Ausaf Ahmed Khan.
Comparison of doing partial inferior turbinectomy with and without application of clamp with respect to peroperative bleeding: review of results.
Pak J Surg Jan ;26(2):174-9.

Objective: To compare the two techniques of bilateral partial inferior turbinectomy Study design: Prospective, randomized comparative study. Place and duration of study: The study was conducted over a period of 2 years form June 2007 to May 2009 at Ziauddin Hospital, KDLB campus & Karachi Adventist Hospital, Karachi. Patients and Methods; A total of 48 patients underwent bilateral partial inferior turbinectomy. Th ey were randomly divided into 2 groups. Group-A patients had turbinate trimming done in a traditional way while Group-B patients underwent turbinectomy aft er application of a long hemostat clamp to crush its fringe before resection. A comparison was made between the 2 groups in term of time duration of surgery, intra-operative blood loss, duration of hospital stay, bleeding aft er pack removal and the need to readmit the patient aft er discharge. Results: The average time taken by surgeon to perform turbinectomy in group-B was 12-14 minutes which was 56% less than group-A which was on average 20-25 min. In group-A the average intraoperative blood loss was 75 cc. while in group-B it was only 25 cc., (33% of the group-A). 87% of the group-B patients were discharged on the fi rst post-op day while only 37% of the patients in group-A were discharged on fi rst day and 63% were discharged on second or third day. Aft er pack removal on fi rst day, 58% of the group-A patients needed to have a pack reinserted but only 2 patients in group-B needed that. 3 patients out of 24 in group-A were readmitt ed to the hospital aft er being discharged home because of uncontrolled bleeding, while none of the patient in group-B needed readmission. On follow-up visit, 37% of the patients in group-A complained of intermitt ent mild bleeding at home while only 16% of the patients in group-B had this complaint. Conclusion: The modifi ed technique utilizing a clamp to crush the cut end before surgery as described in this article clearly demonstrate its advantages over the standard technique in terms of a shortened operation time, reduction in blood loss and less incidence of post-operative complications. Th is technique is easy to apply and is recommended for turbinectomy.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com