COMPARISON BETWEEN HYDROGEN PEROXIDE, ICED PACKS AND NON AGENT PACKS IN TONSILLECTOMY HAEMOSTSIS

Authors

  • Moayad Naji Majeed Assistant prof. paediatric department. THiqar college of medicine
  • Mushtaq Nemaa ENT specialist lecturer Thiqar College of Medicine
  • Ali Abid Saadoon Al –Guzi Lecturer Community department Thiqar college of medicine

Keywords:

Tonsillectomy, Hydrogen peroxide, Haemostasis

Abstract

Objectives: Tonsillectomy is one of the operations most frequently performed by otolaryngologists, who are in search of a technique of tonsillectomy where the operation time and operative blood loss is reduced. This study was carried out to evaluate the effect of hydrogen peroxide 3%  in comparison with iced normal saline on tonsillectomy times, blood loss during the surgery and on the number of packs used. Methods:  Analytical cross sectional study was performed on thirty patients was carried out in the Department of Otolaryngology of AL-Habbobi General Hospital,AL-Nassyria, Iraq, in the period from the 1st week of  March 2010  till the last week of November 2010. Tonsillectomy was performed using hydrogen peroxide 3% as a haemostatic agent in Group A(n = 15 tonsils), while in Group B (n = 15 tonsils) iced normal saline was used where as no agent was used with the gauze pack in GroupC(n=30 tonsils).  Results: The application of pack socked with hydrogen peroxide 3% or iced saline in the tonsillar  fossae reduced the operation time , the operative blood loss  and also reduced the number of packs used  in Group A and B in comparison with  non agent method . The results were statistically significant. Conclusion: The local application of 3% hydrogen peroxide on the tonsillar bed after tonsillectomy is beneficial  to decreasing  the volume of blood loss more than other applications;while no significant difference between group A and B  regarding  the number of packs used and duration of operation

References

Curtin JM. The history of tonsil and adenoid surgery.Otolaryngol Clin North Am 1987; 20:415-419.

Paradise JL, Bluestone CD, Bachman RZ, Colborn DK,Bernard BS, Taylor FH, et al Efficacy of tonsillectomyfor recurrent throat infection in severely affected children - Results of parallel randomized and nonrandomized clinical trials. N Engl J Med 1984; 310:674-683.

Curtain MA. The history of tonsils and adenoids.Otolaryngologic Clinic of North America. 1987;20: 60-62.

Murty GE. Diathermy haemostasis at tonsillectomy:Current practice. J Larygo Otol. 1990; 104:549-52.

Patai S, Rapporport Z, eds. The syntheses of sulphones, sulphoxides and cyclic sulphides. Chichester, UK: John Wiley and Sons, 1994. p. 112-116.

Branemark PI, Ekholm R. Tissue injury caused by wound disinfection. J Bone Joint Surg 1967; 49:48-62.

Lineweaver W, Howard R, Soucy D, McMorris S, Freeman J, Crain C, et al. Topical antimicrobial toxicity.Arch Surg 1985; 120:267-270.

Guerin S, O’Reilly P, Kelly D. Hydrogen peroxide as an irrigation solution: acomparative study of the effect of hydrogen peroxide versus normal saline on the strength of bone-cement interface in arthroplasty. J Clin Neurosci 2007; 14:488-490.

Arif Raza Khan, Aziz Khan, Farman Ali1, Shah-e-din1 and Noor Sahib Khan1ENT Department Khyber Teaching Hospital, Peshawar,2ENT Department DHQ Teaching Hospital D.I.Khan, Pakistan Gomal Journal of Medical Sciences Jan–June, 2007, Vol. 5, No. 1

.Agrawal SR, Jain AK, Marathe D, Agrawal R. The effect of bismuth subgallate a haemostatic agent in tonsillectomy.Indian J Otolaryngol 2005; 57:287-289.

Chang HJ, Baek SH, Choi CY, Kang SN, Park JB, Lee WY, et al. Hemostatic efficacy of topical application of cold hydrogen peroxide in adenoidectomy. Korean J Otolaryngol - Head Neck Surg 2003; 46:946-949.

Al-abassi Ahmed M., Zahra K Saeed Hydrogen Peroxide 3%: Is it Beneficial in Tonsillectomy? SULTAN QABOOS UNIVERSITY MEDICAL JOURNAL JULY 2008, VOLUME 8, ISSUE 2, P. 201-204

Dubey, Prakash K, Singh, Anuj K. Venous oxygen embolism due to hydrogen peroxide irrigation during posterior fossa surgery. J Neurosurg Anesthesiol 2000; 12:54-56

Kalloo AN, Canto MI, Wadwa KS, Smith CL, Gislason GT, Okolo PI, et al. Clinical usefulness of 3% hydrogenperoxide in acute upper GI bleeding: a pilot study. Gastrointest Endosc 1999; 49:518-21.

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2021-06-19

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