Intraoperative Use of FloSeal with Adenotonsillectomy to Prevent Adverse Postoperative Outcomes in Pediatric Patients
Objective The purpose of this study was to compare postoperative complications associated with monopolar dissection adenotonsillectomy, with and without the application of FloSeal at the completion of the procedure. Study Design Retrospective cohort study. Setting Tertiary care pediatric hospital. S...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2013-08, Vol.149 (2), p.312-317 |
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| creator | Dyer, Steven R. Bathula, Samba Durvasula, Phani Madgy, David Haupert, Michael Dworkin, James Sana, Saidshoib |
| description | Objective
The purpose of this study was to compare postoperative complications associated with monopolar dissection adenotonsillectomy, with and without the application of FloSeal at the completion of the procedure.
Study Design
Retrospective cohort study.
Setting
Tertiary care pediatric hospital.
Subjects and Methods
This was a retrospective cohort study of 800 cases of adenotonsillectomy. Two cohorts of patients were identified based on whether or not FloSeal was used intraoperatively during the completion of the monopolar dissection adenotonsillectomy. Outcomes that were measured included: (1) age, (2) sex, (3) diagnosis, (4) primary hemorrhage, (5) secondary hemorrhage, (6) return to operating room, and (7) dehydration. All binomial outcomes measured were subjected to chi-square and t tests.
Results
Age and gender were similar between the 2 groups. Chronic tonsillitis was the primary indication more often in the control group; this was statistically significant. Primary hemorrhage occurred in 1 subject from each group (0.28%); secondary hemorrhage occurred in 11 subjects from the FloSeal group (3.22%) and 7 from the control group (1.87%). Both outcomes were not statistically different between the 2 groups. Return to operating room showed no statistically significant difference between groups. The need for postoperative admission for dehydration failed to show statistical significance between groups.
Conclusion
In our experience, the application of FloSeal hemostatic matrix after monopolar adenotonsillectomy demonstrates no additional reduction in postoperative adverse events encountered in the pediatric population. Specifically, our data failed to demonstrate statistically significant reduction of: (1) primary hemorrhage, (2) secondary hemorrhage, (3) return to operating theatre, or (4) dehydration. |
| doi_str_mv | 10.1177/0194599813486253 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1413161570</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0194599813486253</sage_id><sourcerecordid>1413161570</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3861-f4efa55fa3ca5b62d580e0d908482652da39f16df9985df75d0672d5f24a68ad3</originalsourceid><addsrcrecordid>eNqFkEtLxDAUhYMoOj72riRLN9WkbR5dqjg6IM6AzrrE5kYjbTMm6cj8ezOMDxDEVRbn-w65B6FjSs4oFeKc0KpkVSVpUUqes2ILjSipRMYlFdtotI6zdb6H9kN4JYRwLsQu2ssLxquc0BEaJn30yi3Aq2iXgOcBsDN43LoHUC1-t_EFX2joXXR9sG0LTXTdCkeHZx6W0MeULsEna-ZC_OmZDrFxHQRsezwDbVX0tsGzFCYnHKIdo9oAR5_vAZqPrx-vbrO76c3k6uIuawrJaWZKMIoxo4pGsSeeayYJEF0RWcqcs1yrojKUa5NOZNoIpgkXiTJ5qbhUujhAp5vehXdvA4RYdzY00LaqBzeEmpa0oJwyQRJKNmjjXQgeTL3wtlN-VVNSr8euf4-dlJPP9uGpA_0tfK2bALkB3m0Lq38L6-nt_eWYVOn0pGYbNahnqF_d4Ps01N9_-QD955i5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1413161570</pqid></control><display><type>article</type><title>Intraoperative Use of FloSeal with Adenotonsillectomy to Prevent Adverse Postoperative Outcomes in Pediatric Patients</title><source>MEDLINE</source><source>Wiley Online Library</source><source>Sage Journals</source><creator>Dyer, Steven R. ; Bathula, Samba ; Durvasula, Phani ; Madgy, David ; Haupert, Michael ; Dworkin, James ; Sana, Saidshoib</creator><creatorcontrib>Dyer, Steven R. ; Bathula, Samba ; Durvasula, Phani ; Madgy, David ; Haupert, Michael ; Dworkin, James ; Sana, Saidshoib</creatorcontrib><description>Objective
The purpose of this study was to compare postoperative complications associated with monopolar dissection adenotonsillectomy, with and without the application of FloSeal at the completion of the procedure.
Study Design
Retrospective cohort study.
Setting
Tertiary care pediatric hospital.
Subjects and Methods
This was a retrospective cohort study of 800 cases of adenotonsillectomy. Two cohorts of patients were identified based on whether or not FloSeal was used intraoperatively during the completion of the monopolar dissection adenotonsillectomy. Outcomes that were measured included: (1) age, (2) sex, (3) diagnosis, (4) primary hemorrhage, (5) secondary hemorrhage, (6) return to operating room, and (7) dehydration. All binomial outcomes measured were subjected to chi-square and t tests.
Results
Age and gender were similar between the 2 groups. Chronic tonsillitis was the primary indication more often in the control group; this was statistically significant. Primary hemorrhage occurred in 1 subject from each group (0.28%); secondary hemorrhage occurred in 11 subjects from the FloSeal group (3.22%) and 7 from the control group (1.87%). Both outcomes were not statistically different between the 2 groups. Return to operating room showed no statistically significant difference between groups. The need for postoperative admission for dehydration failed to show statistical significance between groups.
Conclusion
In our experience, the application of FloSeal hemostatic matrix after monopolar adenotonsillectomy demonstrates no additional reduction in postoperative adverse events encountered in the pediatric population. Specifically, our data failed to demonstrate statistically significant reduction of: (1) primary hemorrhage, (2) secondary hemorrhage, (3) return to operating theatre, or (4) dehydration.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1177/0194599813486253</identifier><identifier>PMID: 23569201</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>adenoidectomy ; Adenoidectomy - adverse effects ; Adenoidectomy - methods ; adenotonsillectomy ; Adolescent ; Catheter Ablation - methods ; Child ; Child, Preschool ; Female ; FloSeal ; Follow-Up Studies ; Gelatin Sponge, Absorbable - administration & dosage ; Hemostatics - administration & dosage ; Humans ; Incidence ; Infant ; Intraoperative Period ; Male ; Michigan - epidemiology ; monopolar cautery ; pediatric otolaryngology ; postoperative bleeding ; postoperative complications ; Postoperative Hemorrhage - epidemiology ; Postoperative Hemorrhage - prevention & control ; Prospective Studies ; Tonsillectomy - adverse effects ; Tonsillectomy - methods ; Treatment Outcome</subject><ispartof>Otolaryngology-head and neck surgery, 2013-08, Vol.149 (2), p.312-317</ispartof><rights>American Academy of Otolaryngology—Head and Neck Surgery Foundation 2013</rights><rights>2013 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3861-f4efa55fa3ca5b62d580e0d908482652da39f16df9985df75d0672d5f24a68ad3</citedby><cites>FETCH-LOGICAL-c3861-f4efa55fa3ca5b62d580e0d908482652da39f16df9985df75d0672d5f24a68ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0194599813486253$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0194599813486253$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,1411,21799,27903,27904,43600,43601,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23569201$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dyer, Steven R.</creatorcontrib><creatorcontrib>Bathula, Samba</creatorcontrib><creatorcontrib>Durvasula, Phani</creatorcontrib><creatorcontrib>Madgy, David</creatorcontrib><creatorcontrib>Haupert, Michael</creatorcontrib><creatorcontrib>Dworkin, James</creatorcontrib><creatorcontrib>Sana, Saidshoib</creatorcontrib><title>Intraoperative Use of FloSeal with Adenotonsillectomy to Prevent Adverse Postoperative Outcomes in Pediatric Patients</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>Objective
The purpose of this study was to compare postoperative complications associated with monopolar dissection adenotonsillectomy, with and without the application of FloSeal at the completion of the procedure.
Study Design
Retrospective cohort study.
Setting
Tertiary care pediatric hospital.
Subjects and Methods
This was a retrospective cohort study of 800 cases of adenotonsillectomy. Two cohorts of patients were identified based on whether or not FloSeal was used intraoperatively during the completion of the monopolar dissection adenotonsillectomy. Outcomes that were measured included: (1) age, (2) sex, (3) diagnosis, (4) primary hemorrhage, (5) secondary hemorrhage, (6) return to operating room, and (7) dehydration. All binomial outcomes measured were subjected to chi-square and t tests.
Results
Age and gender were similar between the 2 groups. Chronic tonsillitis was the primary indication more often in the control group; this was statistically significant. Primary hemorrhage occurred in 1 subject from each group (0.28%); secondary hemorrhage occurred in 11 subjects from the FloSeal group (3.22%) and 7 from the control group (1.87%). Both outcomes were not statistically different between the 2 groups. Return to operating room showed no statistically significant difference between groups. The need for postoperative admission for dehydration failed to show statistical significance between groups.
Conclusion
In our experience, the application of FloSeal hemostatic matrix after monopolar adenotonsillectomy demonstrates no additional reduction in postoperative adverse events encountered in the pediatric population. Specifically, our data failed to demonstrate statistically significant reduction of: (1) primary hemorrhage, (2) secondary hemorrhage, (3) return to operating theatre, or (4) dehydration.</description><subject>adenoidectomy</subject><subject>Adenoidectomy - adverse effects</subject><subject>Adenoidectomy - methods</subject><subject>adenotonsillectomy</subject><subject>Adolescent</subject><subject>Catheter Ablation - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>FloSeal</subject><subject>Follow-Up Studies</subject><subject>Gelatin Sponge, Absorbable - administration & dosage</subject><subject>Hemostatics - administration & dosage</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Intraoperative Period</subject><subject>Male</subject><subject>Michigan - epidemiology</subject><subject>monopolar cautery</subject><subject>pediatric otolaryngology</subject><subject>postoperative bleeding</subject><subject>postoperative complications</subject><subject>Postoperative Hemorrhage - epidemiology</subject><subject>Postoperative Hemorrhage - prevention & control</subject><subject>Prospective Studies</subject><subject>Tonsillectomy - adverse effects</subject><subject>Tonsillectomy - methods</subject><subject>Treatment Outcome</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLxDAUhYMoOj72riRLN9WkbR5dqjg6IM6AzrrE5kYjbTMm6cj8ezOMDxDEVRbn-w65B6FjSs4oFeKc0KpkVSVpUUqes2ILjSipRMYlFdtotI6zdb6H9kN4JYRwLsQu2ssLxquc0BEaJn30yi3Aq2iXgOcBsDN43LoHUC1-t_EFX2joXXR9sG0LTXTdCkeHZx6W0MeULsEna-ZC_OmZDrFxHQRsezwDbVX0tsGzFCYnHKIdo9oAR5_vAZqPrx-vbrO76c3k6uIuawrJaWZKMIoxo4pGsSeeayYJEF0RWcqcs1yrojKUa5NOZNoIpgkXiTJ5qbhUujhAp5vehXdvA4RYdzY00LaqBzeEmpa0oJwyQRJKNmjjXQgeTL3wtlN-VVNSr8euf4-dlJPP9uGpA_0tfK2bALkB3m0Lq38L6-nt_eWYVOn0pGYbNahnqF_d4Ps01N9_-QD955i5</recordid><startdate>201308</startdate><enddate>201308</enddate><creator>Dyer, Steven R.</creator><creator>Bathula, Samba</creator><creator>Durvasula, Phani</creator><creator>Madgy, David</creator><creator>Haupert, Michael</creator><creator>Dworkin, James</creator><creator>Sana, Saidshoib</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201308</creationdate><title>Intraoperative Use of FloSeal with Adenotonsillectomy to Prevent Adverse Postoperative Outcomes in Pediatric Patients</title><author>Dyer, Steven R. ; Bathula, Samba ; Durvasula, Phani ; Madgy, David ; Haupert, Michael ; Dworkin, James ; Sana, Saidshoib</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3861-f4efa55fa3ca5b62d580e0d908482652da39f16df9985df75d0672d5f24a68ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>adenoidectomy</topic><topic>Adenoidectomy - adverse effects</topic><topic>Adenoidectomy - methods</topic><topic>adenotonsillectomy</topic><topic>Adolescent</topic><topic>Catheter Ablation - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>FloSeal</topic><topic>Follow-Up Studies</topic><topic>Gelatin Sponge, Absorbable - administration & dosage</topic><topic>Hemostatics - administration & dosage</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Intraoperative Period</topic><topic>Male</topic><topic>Michigan - epidemiology</topic><topic>monopolar cautery</topic><topic>pediatric otolaryngology</topic><topic>postoperative bleeding</topic><topic>postoperative complications</topic><topic>Postoperative Hemorrhage - epidemiology</topic><topic>Postoperative Hemorrhage - prevention & control</topic><topic>Prospective Studies</topic><topic>Tonsillectomy - adverse effects</topic><topic>Tonsillectomy - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dyer, Steven R.</creatorcontrib><creatorcontrib>Bathula, Samba</creatorcontrib><creatorcontrib>Durvasula, Phani</creatorcontrib><creatorcontrib>Madgy, David</creatorcontrib><creatorcontrib>Haupert, Michael</creatorcontrib><creatorcontrib>Dworkin, James</creatorcontrib><creatorcontrib>Sana, Saidshoib</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dyer, Steven R.</au><au>Bathula, Samba</au><au>Durvasula, Phani</au><au>Madgy, David</au><au>Haupert, Michael</au><au>Dworkin, James</au><au>Sana, Saidshoib</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Use of FloSeal with Adenotonsillectomy to Prevent Adverse Postoperative Outcomes in Pediatric Patients</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2013-08</date><risdate>2013</risdate><volume>149</volume><issue>2</issue><spage>312</spage><epage>317</epage><pages>312-317</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>Objective
The purpose of this study was to compare postoperative complications associated with monopolar dissection adenotonsillectomy, with and without the application of FloSeal at the completion of the procedure.
Study Design
Retrospective cohort study.
Setting
Tertiary care pediatric hospital.
Subjects and Methods
This was a retrospective cohort study of 800 cases of adenotonsillectomy. Two cohorts of patients were identified based on whether or not FloSeal was used intraoperatively during the completion of the monopolar dissection adenotonsillectomy. Outcomes that were measured included: (1) age, (2) sex, (3) diagnosis, (4) primary hemorrhage, (5) secondary hemorrhage, (6) return to operating room, and (7) dehydration. All binomial outcomes measured were subjected to chi-square and t tests.
Results
Age and gender were similar between the 2 groups. Chronic tonsillitis was the primary indication more often in the control group; this was statistically significant. Primary hemorrhage occurred in 1 subject from each group (0.28%); secondary hemorrhage occurred in 11 subjects from the FloSeal group (3.22%) and 7 from the control group (1.87%). Both outcomes were not statistically different between the 2 groups. Return to operating room showed no statistically significant difference between groups. The need for postoperative admission for dehydration failed to show statistical significance between groups.
Conclusion
In our experience, the application of FloSeal hemostatic matrix after monopolar adenotonsillectomy demonstrates no additional reduction in postoperative adverse events encountered in the pediatric population. Specifically, our data failed to demonstrate statistically significant reduction of: (1) primary hemorrhage, (2) secondary hemorrhage, (3) return to operating theatre, or (4) dehydration.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23569201</pmid><doi>10.1177/0194599813486253</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2013-08, Vol.149 (2), p.312-317 |
| issn | 0194-5998 1097-6817 |
| language | eng |
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| source | MEDLINE; Wiley Online Library; Sage Journals |
| subjects | adenoidectomy Adenoidectomy - adverse effects Adenoidectomy - methods adenotonsillectomy Adolescent Catheter Ablation - methods Child Child, Preschool Female FloSeal Follow-Up Studies Gelatin Sponge, Absorbable - administration & dosage Hemostatics - administration & dosage Humans Incidence Infant Intraoperative Period Male Michigan - epidemiology monopolar cautery pediatric otolaryngology postoperative bleeding postoperative complications Postoperative Hemorrhage - epidemiology Postoperative Hemorrhage - prevention & control Prospective Studies Tonsillectomy - adverse effects Tonsillectomy - methods Treatment Outcome |
| title | Intraoperative Use of FloSeal with Adenotonsillectomy to Prevent Adverse Postoperative Outcomes in Pediatric Patients |
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