gothenburg Sweden"},{"name":"Institute of Clinical Sciences Sahlgrenska Academy at the University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000342317"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000342315"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22179"},{"key":"e_1_2_11_5_1","first-page":"CD002211","article-title":"Dissection versus diathermy for tonsillectomy","author":"Pinder D.K.","year":"2011","journal-title":"Cochrane Database Syst. 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