| Revista: | Revista de especialidades médico-quirúrgicas |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000349494 |
| ISSN: | 1665-7330 |
| Autores: | Hernández Paz, Sergio Horacio1 Ortiz Reyes, Araceli1 García Guzmán, Claudia María1 |
| Instituciones: | 1Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Hospital 1 de Octubre, México, Distrito Federal. México |
| Año: | 2012 |
| Volumen: | 17 |
| Número: | 1 |
| Paginación: | 3-7 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental, caso clínico |
| Resumen en español | sistema de cirugía ambulatoria |
| Resumen en inglés | Objective: To compare the hemostatic effects of two substances derived from bismuth (subsalicylate and subgalate) with epinephrine in the surgery of the tonsils and adenoids. Material and methods: We designed a prospective, longitudinal, controlled, randomized single-blind study of 45 male and female patients from 3 to 55 years old with surgical indication for tonsillectomy, adenoidectomy or adenotonsillectomy seen in Centro de Cirugia Ambulatoria, ISSSTE from August to December, 2009. Patients were divided randomly into 3 groups of 15 patients each one: group 1, which used a mixture of bismuth subsalicylate + epinephrine as topical hemostatic; group 2, which used a mixture of bismuth subgallate and epinephrine as topical hemostatic and group 3, which used sutures or electrocautery as hemostatic methods, all patient underwent outpatient surgery. Results: We included 45 patients from 3 to 55 years old (average 9.8 years), of which 22 were women (48.8%) and 23 men (51.1%). Two patients (4.4%) underwent adenoidectomy; a patient (2.2%) underwent tonsillectomy and the 42 remaining underwent adenotonsillectomy. Average bleeding group was: group 1 (BSS) 85.40 mL; group 2 (BSG) 67.66 mL and control group 112.00 mL. Conclusions: Significant difference among three study groups was observed (p = 0.045), which was identified among the group 2 (BSG) and control (p = 0.023). There was not statistically significant difference between group 1 (BSS) and group 2 (BSG) (p = 0.074). Bismuth subsalicylate and bismuth subgallate plus epinephrine showed similar hemostatic efficacy and safety in adenotonsillectomy performed |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Otorrinolaringología, Adenoidectomía, Amigdalectomía, Subsalicilato de bismuto, Subgalato de bismuto, Epinefrina, Hemostasis |
| Keyword: | Medicine, Otolaryngology, Surgery, Adenoidectomy, Tonsillectomy, Bismuth subsalicilate, Bismuth subgallate, Epinephrine, Hemostasis |
| Texto completo: | Texto completo (Ver PDF) |
