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

Abstract

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 outto 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