Comparison between hydrogen peroxide, iced packs and non agent packs in tonsillectomy haemostsis

Abstract EN

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 out to 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 Group C (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.