Teker Aysenur Meric, Korkut Arzu Yasemin, Gedikli Orhan, Kahya Volkan
Otorhinolaryngology Department, Vakif Gureba Training and Research Hospital, Fatih, Istanbul, Turkey.
Int J Pediatr Otorhinolaryngol. 2009 Dec;73(12):1742-5. doi: 10.1016/j.ijporl.2009.09.029.
This is a prospective study evaluating the efficacy of Ankaferd Blood Stopper as a hemostatic agent compared to hemostasis by means of knot-tie after cold knife dissection tonsillectomy.
Study design was the use of ABS and the KT to reach hemostasis for patients undergoing tonsillectomy. ABS is applied on right side tonsil fossa and KT is used on left side tonsil fossa. Measured outcomes such as blood loss, surgical time, and complication will be assessed. In total, 47 consecutive patients undergoing cold knife dissection tonsillectomy were studied, in all of whom Ankaferd Blood Stopper wet tampon was used for right side tonsil hemorrhage and knot-tie technique for left side tonsil hemorrhage. Data were collected intraoperatively. Follow-up visits of all patients were completed at postoperative days 1, 3, 7, and 10.
Ankaferd Blood Stopper side had shorter hemostasis time after tonsil removal than knot-tie side (3.19+/-0.74 min vs 7.29+/-2.33 min [mean+/-SD], p<0.01) and less blood loss (1.57+/-2.26 ml vs 14.04+/-7.23 ml [mean+/-SD], p<0.01). In addition, KT number was less with ABS side as compared to KT side (p<0.01).
The side on which Ankaferd Blood Stopper was used had statistically significant differences in hemostasis time, blood loss, and knot-tie number in the operation period. Ankaferd Blood Stopper is safe and efficient, and it decreases intraoperative bleeding, reduces operating time, as compared to the traditional hemostasis methods after cold knife dissection tonsillectomy.
本前瞻性研究旨在评估安卡福得止血剂(Ankaferd Blood Stopper)作为一种止血剂,与冷刀扁桃体切除术后通过打结止血的效果对比。
研究设计为对接受扁桃体切除术的患者使用安卡福得止血剂(ABS)和打结技术(KT)来实现止血。ABS应用于右侧扁桃体窝,KT用于左侧扁桃体窝。将对诸如失血量、手术时间和并发症等测量结果进行评估。总共对47例连续接受冷刀扁桃体切除术的患者进行了研究,所有患者中,右侧扁桃体出血使用安卡福得止血剂湿棉球,左侧扁桃体出血使用打结技术。术中收集数据。所有患者在术后第1、3、7和10天完成随访。
安卡福得止血剂一侧扁桃体切除术后的止血时间比打结一侧短(3.19±0.74分钟 vs 7.29±2.33分钟[均值±标准差],p<0.01),失血量也更少(1.57±2.26毫升 vs 14.04±7.23毫升[均值±标准差],p<0.0)。此外,与打结一侧相比,安卡福得止血剂一侧的打结次数更少(p<0.01)。
使用安卡福得止血剂的一侧在手术期间的止血时间、失血量和打结次数方面具有统计学显著差异。与冷刀扁桃体切除术后的传统止血方法相比,安卡福得止血剂安全有效,可减少术中出血,缩短手术时间。