Abstract
Objective
To investigate the safety and efficacy of two topical blood stopper modulators; Ankaferd blood stopper (ABS) and feracrylum 1% solution (FS) during adenoid surgery.
Study design
Prospective randomized trial.
Methods
Two hundred and twenty five consecutive pediatric adenoid patients aged from 9 months to 2 years old were studied. Patients were randomly allocated into two haemostatic groups; (ABS, FS) and normal saline (control group).
Results
ABS and FS groups showed a significantly less intra operative blood loss (16.4 ± 2.6/22 ± 6.2), operative time (9.31 ± 1.9/11.2 ± 1.6 min), use of cautery (10.6/25.3%), postoperative analgesics (3 ± 1.1/3.8 ± 1.2), duration to return normal diet (2.4 ± 1.2/3.9 ± 0.9) and operating theatre cost (233 ± 48$ and 279 ± 40$) than the control group.
Conclusion
AFS and FS are easy, safe, and reliable topical haemostatic modulators that could be used in adenoid surgery.
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Acknowledgements
The authors thank the ENT department and all the nurse staff team working in the operating theatre of Tiaba hospitals, Kuwait for their skilful assistance and help.
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Informed consent was obtained from all parents of individual participants included in the study.
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Abdallah, R.A., Ragab, S.M. & Hassanin, M.Z. Topical blood stopper agents during adenoid surgery in young children; a prospective randomized controlled trial. Eur Arch Otorhinolaryngol 275, 1157–1163 (2018). https://doi.org/10.1007/s00405-018-4929-0
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DOI: https://doi.org/10.1007/s00405-018-4929-0