Comparison of peri-operative haemorrhage and post-operative pain in endoscopic and conventional intranasal polypectomy

ABSTRACT

To compare endoscopic and conventional intranasal polypectomy in reference to peri-operative haemorrhage and post-operative pain. Randomized Control Trial [RCT]. This study was conducted in the department of ENT and Head and Neck Surgery, Combined Military Hospital Rawalpindi, from January 2007 to July 2008. After getting informed consent, 120 patients fulfilling the inclusion criteria reporting to ENT department during study period were selected. The patients were assigned to two groups A and B by random number table. Group 'A' underwent endoscopic assisted polypectomy using powered shavers and group 'B' underwent simple intranasal polypectomy using Tilley Henckle's forceps. Peri-operative haemorrhage and post-operative pain were studied for first 24 hours post-operatively. Peri-operative haemorrhage and post-operative pain had significant difference in both groups with less peri-operative haemorrhage and post-operative pain in group A. endoscopic assisted powered polypectomy significantly reduces the morbidity associated with this operation i.e. perio-operative haemorrhage and post-operative pain