Literature search: inclusion and exclusion criteria
postoperative pain, intraoperative bleeding
POSTOPERATIVE BLEEDING, RECURRENCE, INTRAOPERATIVE BLEEDING
The criteria for considering studies for this systematic review were based on the population, intervention, comparison, and outcome framework (PICOTS).Participants: ChildrenIntervention: adenoidectomyComparison: coblator vs other techniquesOutcomes: any measurable variable attributable to adenoidectomy. Consequently, 11 research questions were defined (1) is coblator adenoidectomy in pediatric patients associated with less intraoperative bleeding? (2) is coblator adenoidectomy in pediatric patients associated with higher operative time? (3) is coblator adenoidectomy in pediatric patients associated to less residual adenoid or postoperative recurrence? (4) is coblator adenoidectomy in pediatric patients associated to less postoperative bleeding? (5) is coblator adenoidectomy in pediatric patients associated to less postoperative pain? (6) is coblator adenoidectomy in pediatric patients associated to improvement in mucociliary clearance? (7) is coblator adenoidectomy in pediatric patients associated to improvement in rhinomanometry? (8) is coblator adenoidectomy in pediatric patients associated to improvement in eustachian tube function? (9) is coblator adenoidectomy in pediatric patients associated to higher cost? (10) is coblator adenoidectomy in pediatric patients associated to less revision rate? and (11) is coblator adenoidectomy in pediatric patients associated to more improvement in sleep disordered breathing?Timing and setting: without limitationTypes of studies: clinical trials and prospective and retrospective cohort studies published in peer-reviewed journals. Case reports, case series, theses, narrative reviews and meeting communications were not included. There were no restrictions by date or publication type, and the research was last updated in December 2022. Studies published in English, Spanish, German, French, Italian, Portuguese, and Spanish were included.Exclusion criteria consisted of (1) studies conducted in syndromic patients; (2) dual publications; (3) mixing of surgical techniques without subgroup analysis (4) mixing of pediatric patients (< 18 years) with adults without subgroup analysis (5) simultaneous performance of tonsillectomy without analysis of variables directly attributed to adenoidectomy and (6) less than 20 cases with coblator.