Abstract
BackgroundTonsillectomy usually was a safe procedure; in adults, the risk of agonizing pain and secondary hemorrhage could be serious. We introduced Daflon as a safe and effective complementary medication in reducing these risks. This prospective study was designed to evaluate the effect of using (Daflon oral medication) on post-tonsillectomy pain and hemorrhage rates. This study was conducted on 60 patients of both sexes, above 21 years, and underwent tonsillectomy using bipolar diathermy. Patients were randomly distributed between 2 groups; each group has 30 patients and with the same post-operative protocol; in group 2, an addition of Daflon 500 mg tablet twice daily for 14 days post-operatively was given.ResultsIn group 2, agonizing pain start day, pain duration, analgesia duration, and need for another type, all were significantly different from group 1, starting day in group 1 (4.3 ± 4.0) and (7.2 ± 1.3) in group 2, pain duration in group 1 (7.3 ± 1.5) and (4.2 ± 1.4) in group 2 and need for more analgesia 80% in group 1 and 50% in group 2. Post-operative hemorrhage was 4 cases (13.3%) in group 1, and 2 cases (7%) in group 2, also severity of post-operative bleeding were less in group 2. Healing membrane detaching time was (12.2 ± 2.2) in group 1 and (9.1 ± 1.9) in group 2.ConclusionThe use of Daflon 500 mg tablet after bipolar tonsillectomy added to effectiveness of pain control also could help in reducing bleeding rates and its severity. Overall, its use enhances recovery and improves quality of life.
Highlights
Tonsillectomy usually was a safe procedure; in adults, the risk of agonizing pain and secondary hemorrhage could be serious
Tonsillectomy is one of the oldest and most common procedures done in ENT specialty over the years
Group 1 underwent the standard surgical and post-operative protocol, and in group 2 (30 patients), the same protocol was conducted in addition to Daflon 500 tablets 12 hourly, for 14 days post-operatively
Summary
Tonsillectomy usually was a safe procedure; in adults, the risk of agonizing pain and secondary hemorrhage could be serious. We introduced Daflon as a safe and effective complementary medication in reducing these risks. This prospective study was designed to evaluate the effect of using (Daflon oral medication) on posttonsillectomy pain and hemorrhage rates. Tonsillectomy is one of the oldest and most common procedures done in ENT specialty over the years. Two major categories of indications: first, infective causes (recurrent, chronic-tonsillitis, quinsy) which represents the majority indications. Intense pain is one of the most important postoperative complaints, and in 20% of cases, it represents one of the common causes for hospital revisit, dehydration, and possibly re-admission [5]
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