Hot saline irrigation for control of intraoperative bleeding in adenoidectomy: a randomized controlled trial

Area of Science:

• Otolaryngology
• Surgical Innovation
• Pediatric Surgery

Background:

• Adenoidectomy is a common pediatric surgical procedure.
• Post-operative bleeding (hemorrhage) is a potential complication following adenoidectomy.
• Effective hemostasis is crucial for minimizing complications and ensuring patient safety.

Purpose of the Study:

• To evaluate the efficacy of using hot (50°C) saline irrigation for achieving hemostasis after adenoidectomy.
• To compare the effectiveness of hot saline irrigation versus room-temperature saline irrigation in controlling bleeding post-adenoidectomy.

Main Methods:

• A prospective, randomized, controlled study was conducted involving 120 children undergoing adenoidectomy.
• Participants were randomized into two groups: one receiving room-temperature (25°C) saline irrigation and the other receiving 50°C saline irrigation.
• Key metrics included operative time and time required for hemostasis.

Main Results:

• The 50°C saline group demonstrated a statistically significant reduction in operative time by 3.1 minutes (P=0.001).
• Hemostasis time was significantly reduced by 1.77 minutes in the 50°C saline group compared to the control group (P=0.008).
• The use of 50°C saline irrigation led to a decreased need for recurettage and electrocauterization.

Conclusions:

• Hot (50°C) saline irrigation is a more effective method for achieving post-adenoidectomy hemostasis than room-temperature saline.
• This technique offers benefits by reducing operative time and the need for secondary hemostatic interventions.
• The findings support the adoption of 50°C saline irrigation as a superior method for hemostasis in adenoidectomy procedures.