Journal Reviews

Does Tranexamic acid reduce intraoperative bleeding during FESS?

1 March 2019 | | Rhinology / Sinus | Tranexamic acid, endoscopic sinus surgery, meta-analysis, operative bleeding, operative time, systematic review

Intraoperative bleeding during FESS can reduce visibility and obscure important landmarks. This can result in longer operative times, increase risks of complications and even lead to incomplete surgery. Tranexamic acid is a drug which prevents fibrinolysis and stabilises blood clots....

The effect of cocaine or adrenaline dressing during endoscopic sinus surgery

1 January 2015 | | Rhinology / Sinus | FESS, chronic rhinosinusitis, functional endoscopic sinus surgery, intraoperative bleeding, surgical field, vasoconstriction

A randomised controlled study of 37 patients took place that underwent endoscopic sinus surgery for chronic rhinosinusitis and received adrenaline or cocaine-soaked patties. The study showed no difference in the mean surgical field scores between adrenaline and cocaine sides. Adequate...