European Journal of Molecular & Clinical Medicine

Objective: This study was initiated with an aim to recognize the various perspectives, attitudes and beliefs of the undergraduate medical students of Hayat Medical college to human cadaver dissection. Their physical and emotional responses for coping with cadavers were also recognized. Students were also asked for their opinion regarding utilization of alternative digital methods for understanding human body. A structured questionnaire was administered to 220 students (PC1, PC2, C1 and C2) all at the same time in August 2016. The mean age for males was considered as 23.9±0.9 and for females as 22.7±0.7 years respectively. Results: Out of 22(11.5%) students who did not perform dissection their reason was found to be low motivation in 3.6%, fear in 2.1% and the irritating odor of the preserving chemical in 1.6%. 39.1 percent of the subjects felt considerable anxiety and stress in the dissection room during their initial exposure. Many students did not report any abnormal reaction after being exposed to cadavers for the first time, however; eye irritation was a common symptom experienced. 133 students (69.3%) strongly supported cadaver dissection and refuted its role in hampering their ethnicity and culture. 71.9% students deny any benefits of other digital instructional materials like videos and models over cadavers. Conclusion: This study found that eye irritation, nausea and, fear and stress are some of the symptoms reported by MBBS students when they are first exposed to a cadaver in the dissecting room. It is, therefore, very important that anatomy instructors bring up new ideas/strategies to reduce such problems in the dissecting room. Pointing out such problems faced by students should also urge medical professors and tutors to indulge into new innovational strategies for teaching anatomy. (1)

Background: Tonsillectomy is one of the most common surgical procedures in the world, various other techniques have been attempted over the previous decades to lower morbidity of this operation, and one of these new techniques is the bipolar radiofrequency dissection to remove the tonsils.
Objectives: This study is to compare the radiofrequency tonsillectomy with traditional cold steel dissection tonsillectomy prospectively regarding intraoperative time and blood loss, and postoperative pain and complications in children.
Methods: 194 children suffering from recurrent tonsillitis are included in this study, their age range from 3-16 years, they are divided randomly into two equal groups, each group 97 children, and one group sustained bipolar radiofrequency tonsillectomy while the second group sustained traditional cold dissection tonsillectomy. In all operations we record blood loss amount and operative time and they are followed for 10 days after operation during which we record degree of pain and incidence of postoperative complications.
Results: The radiofrequency tonsillectomy patients got less intraoperative blood loss (mean 10ml) and shorter operation time (mean 9 minutes), when compared with cold steel dissection tonsillectomy ( mean blood loss 80ml,mean time 16 minutes). The postoperative pain was significantly less in the radiofrequency patients than in the cold steel dissection tonsillectomy patients. In addition, no postoperative hemorrhage occurred after radiofrequency tonsillectomy in our study but it happened in 2 of cold steel dissection tonsillectomy group of patients.
Conclusions: Radiofrequency tonsillectomy is better than cold dissection tonsillectomy in terms of lower blood loss and operation time, with less postoperative pain and complications, so we recommend it as an ideal technique for tonsillectomy.