Hot saline irrigation for control of intraoperative bleeding in adenoidectomy: a randomized controlled trial.
OBJECTIVE
To investigate the efficiency of hot (50 degrees C) saline irrigation for hemostasis after adenoidectomy.


METHODS
A prospective, controlled, randomized study to investigate hot saline solution in hemostasis of adenoidectomy.


METHODS
A tertiary care pediatric hospital.


METHODS
A group of 120 children, undergoing adenoidectomy alone, were randomized into two groups, either the room-temperature (25 degrees C) or 50 degrees C saline group, at the start of the operation.


RESULTS
One hundred and twenty consecutive patients were enrolled in the study. Age ranged from 1.5 to nine years (mean +/- SD: 4.5 +/- 1.9 years vs 4.9 +/- 1.8 years, 25 degrees C vs 50 degrees C saline groups). There were 36 males and 24 females in the control group (25 degrees C saline group), and 30 males and 30 females in the 50 degrees C saline group. Compared to patients in the control group, 50 degrees C saline reduced the operative time by 3.1 minutes (95% confidence interval [CI] 1.79-4.41, P = 0.001) and reduced the time for hemostasis by 1.77 minutes (95% CI 0.83-2.70, P = 0.008).


CONCLUSIONS
The present study demonstrated that the 50 degrees C saline irrigation was more effectual for postadenoidectomy hemostasis in comparison to room-temperature (25 degrees C) saline irrigation by providing a lesser hemostasis time and requiring lesser need of recurettage and electrocauterization.
Ozmen
Süay
S
Department of Otorhinolaryngology-Head and Neck Surgery, Bursa Dörtçelik Children's Hospital, Bursa, Turkey. suayozmen@yahoo.com
Ozmen
Omer Afşin
OA
D000233:Adenoidectomy / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006358:Hot Temperature; D006801:Humans; D007223:Infant; D007431:Intraoperative Complications / Q000517:prevention & control*; D008297:Male; D011446:Prospective Studies; D012965:Sodium Chloride / Q000627:therapeutic use*; D007507:Therapeutic Irrigation / Q000379:methods*
D012965:Sodium Chloride