University of Jos Institutional Repository >
Medical Sciences >
Surgery >

Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/1641

Title: Hemostasis during Cold Dissection Tonsillectomy: Comparing the Use of Adrenaline and Normal Saline
Authors: Adoga, A.A.
Okeke, E.D.
Issue Date: Nov-2011
Publisher: Journal of Clinical Medicin e and Research
Series/Report no.: Vol. 3;No. 7
Abstract: Various hemostatic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage in tonsillectomy. This study aims to compare the effect of using adrenaline and normal saline in maintaining hemostasis during cold dissection tonsillectomy. This is a prospective randomized single-blind study spanning fifty seven months in a private hospital setting in Jos, Plateau State, Nigeria. Thirty seven patients aged between 2 and 31 years had tonsillectomy consisting of 22 (59.5%) males and 15 (40.5%) females. The mean age of patients was 15.6 years (SD= ± 8.97). Recurrent tonsillitis (45.9%) was the commonest indication for surgery and obstructive sleep apnea was the commonest associated indication in 12 (32.4%) patients. In 12 (32.4%) patients, there was no associated indication for surgery. The mean time required to achieve hemostasis with the use of adrenaline soaked gauze compress was 3.84 min. (SD= ± 0.92) and with the normal saline soaked gauze compress was 4.15 min. (SD=± 0.81) with a difference of 0.31 min. There was no incidence of primary, reactionary or secondary hemorrhage. The local application of adrenaline as a topical hemostatic agent during tonsillectomies is effective in reducing intraoperative and postoperative hemorrhage and invariably reducing operative time with no significant side effects or complications.
URI: http://hdl.handle.net/123456789/1641
ISSN: 2141-2235
Appears in Collections:Surgery

Files in This Item:

File Description SizeFormat
606F89B4666.pdf111.49 kBAdobe PDFView/Open
View Statistics

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.


Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback