Hydrogen peroxide 3% : is it beneficial in tonsillectomy ?

الملخص EN

Objective : Tonsillectomy is one of the mosf frequent operations performed by otolaryngologist world over.

Otolaryngologists are in search of a technique of tonsillectomy where the operation tim and operative blood loss is less.

This study was carried out to evaluate the effects of hydrogen peroxide 3 % on tonsillectomy time, blood loss during the surgery as well as on the number of ties used.

Patients and Methods : A prospective randomized trial of 30 patients was carried out, in which tonsillectomy performed in the department of otolaryngology, Basrah General Hospital in Iraq, using hydrogen peroxide 3% as haemostatic agent on one side and on the other side no agent was used with gauze pack.

Results : Application of hydrogen peroxide 3 % in the tonsillar fossae reduces the operation time by 31 %, the operative blood loss by 32.9 % and also reduces the number of ties used by 50% in regard to control side.

All these results are statistically significant.

Conclusions : Local application of 3% hydrogen peroxide on tonsillar bed after tonsillectomy is beneficial in regard to decrease the procedure time, the volume of blood loss, as well as number of ties used.

Objective : To assess the predictive performance of Doppler abnormalities of uterine and umbilical arteries blood flow velocity waveforms (uterine artery protodiastolic notch, Systolic/Diastolic ratio ; S / D and Resistive Index; RI) to predict Preeclampsia ; (PE) and Intrauterine Growth Restriction ; (IUGR)..

Methods : A prospective study included 70 low risk nulliparous women at 19-26 weeks of gestation, in the Obstetrics unit at Al-Yarmouk Teaching Hospital in Baghdad in the period from January 2004 to January 2005.

Their arterial blood pressure; was measured, as they underwent transabdominal ultrasound and pulsed Doppler examinations for evaluating the uterine and umbilical arteries blood flow velocity waveforms, for predicting the development of Preeclampsia and/or Intrauterine Growth Restriction later in pregnancy when the same women were reexamined at 30-35 weeks of gestation and.then followed at delivery time.

Results : The incidence of the outcome was 37.1%.