INTRA-OPERATIVE ASSESSMENT OF HYDROGEN PEROXIDE & NORMAL SALINE AS A HAEMOSTATIC AGENT IN TONSILLECTOMY

Abstract

A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identied and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or hydrogen peroxide among others. To understand the vasoconstrictive and haemostatic properties of Hydrogen Peroxide in Tonsillectomy bleed. Sixty-ve (65) patients undergoing Tonsillectomy for Chronic Tonsillitis were part of the study. To avoid bias, dissection of the right tonsil was taken as Group 1 and left tonsil as Group 2. Normal Saline-soaked cotton ball was used to give local pressure in the tonsillar fossa in Group 1 and 3% Hydrogen Peroxide-soaked cotton ball was used in Group 2. Blood loss and time taken to dissect were taken as parameters of study.In Group 1, it took 18.24 min on an average from rst incision to completion. In Group 2, it took 15.55 min on an average from rst incision to completion. The time in Group 2 was 14.74% lesser than Group 1. The average blood loss in Group 1 was 66.27 ml and in Group 2 the same value stood at 51.22 ml. The blood loss in Group 2 was 22.71% lesser than in Group 1. There were no complications encountered. Powered by Editorial Manager and ProduXion Manager from Aries Systems Corporation 3% Hydrogen Peroxide is a potent agent for antimicrobial activity and haemostasis when introduced in the tonsillar fossa post tonsillectomy. When used in moderation, it is very effective in preventing blood loss. Also, there are no serious complications associated with the use of Hydrogen Preoxide as a haemostatic agent.