Document Detail

Bismuth subgallate: a safe means to a faster adenotonsillectomy.
MedLine Citation:
PMID:  7964138     Owner:  NLM     Status:  MEDLINE    
Tonsillectomy, with or without adenoidectomy, is one of the most commonly performed surgical procedures and as such contributes significantly to the surgery performed by GPs and ENT surgeons. In this randomized controlled study we compared the use of a compound bismuth subgallate (BSG) during adeno-tonsillectomy with the standard operations. Two hundred and two tonsillectomies were randomized into two groups. BSG was used in 90 patients while the other 112 patients were used as controls. The mean operating time was reduced from 11.5 to 9.9 minutes, the number of swabs from 4.5 to 3.7 and number of ties from 3.4 to 2.1. All these reductions were significant (p-values all < 0.05). There were no post-operative complications in either group. Thus the use of BSG during adeno-tonsillectomy or tonsillectomy alone significantly decreases the operating time and results in less intraoperative haemorrhage with fewer ties and swabs being required.
P J Wormald; S L Sellars
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  108     ISSN:  0022-2151     ISO Abbreviation:  J Laryngol Otol     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1994-12-29     Completed Date:  1994-12-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  761-2     Citation Subset:  AIM; IM    
Department of Otolaryngology, Groote Schuur Hospital, Observatory, Cape Town, South Africa.
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MeSH Terms
Adenoidectomy / methods*
Blood Loss, Surgical / prevention & control
Gallic Acid / analogs & derivatives*,  therapeutic use
Hemostasis, Surgical / methods*
Hemostatics / therapeutic use*
Intraoperative Period
Organometallic Compounds / therapeutic use*
Tonsillectomy / methods*
Reg. No./Substance:
0/Hemostatics; 0/Organometallic Compounds; 149-91-7/Gallic Acid; 99-26-3/bismuth subgallate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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