Effect of warm saline on bleeding during sinus and septum surgery

Objective: to assess the effect of warm saline on bleeding and surgical field visibility during endoscopic sinus surgery and septorhinoplasty

Methods: the study included 100 patients, of both males and females, aged 28-58 years, classed I and II by the American Society of Anesthesiologists [ASA], and assigned for elective functional endoscopic sinus surgery and septorhinoplasty under general endotracheal induced hypotensive anesthesia, at King Hussein Hospital, King Hussein Medical City [KHMC], Amman, Jordan, during the period Jan.2014-Feb.2015. Patients were assigned using sealed envelopes into two groups: group I [n=50]: patients received warm saline of up to 48 Degree Celsius [DC] during surgery for packing and irrigation and group II [n=50]: patients received room temperature normal saline of up to 20 DC, with the use of vasoconstrictors [in functional endoscopic sinus surgery and septorhinoplasty] and microdebriders [only in functional endoscopic sinus surgery]

Results: blood loss was 201.43ml in group I, while room temperature normal saline administration [group II] was correlated with 257 .34 ml of blood loss [P < 0.05]

Conclusion: the administration of topical warm saline of up to 50 DC attained a significant decrease in blood loss and duration of surgery. It enhanced the surgical site visibility and increased the surgical satisfaction during functional endoscopic sinus surgery and septorhinoplasty

Malignant Struma ovarii: a case report

Objective: to report a rare case of papillary thyroid carcinoma arising in Struma ovarii