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Introduction Tonsillectomy is a common surgical procedure done by otolaryngologists. Tonsillectomy is a relatively simple procedure. The concept of implementing it as a day case operation has become increasingly popular. Material and Methods This is a cross sectional study done in Alahsa city, eastern province, Saudi Arabia during the period from January 2014 to March 2015,This study reported the postoperative hemorrhage after Bipolar diathermy and Cold dissection surgical techniques to evaluate the incidence of the hemorrhage and to identify the possible risk factors associated with its occurrence. Results Postoperative bleeding occurred in 45 (3.6%) out of 1232 patients. Post-tonsillectomy hemorrhage according to operation technique was significantly higher among patients who underwent bipolar diathermy than cold dissection technique ( p < 0.05). Conclusion Bleeding after operation by bipolar diathermy technique was occurring more frequently within the first five days. Hemoglobin level was significantly decreased in post-tonsillectomy hemorrhage. [ABSTRACT FROM AUTHOR]

Background: Postnasal drip syndrome may result from isolated hyperplasia of nasal inferior turbinates due to chronic rhinitis. Mucotomy (conchotomy) performed in such patients is generally effective but in some individuals the problem persists after surgery. Objective: The aim of this study was to determine factors influencing outcome of the therapy. Methods: One hundred six patients aged 17-60 years (mean = 34, SD = 12) with hyperplasia of the inferior turbinates underwent bipolar diathermy mucotomy. Nonallergic noninfectious rhinitis was diagnosed in 18, neutrophilic in 58, allergic in 18 and NARES in 14 patients. The participants were questioned about postnasal drip (PND) intensity before and 2 months after surgery. Results: Results of mucotomy significantly depended on the etiology of chronic rhinitis and were worst in patients with NARES (p < 0.05). Percent values of reduction of PND intensity after mucotomy and percent of daytime with PND persisting after surgery depended on Staphylococcus aureus colonization of the nose (the results were worse in patients with the colonization, p < 0.001). Satisfaction scores were also dependent on S. aureus nasal colonization (p < 0.001) and significantly correlated with percent values of subjective reduction of PND intensity after surgery (p < 0.001) and reduction of PND daily duration (p < 0.001). Conclusions: Results of mucotomy performed for postnasal drip depend on etiology of rhinitis and are worse in S. aureus nasal colonization. [ABSTRACT FROM AUTHOR]

To determine the outcome of distal hypospadias repairs performed using bipolar diathermy (BD) for all the dissection. Retrospective review of 310 patients undergoing distal hypospadias (264 subcoronal/distal penile and 46 coronal/glanular) over a 11-year period. Median age at surgery was 2.0 years (range 9 months–15 years). Caudal anesthesia was performed in all patients. All children underwent an in situ tubularization of the urethral plate, which was combined with midline incision of the plate in 30 (10%). Preputial reconstruction was performed in 303 (98%) patients. BD forceps was used for coagulation and for all the dissection including skin incision, elevation of glans wings, separation of the corpus spongiosum from the corpora cavernosa, and urethral plate incision, when deemed appropriate. The authors assessed surgical complications and cosmetic results. The latter using the hypospadias objective score (HOSE), with a score ≥ 14 considered as acceptable. The average operative time was 70 min. There was no postoperative bleeding or hematomas that required surgical intervention. There were no wound infections or necrosis. Complications occurred in 37 patients (11.9%). Urethral fistula formation was the commonest (n = 18). Postoperative persistent preputial swelling occurred in 3.5% of cases. Two hundred twelve patients (90.6%) had a HOSE score ≥ 14, and no patient required revision surgery for skin problems after a median follow-up of 8.1 (range 1.2–13.1) years. The study is limited by its retrospective nature and by the fact that a number of other pre-operative, intra-operative, and postoperative variables can affect outcome. Bipolar diathermy can be safely used for distal hypospadias repairs. It allowed careful control of intra-operative bleeding and also clear visualization of tissue planes. Complication rate overall compares favorably with the literature, and cosmetic results were satisfactory. Table Results of hypospadias repairs using the bipolar diathermy technique Table All patients (n = 310) % Fully healed 273 88.1 Urethral fistula 18 6 Partial or total urethroplasty dehiscence 6 2 Complete dehiscence 7 2.2 Preputial fistula 2 0.6 Severe urethral meatal stenosis 2 0.6 Persistent chordee 2 0.6 [ABSTRACT FROM AUTHOR]

Objective: This study was undertaken to assess safety and efficacy of vaginal hysterectomy in case of large uterine size (≥ 250 g) using the LigaSure bipolar diathermy (Valleylab, Boulder, CO). Study Design: In a retrospective study, medical records of 102 patients who underwent vaginal hysterectomy and who had uterine weight (evaluated after surgery) 250 g or greater were reviewed. All hysterectomies were performed by using the LigaSure vessel sealing system to secure vascular pedicles (uterosacral-cardinal, uterine and ovarian and round ligaments). Results: Of the 102 vaginal hysterectomies, 99 were successfully performed (97.1%; 95% confidence interval, 91.6-99.4%), whereas a conversion from the vaginal to the abdominal route was required in 3 cases. The median uterine weight was 455 g (range, 241-1913 g). The weight of the largest uterus successfully removed vaginally was 1600 g, without intraoperative and postoperative complications. The median operative time was 50 minutes (range, 25-50 minutes). Conclusion: The current study confirms that very large uterine volume does not represent a real obstacle to perform vaginal hysterectomy and that results in a safe and effective technique in cases of uterine weight 250 g or greater. [Copyright &y& Elsevier]