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Related Experiment Videos

[A preliminary study of reducing bleeding procedure during endoscopic sinus surgery].

Shuyan Sun1, Zhiming Zhang, Changzhu Wu

  • 1Department of Otolaryngology-Head and Neck Surgery, PLA 202 Hospital, Shenyang 110003.

Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|March 17, 2004
PubMed
Summary

Reducing bleeding during endoscopic sinus surgery using bipolar radiofrequency coagulation is feasible. This method allowed 69.8% of patients to avoid nasal packing post-operation, suggesting a promising approach for surgical hemostasis.

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Minimally Invasive Procedures

Context:

  • Endoscopic sinus surgery (ESS) is a common procedure for nasal diseases.
  • Bleeding control remains a challenge during ESS.
  • Traditional methods for hemostasis can lead to complications.

Purpose:

  • To evaluate the efficacy and feasibility of reducing bleeding procedure (RBP) during endoscopic sinus surgery.
  • To assess the use of bipolar radiofrequency coagulation for intraoperative and postoperative hemostasis.
  • To determine the rate of nasal cavities without gauze packing after ESS.

Summary:

  • Bipolar radiofrequency coagulation was applied to targets and tissues in the nasal cavity of 53 patients undergoing ESS.
  • Postoperative coagulation was also performed to manage bleeding.

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  • 37 out of 53 patients (69.8%) did not require nasal gauze packing after surgery.
  • The average intraoperative bleeding volume was 39.67 ml for patients with chronic sinusitis and nasal polyps.

    • Impact:

    • This technique potentially reduces the need for nasal packing, improving patient comfort and recovery.
    • It offers a method for enhanced hemostasis during complex sinonasal procedures.
    • Further research into RBP during ESS is warranted to optimize surgical outcomes.