RESUMO
The most feared complication for the ENT specialists in the adenotonsillectomy is the immediate or mediate haemorrhage after surgery. We revise the literature and contrast experiencies with other colleage. We have found an astringent substance (bismuth subgallate), which helps us give an exact intraoperative diagnosis of the bleeding spot by the colour contrast it shows, and serves us also as a hemostatic, since it activates the XII factor in coagulation. We revise this product regarding its origen, prentation, applications and toxic effects.
Assuntos
Ácido Gálico/análogos & derivados , Hemostasia Cirúrgica , Hemostáticos/administração & dosagem , Compostos Organometálicos/administração & dosagem , Tonsilectomia , Administração Tópica , Ácido Gálico/administração & dosagem , HumanosRESUMO
La complicación más temida por los otorrinos en la adenoamigdalectomía es la hemorragia inmediata o mediata a la cirugía. Revisamos la literatura y contrastando experiencias con compañeros de la especialidad, hemos encontrado una sustancia astringente (subgalato de bismuto) que a la vez que nos ayuda al diagnóstico intraoperatorio exacto del punto sangrante por el contraste de color que produce, nos sirve como hemostático ya que activa el factor XII de la coagulación. Hacemos una revisión de este producto en cuanto a su origen, forma de presentación, aplicaciones y efectos tóxicos
The most feared complication for the ENT specialists in the adenotonsillectomy is the immediate or mediate haemorrhage after surgery. We revise the literature and contrast experiencies with other colleage. We have found an astringent substance (bismuth subgallate), which helps us give an exact intraoperative diagnosis of the bleeding spot by the colour contrast it shows, and serves us algo as a hemostatic, since it activates the XII factor in coagulation. We revise this product regarding its origen, prentation, applications and toxic effects
Assuntos
Humanos , Tonsilectomia/métodos , Hemostasia Cirúrgica/métodos , Bismuto/uso terapêutico , Tonsilite/cirurgiaRESUMO
In spite of the advance in the diagnose and treatment of sudden hearing loss and specially in the autoimmune sensorineural hearing loss, it is on the field of investigation to fix a specific mark for the latter allness. We refer the diagnostic and therapeutic use of sudden hearing loss and the autoimmune sensorial hearing loss.
