Hydrogen Peroxide as a Haemostatic Agent in Tonsillectomy Bleed: An Overview

  title={Hydrogen Peroxide as a Haemostatic Agent in Tonsillectomy Bleed: An Overview},
  author={Saai Ram Thejas and Ravindranath Vinayak and Mohan Sindu},
  journal={Indian Journal of Otolaryngology and Head \& Neck Surgery},
  pages={1 - 6}
Tonsillectomy as a surgical procedure has been practiced by ENT surgeons for a very long time. A common indication for Tonsillectomy is Chronic Tonsillitis, among others. The surgery is largely safe irrespective of the method used. Haemorrhage can be a life-threatening complication post Tonsillectomy if it is not identified and treated immediately. Various techniques are used to achieve haemostasis and prevent haemorrhage including surgical tie, cautery, local application of adrenaline or… 


Hydrogen Peroxide 3%: Is it Beneficial in Tonsillectomy?
The local application of 3% hydrogen peroxide on the tonsillar bed after tonsillectomy is beneficial in regard to decreasing the procedure time, the volume of blood loss, and the number of ties used.
The effect of bismuth subgallate as haemostatic agent in tonsillectomy
  • S. Agrawal, A. Jain, D. Marathe, R. Agrawal
  • Medicine
    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
  • 2005
The effect of bismuth subgallate (BSG) and adrenaline on tonsillectomy time blood loss during the surgery as well as on the number of ties used is evaluated.
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Patients with chronic and recurrent tonsillitis who underwent surgery in Group 2 (coblation) showed better outcome when compared to Group 1 (dissection and snare method) and the duration of surgery was less in Groups 1 and 2.
Factors Associated with Post-tonsillectomy Hemorrhage
It appears that one controllable variable in preventing delayed bleeding following tonsillectomy and adenoidectomy might be related to certain details of hemostatic technique.
Population-based analysis of tonsil surgery and postoperative hemorrhage
Establishing national guidelines for indication of tonsil surgery, especially of tonsilllectomy, including recommendations for perioperative care to decrease variations intonsil surgery rates and minimize postoperative complications is recommended.
Oropharyngeal packing for resistant post-tonsillectomy bleeding
Resistant, potentially fatal, post-tonsillectomy bleeding could be controlled by oropharyngeal packing around orotracheal tubes, and this can be tried first before external carotid artery ligature.
Incidence of post-tonsillectomy haemorrhaging in Denmark.
The rate of post-tonsillectomy haemorrhaging (rPTH) increased from 1991 to 2012 in hospitals and in private ORL office settings alike and there was a significantly higher rate in the age group of 20-40 years and a significant geographical difference in rPTH.
Hemostasis in tonsillectomy. A comparison of electrocoagulation and ligation.
Electrocoagulation has proved to be reliable, safe, and significantly faster than ligation, and the overall postoperative bleeding was 2.31% and 1.44%, respectively.