Open AccessFloSeal with Adenotonsillectomy to Prevent Adverse Outcomes
Author(s) -
Dyer Steven R.,
Durvasula Phani,
Bathula Samba,
Sana Saidshoib,
Haupert Michael,
Madgy David,
Dworkin James
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451438a201
Subject(s) - medicine , surgery , retrospective cohort study
Objective The aim of study was to compare the postoperative complications associated with adenotonsillectomy with or without the application of FloSeal at the completion of the procedure in 2 similar groups. Method This retrospective study was performed at a tertiary care pediatric hospital between January 2007 and December 2008, for OSA and chronic tonsillitis in patients between 1 and 18 years old. Eight hundred patients underwent adenotonsillectomy in an identical manner, with half reciving FloSeal intraoperatively. Outcomes measured were: hemorrhage, return to OR, and dehydration. Results Age ranged from 1 to 18 years. Male gender was found to have a slight predominance without statistical significance (χ 2 = 0.01, P =. 93). Preoperative diagnosis was more commonly OSA (79.9%) compared to chronic tonsillitis (20.1%). Primary bleed rate was found to occur in 2 subjects (0.3%); 1 FloSeal and 1 No FloSeal subject (χ 2 = 0.004, P =. 95). Secondary bleeding was seen in 18 subjects (2.5%); 11 FloSeal and 7 No FloSeal (χ 2 = 1.32, P =. 25). Dehydration was seen in 51 subjects (7.1%); 24 FloSeal and 27 No FloSeal (χ 2 = 0.01, P =. 92). The need for return to OR was seen in 7 subjects (1%); 5 FloSeal and 2 No FloSeal (χ 2 = 1.59, P =. 21). Conclusion In our experience, the application of FloSeal hemostatic matrix after monopolar adenotonsillectomy demonstrates no additional reduction in postoerative complications encountered in the pediatric population.