Hemostatic Effect of Hot Saline Irrigation During Functional Endoscopic Sinus Surgery -A Prospective Study

Abstract

Objective: A study investigates the impact of hot saline irrigation against room-temperature saline irrigation on intraoperative bleeding reduction during FESS regarding surgical consequences on bleeding management as well as operation visibility and duration.

Study Design: A prospective study

Place and Duration of Study: This study was conducted at the Department of ENT, Pak International Medical College Peshawar, from January 2024 to December 2024.

Methods: One hundred patients having FESS received a research-based random assignment in a prospective trial. Research investigators distributed participants between two groups for receiving hot saline irrigation at 50–55°C or room-temperature saline irrigation. Intraoperative bleeding operative time and surgeon-rated visibility made up the primary results. The measurements for mean blood loss followed statistical analysis employing the Student’s t-test at p<0.05 significance.

Results: The sample consisted of 100 patients whose average age stood at 45.2 ± 10.5 years. The hot saline-treated patients experienced less intraoperative bleeding compared to controls at a statistical level of p<0.001. Those patients who received hot saline irrigation required less operative time according to statistical analysis data (p = 0.02). The hot saline irrigation method led to superior visibility scores according to surgeons (p=0.01). The usage of hot saline solution did not lead to any negative side effects throughout the experiment. The data indicates hot saline irrigation works as an effective as well as safe additional method to achieve better hemostasis during FESS procedures.

Conclusion: During FESS surgery hot saline brain irrigation system works to reduce bleeding amounts while enhancing visibility conditions and decreasing operating times without generating adverse effects. Hot saline
irrigation provides an economical method to enhance surgical outcomes as an easily applicable surgical aid. Research involving larger participant groups should confirm the observed results.