A comparative study between haemocoagulase and adrenaline in achieving hemostasis in tympanoplasty
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 8, Issue 2
Abstract
Background: Bleeding is a major setback during the ear surgery. Haemostasis with drugs plays major role in the prevention of bleeding during surgery. The present study compared the haemostatic effect of adrenaline with haemocoagulase in type 1 tympanoplasty. Materials and Methods: This is a prospective double-blind study done on 100 patients admitted in Department of Otorhinolaryngology in MVJ Medical College and Research Hospital from November 2014 to September 2016. Selected patients were divided into 2 groups Group-I (cotton balls soaked in 1 ml of adrenaline) Group-II (cotton balls soaked in about 1ml of of haemocoagulase). The time taken during surgery from elevation of flap to placement of graft and number of cotton balls used during surgery were assessed and the efficacy of both the drugs in controlling bleeding and attaining haemostasis were noted. Surgeries performed in all the patients in the study was by the same surgeon. Results: In this study 52% were males and 48% were females with majority of patients between the age group 31 to 40 years. The duration of ear perforation was 7.5 years with majority of patients presenting with large central perforation (51%). Majority of patients had normal middle ear mucosa (68%) compared to congested middle ear mucosa. The number of cotton balls used with adrenaline was 6 and with haemocoagulase was 8. The average time taken for surgery was 38 minutes with adrenaline and 43 minutes with haemocoagulase. Conclusion: It is concluded in our study that adrenaline is a better middle ear haemostat when compared to haemocoagulase irrespective of the middle ear mucosa (normal/congested) in type 1 tympanoplasty
Authors and Affiliations
Lavanya M, Madhukar M, Minutha R, B T Nagaraj
Keywords
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- EP ID EP467841
- DOI 10.26611/1016825
- Views 182
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