- Cold steel: the tonsils are removed as a whole using sharp metal instruments. The bleeding is controlled with ties or sutures.
- Monopolar or bipolar diathermy: the tonsils are dissected using diathermy, where an electric current
- raises the temperature of the tissue up to 450 °C. The bleeding is addressed in the same way or with ties.
- Laser: now not so popular as the temperature of the tissue raises above 600 °C and causes severe pain after the operation.
- Coblation (Radio-frequency): which is the dissection method of more than 35% of all tonsillectomies performed in the USA.
This method is preferred by the author (AnastasiaRachmanidou) who is a mentor for this technique in the UK.
The usual complications, following tonsillectomy are:
- Bleeding ( the first hours following surgery or up to 12-15 days later)
- Throat pain
- Pain referred to the ears
Nanda Nursing Diagnoses for Tonsillectomy
1. Risk for infection related to, the factors of surgery
2. Pain related to surgical operations
3. Fluid Volume Deficit related to decreased fluid intake secondary to pain on swallowing
4. Imbalanced Nutrition Less Than Body Requirements related to reduced input secondary to pain on swallowing
5. Risks to the ineffectiveness of therapeutic management related to inadequate knowledge about the complications, pain, positioning and management activities.