Day-case endoscopic sinus surgery using dissolvable haemostatic nasal packs: a pilot study

Area of Science:

• Otolaryngology
• Surgical Innovation
• Patient Outcomes

Background:

• Post-operative bleeding is a common concern following endoscopic sinus surgery (ESS).
• Traditional nasal packing requires removal, which can be uncomfortable for patients.
• Novel dissolvable nasal packing materials offer potential advantages in managing post-operative care.

Purpose of the Study:

• To evaluate the efficacy and safety of dissolvable nasal packs (Sinu-knit) in controlling post-operative bleeding after ESS.
• To assess potential complications associated with this new packing material.
• To determine patient satisfaction with dissolvable nasal packs in a day-case surgery setting.

Main Methods:

• Prospective pilot study involving 15 patients undergoing ESS.
• Inclusion criteria focused on suitability for day-case procedures.
• Outcomes measured included readmission rates, bleeding, complications, and patient satisfaction surveys.
• Follow-up included regular nasendoscopy for up to 6 months.

Main Results:

• No patients required readmission due to post-operative bleeding.
• No post-operative adhesions were observed during follow-up.
• Fourteen out of fifteen patients were discharged on the same day.
• High patient satisfaction was reported, primarily due to the absence of pack removal.

Conclusions:

• Dissolvable nasal packs (Sinu-knit) are a safe and effective option for managing post-operative bleeding in ESS.
• The use of dissolvable packs enhances patient comfort and satisfaction by eliminating the need for removal.
• These findings support the use of dissolvable nasal packs in day-case sinus surgery protocols.