Topical adrenaline in the control of intraoperative bleeding in adenoidectomy: a randomised, controlled trial

Abstract

Use of topical adrenaline can be recommended in adenoidectomy among children. It helps control the intraoperative bleeding, reduces the use of electrocautery and shortens the durations of procedure and stay in the OR.

The hemostatic efficacy of Ankaferd Blood Stopper in adenoidectomy

“…This prevented potential Eustachian tube dysfunction caused by excessive cautery usage and nasopharyngeal stenosis caused by excessive scarring. The study conducted by Teppo et al [4] using racemic adrenaline indicated that systemic side effects occurred as a result of using adrenaline; our study demonstrated that ABS had no such side effects.…”

“…Ö zmen and Ö zmen [3] reported a duration of operation as 12 min, while Teppo et al [4] reported 13 min. Ö zmen and Ö zmen [3] compared patients with a control group; 50 8C saline reduced the operative time by 3.1 min and reduced the time for hemostasis by 1.8 min.…”

“…Teppo et al [4] used electrocautery in 11 (22%) of the 51 patients in the study group, in which racemic adrenaline was also used. In our study, electrocautery was used in five patients (10.9%) in the ABS group and 18 patients (40.9%) in the control group.…”

“…Gauze tampons are frequently placed in the nasopharynx for hemostasis of the bleeding that occurs after adenoidectomy and are left in place for a while. In the event that the hemorrhage cannot be controlled using this method, it is typically dealt with by other methods, such as saline irrigation and epinephrine tampons, or the use of cautery [2][3][4]. An advantage of hemostasis using cautery is that it is cost-effective.…”

“…An advantage of hemostasis using cautery is that it is cost-effective. Its disadvantages include the risk of nasopharynx stenosis and the damage it can create in surrounding tissues [4]. Studies indicate that the average intraoperative hemorrhage during adenoidectomy is 43-54 ml.…”