The Use of Hypertonic Saline Injection in Peritonsillar Fossa during Monopolar Tonsillectomy

Autor: Ahmed Shaker, Ahmed Younes, Salah El-Hadidi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Medical Arts, Vol 5, Iss 9, Pp 3618-3623 (2023)
Druh dokumentu: article
ISSN: 2636-4174
2682-3780
DOI: 10.21608/ijma.2023.232827.1795
Popis: Background: There are multiple techniques used for tonsillectomy including monopolar cautery. Monopolar electrocautery creates an electrical arch that occurs between the tissue and the appliance, which cause thermal damage with subsequent post-operative discomfort. It is hypothesized that normal saline injection may reduce thermal damage during monopolar cautery.Aim of the work: To evaluate the role of intraoperative use of hypertonic saline in tonsillar fossa for reduction of patients’ pain and discomfort. Patients and Methods: This study included 50 pediatric patients indicated for tonsillectomy. Patients were divided into 2 groups; group [A]: 25 patients have electrical mono polar tonsillectomy with hypertonic saline injection into peritonsillar fossa, and group [B]: 25 patients have electrical mono polar tonsillectomy without hypertonic saline injection. The main outcomes were intraoperative blood loss, surgery duration and postoperative pain.Results: In our study, patients in group [A] had significant reduction of blood loss [P=
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