Aims and objective: The aim of this study was to assess the hemostatic efficacy of topical application of 3% hydrogen peroxide in tonsillectomy.
Materials and methods: The study was conducted in the Department of Otorhinolaryngology, Ananta Institute of Medical Sciences, Rajsamand, Rajasthan, India, for the period of 2 years from July 2016 to July 2018. Eighty randomly selected patients with the clinical diagnosis of chronic tonsillitis with or without adenoid hypertrophy and who underwent tonsillectomy or adenotonsillectomy were included in the study. In group A (n = 40), a gauze piece soaked with 3% hydrogen peroxide was applied to the tonsillar fossa for 5 minutes just after removal of the tonsil. In another 40 patients (group B), a normal saline-impregnated gauze piece was applied to the fossa for 5 minutes. Results were evaluated in terms of duration of surgery, operative blood loss, and the number of ties used to achieve hemostasis.
Results: Age of the patients ranged from 4 to 36 years with a mean age of 14.98 years. The number of female patients (57.5%) was more than male patients (42.5%). The average duration of surgery in group A was 27.63 (±9.24) minutes, while in group B, it was 39.3 (±4.13) minutes. The average amount of blood loss in group A was 70.2 (±7.15) mL, while in group B, it was 92.4 (±5.60) mL. The average number of sutures applied in group A was 1, while in group B, it was 2.1.
Conclusion: The use of 3% hydrogen peroxide in the tonsillar fossa after removal of the tonsil reduces the duration of surgery, the amount of intraoperative blood loss, and the number of ties used to control bleeding.
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