European Archives of Oto-Rhino-Laryngology

, Volume 275, Issue 5, pp 1157–1163 | Cite as

Topical blood stopper agents during adenoid surgery in young children; a prospective randomized controlled trial

  • Randa A. Abdallah
  • Sameh M. Ragab
  • Maher Z. Hassanin



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.


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).


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.


AFS and FS are easy, safe, and reliable topical haemostatic modulators that could be used in adenoid surgery.


Topical Ankaferd Feracylum Haemostatic Randomised Controlled Adenoidectomy 



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.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all parents of individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.AL Azhar University HospitalsCairoEgypt
  2. 2.Tanta University HospitalsTantaEgypt
  3. 3.Taiba HospitalBayanKuwait

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