Use of Gelatin Matrix for Hemostasis in Adult TonsillectomyA Study of 100 Cases
Author(s): Sumitha*
Abstract
Objective: The purpose of study was to study the efficiency of gelatin matrix in achieving homeostasis after Tonsillectomy.
Methods: 100 patients were enrolled (59 males and 41 females) between the age group of 18 to 50 yrs. 73 patients who underwent tonsillectomy for Chronic tonsillitis and 27 patients with Obstructive sleep apnoea who underwent tonsillectomy alone were included. The surgery was done in direction land snare method for all patients surgiflo was applied as the topical hemostatic material using an applicator over the tonsillar fossa on both sides
Results: Hemostasis was obtained in 97% of the study group within 3 minutes of product application The average blood loss was 12 m and the duration of surgery was on average 24.57 5.22 minutes. Patients were able to take normal diet within 2 days after surgery. The follow up period of 4 weeks was uneventful with no evidence of complications 3 cases, in which there was uncontrolled bleed despite the use of surgiflo were managed by conventional ligatures. These 3 cases had been planned for Interval Tonsillectomy after previous attack of quinsy.
Conclusion: Surgiflo gelatin based haemostatic matrix is very useful as a solo topical hemostat in obtaining hemostasis without the need for any other assisted methods and we did not have any adverse effects on the patients.