Hemostatic Efficacy of Topical Application of Cold Hydrogen Peroxide in Adenoidectomy.
- Author:
Hyuk Jin CHANG
1
;
Seoung Hun BAEK
;
Chul Young CHOI
;
Shin No KANG
;
Jin Bok PARK
;
Won Yong LEE
;
Chong Ae KIM
Author Information
1. Department of Otorhinolaryngology, Wallace Memorial Baptist Hospital, Busan, Korea. nogarybeer@lycos.co.kr
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Hydrogen peroxide;
Adenoidectomy;
Hemostatics
- MeSH:
Adenoidectomy*;
Epinephrine;
Hemorrhage;
Hemostasis;
Hemostatics;
Hydrogen Peroxide*;
Hydrogen*;
Incidence;
Otolaryngology;
Wounds and Injuries
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2003;46(11):946-949
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Adenoidectomy is one of the most common procedures in the field of otolaryngology, and various hemostatic agents and techniques have been used for stanching the wound of adenoidectomy site. The aim of this study is to evaluate the hemostatic efficacy of topical application of cold hydrogen peroxide in adenoidectomy. MATERIALS AND METHOD: We randomly divided 120 candidates (aged 3-14 years) for adenoidectomy into 4 groups, and 3% hydrogen peroxide (3+/-2degrees C), 3% hydrogen peroxide (20+/-2degrees C), 0.05% epinephrine solution (3+/-2degrees C) and 0.05% epinephrine solution (20+/-2degrees C) were applied topically to each group respectively. The time consumed for bleeding control, and the hemostatic findings of adenoidectomy wound at 5 minutes after curretage, 6 hours after operation of each group were compared. RESULTS: The use of cold hydrogen peroxide significantly reduced intraoperative time when compared with uisng other hemostatic agents. And in the adenoidectomy site, it is found that the incidence of oozing and active bleeding decreased when cold hydrogen was applied. CONCLUSION: Cold hydrogen peroxide is a useful agent for hemostasis in adenoidectomy.
