WORLD JOURNAL OF PLASTIC SURGERY

en The Effect of Tranexamic Acid Local Injection on Bleeding during and after Tonsillectomy: A Double-Blind Randomized Placebo-Controlled Trial تخصصي Special مقالات اصيل Original Article Background: Tonsillectomy-related bleeding is one of the most prevalent and potentially fatal complications of this common surgical procedure. We aimed to assess the effect of tranexamic acid (TXA) local injection on bleeding during and after tonsillectomy. Methods: This double-blind, randomized placebo-controlled trial included 20 candidates for tonsillectomy referred to Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, Iran, in 2022. The subjects were randomized into two groups. Ten patients received TXA on their left side and the other ten on their right side 10 min before surgery. Placebo was administered to the contralateral side. The primary outcome was the volume of blood loss during tonsillectomy and up to 24 hours post-tonsillectomy. The secondary outcomes were surgeon satisfaction (rated 0-10), hemodynamic complications (patients’ heart rate (HR) and mean arterial pressure (MAP) were recorded every 10 min), and rebleeding. The duration of surgery was also noted. Results: The mean age of the patients was 21.35 ± 3.16 years, of whom 8 (30%) were male and 12 (60%) were female. there was no significant difference between groups in terms of HR and MAP at any time point. The median of surgery duration did not differ significantly between the two groups; however, the surgeon satisfaction with the procedure was significantly higher with TXA compared to placebo. None of the patients developed hemodynamic complications, and rebleeding did not occur in any of the subjects. Conclusions: TXA local injection was not superior to placebo in terms of bleeding control during and after tonsillectomy, hemodynamic complications, rebleeding, and surgery duration.   Hemorrhage, Placebo, Tonsillectomy, Tranexamic acid 31 36 http://wjps.ir/browse.php?a_code=A-10-878-2&slc_lang=en&sid=1 Mojtaba Abtahi 100319475328460015009 100319475328460015009 No Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Amir-Abbas Kargoshai 100319475328460015010 100319475328460015010 No Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Hamidreza Shetabi 100319475328460015011 100319475328460015011 No Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Amir Manafi 100319475328460015012 100319475328460015012 No Department of Anesthesia, Detroit Medical Center, NorthStar Anesthesia, Detroit, MI. Navid Manafi 100319475328460015013 100319475328460015013 No Department of Anesthesia, Detroit Medical Center, NorthStar Anesthesia, Detroit, MI. Ali Badrouj 100319475328460015014 100319475328460015014 Yes Department of Otorhinolaryngology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran