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Effects of the Valsalva Maneuver on Intraoperative Bleeding During Tonsillectomy

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dc.contributor.authorÇALIM, ÖMER FARUK
dc.contributor.institutionauthorÇALIM, ÖMER FARUK
dc.date.accessioned2019-12-21T20:59:41Z
dc.date.available2019-12-21T20:59:41Z
dc.date.issued2019-01-01
dc.description.abstractObjective: We investigated whether the Valsalva maneuver helps detect any further bleeding points following adequate hemostasis in tonsillectomy. Methods: This was a prospective study of consecutive patients who underwent tonsillectomy performed in a tertiary medical center. The data collected included age, gender, method of operation, and hemorrhage (if any) informations. Immediately after completing the surgery, hemostasis was performed by an anesthesiologist using the Valsalva maneuver to identify bleeding points. Intraoperative and postoperative hemorrhage, as well as the treatment applied. were recorded. Results: One hundred twenty patients underwent tonsillectomy (53 males and 67 females). Tonsillectomy was performed using cold dissection in 59 patients (26 males and 33 females) and bipolar diathermy in 61 patients (27 males and 34 females). The differences in intraoperative hemorrhage following Valsalva were significantly higher in the cold dissection group than in the hot (bipolar) group (p=0.044). Tonsillectomy using bipolar cautery had a statistically significantly higher postoperative hemorrhage rate than that using cold dissection (p<0.05). Conclusion: The Valsalva maneuver is useful for identifying subtle bleeding vessels in tonsillectomy wound bed. We suggest applying the procedure for final verification of hemostasis before ending the surgery.
dc.identifier.citationÇALIM Ö. F. , -Effects of the Valsalva Maneuver on Intraoperative Bleeding During Tonsillectomy-, BEZMIALEM SCIENCE, cilt.7, ss.43-46, 2019
dc.identifier.doi10.14235/bas.galenos.2018.2299
dc.identifier.trdizin308076
dc.identifier.urihttps://hdl.handle.net/20.500.12645/10687
dc.identifier.wosWOS:000499481600010
dc.language.isoen
dc.subjectValsalva maneuver
dc.subjecttonsillectomy
dc.subjectbipolar cautery
dc.subjectcold dissection
dc.subjecthemorrhage
dc.titleEffects of the Valsalva Maneuver on Intraoperative Bleeding During Tonsillectomy
dc.typeArticle
dspace.entity.typePublication
local.avesis.id8ae9b8de-979b-43f0-bf4c-d5a081ceb5cc
local.publication.isinternational1
relation.isAuthorOfPublication07d9f94f-4845-4056-b486-ad19c15144cd
relation.isAuthorOfPublication.latestForDiscovery07d9f94f-4845-4056-b486-ad19c15144cd
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