Return to theatre | 3 | 0 | ||
Pain | 12 | 13 | ||
Vomiting | 13 | 16 | ||
Blood in vomit | 7 | 9 | ||
Anaesthetic | 3 | 5 | ||
Patients unhappy about discharge | 4 | 14 | ||
2 | Auf et al. (1997) [5] , UK | KTP laser: 20 ml | KTP laser, out of 38 patients | |
Dissection: 52 ml | 0 patients had a primary haemorrhage. | |||
Significant difference between the two | 6 patients had a secondary haemorrhage of whom 2/6 patients required readmission (but not surgery). | |||
Groups p < 0.01. | ||||
Dissection: | ||||
No primary or second haemorrhage was observed in any patient. | ||||
3 | D’eredita and Marsh (2004) [6] , USA | Minimal for both groups (around 5 ml). | Authors report that in both groups no early haemorrhage occurred during the first 24 hours and no late haemorrhage was reported by parents during follow-up. | |
4 | Strunk and Nichols (1990) [7] , USA | KTP laser: 17.65 ml | There were no occurrences of primary haemorrhage. | |
Dissection: 58.59 ml | ||||
Significant difference between the two | Secondary haemorrhage | |||
Groups p < 0.01. | KTP laser: 1 (24) patient had a secondary haemorrhage, which resolved after chemical cautery. | |||
Dissection: 1 (37) one patient had secondary haemorrhage, which resolved spontaneously. | ||||
Left laser: 1 patient had a secondary haemorrhage on the right dissection site, which required operative cautery. | ||||
Right laser: No secondary haemorrhage events were observed (0/10). | ||||
One patient in the laser group needed suture ligature to control bleeding. | ||||
5 | Saito, Honda and Saito (1999) [8] , Japan | Authors note that intraoperative blood loss | 1 patient developed a secondary | |
was dramatically reduced with the use of the | haemorrhage on the conventional side | |||
KTP laser. | 9 days after surgery. | |||
Postoperative bleeding: |