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: