Effects of the Valsalva Maneuver on Intraoperative Bleeding During Tonsillectomy
Journal Title: Bezmiâlem Science - Year 2019, Vol 7, Issue 1
Abstract
Objective: We investigated whether the Valsalva maneuver helps detect any further bleeding points following adequate hemostasis in tonsillectomy. Methods: This was a prospective study of consecutive patients who underwent tonsillectomy performed in a tertiary medical center. The data collected included age, gender, method of operation, and hemorrhage (if any) informations. Immediately after completing the surgery, hemostasis was performed by an anesthesiologist using the Valsalva maneuver to identify bleeding points. Intraoperative and postoperative hemorrhage, as well as the treatment applied, were recorded. Results: One hundred twenty patients underwent tonsillectomy (53 males and 67 females). Tonsillectomy was performed using cold dissection in 59 patients (26 males and 33 females) and bipolar diathermy in 61 patients (27 males and 34 females). The differences in intraoperative hemorrhage following Valsalva were significantly higher in the cold dissection group than in the hot (bipolar) group (p=0.044). Tonsillectomy using bipolar cautery had a statistically significantly higher postoperative hemorrhage rate than that using cold dissection (p<0.05). Conclusion: The Valsalva maneuver is useful for identifying subtle bleeding vessels in tonsillectomy wound bed. We suggest applying the procedure for final verification of hemostasis before ending the surgery.
Authors and Affiliations
Ömer Faruk ÇALIM
Keywords
Related Articles
- EP ID EP684517
- DOI 10.14235/bas.galenos.2018.2299
- Views 159
- Downloads 0
Development and Validation of an In Vitro Dissolution Method Based on HPLC Analysis for L-Dopa Release From PLGA Nanoparticles
Objective: In the past decade, dissolution testing has emerged as a valauble tool for the characterization of drug product performance in the field of pharmaceuticals. During the development of new formulations, dissolut...
Effect of Repeated Movements on Motion Perception and Motor Learning of Dominant and Non-dominant Upper Extremity of Healthy Individuals
Objective: Hand dominancy can be observed as right, left, or the usage of bilateral hands. Majority of the Turkish population are right-hand dominant. This study aimed to examine and interpret the motion perception and m...
Problems of Healthcare Professionals in COVID-19 Pandemic
No summary
Solid Pseudopapillary Neoplasm of the Pancreas As a Rare Cause of Relapsing Acute Pancreatitis: A Case Report
Solid pseudopapillary neoplasm of the pancreas is a rare tumor with low malignant potential. Although they are diagnosed incidentally, acute or relapsing pancreatitis in association with this tumor are reported rarely. A...
Cytogenetic Studies of Chromosome Abnormalities in Thyroid Cancer Patients Before and After Iodine-131 Treatment
Objective: Thyroid cancer is among the most common endocrine malignancies. Initial management consists surgery and ablation. I-131,which is used to damage surgically unremoved thyroid tissue or treat metastases, is a sou...