POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI

OBJECTIVE To compare the possibility of Post-operative hemorrhage in septoplasty with and without nasal packing among the patients operated at PNS SHIFA hospital Karachi STUDY DESIGN: Comparative Study SETTING: PNS SHIFA hospital Karachi DURATION OF STUDY: Six months, 21-04-2019 to 20-1...

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Autores principales: Muhammad Fahad Wasim, Naeem Riaz, Sohail Aslam, Syed Muhammad Asad Shabbir Bukhari, Humza Mumtaz, Iqbal Husain
Formato: article
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Publicado: Army Medical College Rawalpindi 2020
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Acceso en línea:https://doi.org/10.51253/pafmj.v70i6.3696
https://doaj.org/article/6e5633cd5ecd406abe8a5ca9e1b93fe2
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spelling oai:doaj.org-article:6e5633cd5ecd406abe8a5ca9e1b93fe22021-12-02T17:16:33ZPOST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHIhttps://doi.org/10.51253/pafmj.v70i6.36960030-96482411-8842https://doaj.org/article/6e5633cd5ecd406abe8a5ca9e1b93fe22020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3696https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842OBJECTIVE To compare the possibility of Post-operative hemorrhage in septoplasty with and without nasal packing among the patients operated at PNS SHIFA hospital Karachi STUDY DESIGN: Comparative Study SETTING: PNS SHIFA hospital Karachi DURATION OF STUDY: Six months, 21-04-2019 to 20-10-2019 PATIENTS AND METHODS: Ninety two patients who underwent septoplasty due to deviation of nasal septum at ENT department of PNS SHIFA were included in the analysis. Patients were randomly divided into two groups. Group one did not undergo nasal packing after the surgery and group two underwent nasal packing after the surgical procedure. Chi-square was used to see the difference in post-operative hemorrhage, headache, discomfort and septal perforation between the two groups. RESULTS Out of 92 patients included in the final analysis 61 were male and 31 were female. Pot operative bleeding was found in three patients in group one while thirteen patients in group two had bleeding after the procedure. With Pearson chi-square test, we found that post-operative bleeding, headache and discomfort was significantly more in the patients with nasal packing after the procedure of septoplasty due to deviated nasal septum. CONCLUSION Nasal packing emerged as a procedure linked with more complications rather than benefits among the patients undergoing septoplasty in our study. Not only post-operative hemorrhage but also headache and discomfort were more common among the patients with nasal packing as compared to those without nasal packing. Nasal packing after septoplasty should be discouraged without any obvious indication in the patients undergoing septoplasty. Muhammad Fahad WasimNaeem RiazSohail AslamSyed Muhammad Asad Shabbir BukhariHumza Mumtaz Iqbal HusainArmy Medical College Rawalpindiarticlehemorrhagenasal packingseptoplastyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 6, Pp 1629-1633 (2020)
institution DOAJ
collection DOAJ
language EN
topic hemorrhage
nasal packing
septoplasty
Medicine
R
Medicine (General)
R5-920
spellingShingle hemorrhage
nasal packing
septoplasty
Medicine
R
Medicine (General)
R5-920
Muhammad Fahad Wasim
Naeem Riaz
Sohail Aslam
Syed Muhammad Asad Shabbir Bukhari
Humza Mumtaz
Iqbal Husain
POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
description OBJECTIVE To compare the possibility of Post-operative hemorrhage in septoplasty with and without nasal packing among the patients operated at PNS SHIFA hospital Karachi STUDY DESIGN: Comparative Study SETTING: PNS SHIFA hospital Karachi DURATION OF STUDY: Six months, 21-04-2019 to 20-10-2019 PATIENTS AND METHODS: Ninety two patients who underwent septoplasty due to deviation of nasal septum at ENT department of PNS SHIFA were included in the analysis. Patients were randomly divided into two groups. Group one did not undergo nasal packing after the surgery and group two underwent nasal packing after the surgical procedure. Chi-square was used to see the difference in post-operative hemorrhage, headache, discomfort and septal perforation between the two groups. RESULTS Out of 92 patients included in the final analysis 61 were male and 31 were female. Pot operative bleeding was found in three patients in group one while thirteen patients in group two had bleeding after the procedure. With Pearson chi-square test, we found that post-operative bleeding, headache and discomfort was significantly more in the patients with nasal packing after the procedure of septoplasty due to deviated nasal septum. CONCLUSION Nasal packing emerged as a procedure linked with more complications rather than benefits among the patients undergoing septoplasty in our study. Not only post-operative hemorrhage but also headache and discomfort were more common among the patients with nasal packing as compared to those without nasal packing. Nasal packing after septoplasty should be discouraged without any obvious indication in the patients undergoing septoplasty.
format article
author Muhammad Fahad Wasim
Naeem Riaz
Sohail Aslam
Syed Muhammad Asad Shabbir Bukhari
Humza Mumtaz
Iqbal Husain
author_facet Muhammad Fahad Wasim
Naeem Riaz
Sohail Aslam
Syed Muhammad Asad Shabbir Bukhari
Humza Mumtaz
Iqbal Husain
author_sort Muhammad Fahad Wasim
title POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
title_short POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
title_full POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
title_fullStr POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
title_full_unstemmed POST-OPERATIVE HEMORRHAGE IN SEPTOPLASTY WITH AND WITHOUT NASAL PACKING A COMPARATIVE STUDY AT OTORHINOLARYNGOLOGY DEPARTMENT OF PNS SHIFA HOSPITAL, KARACHI
title_sort post-operative hemorrhage in septoplasty with and without nasal packing a comparative study at otorhinolaryngology department of pns shifa hospital, karachi
publisher Army Medical College Rawalpindi
publishDate 2020
url https://doi.org/10.51253/pafmj.v70i6.3696
https://doaj.org/article/6e5633cd5ecd406abe8a5ca9e1b93fe2
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