الفهرس 
Material and methodsOnly 14 pages are availabe for public view
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Abstract
Tonsillectomy with BSG and epinephrine paste as a
haemostatic method is new developingtechnique.
The components ofBSGand epinephrine paste are available
in Egypt and need simple instruments ( sensitive weighter and
pharmaceutical mortar) to be prepared
• BSG and epinephrine paste as a haemostatic method has
the advantage of being atraumatic method·. This property
attracts our attention to the anticepated benefits of the use of
this paste.
• In order to determine its advantages • we designed a
porspective randomized study to compare between BSG as a
haemostatic method and ligature and suture for haemostasis
• Our study included 40 children aged between 8 and 10
years underwent tonsilllectomyfor reccurrent chronic tonsillitis.
Twenty patients underwent tonsillectomy with BSG and
epinephrine paste and the other twenty patients underwent
tonsillectomywith ligation and suturetechnique
• During the sugrery • application of BSG and epinephrine
paste resulted in rapid coagulation of blood with the result of
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swnmaTl/ and Conclusion
relatively bloodless field which helped rapid easy and fine
dissection . we also noticed that haemostasis by BSG and
epinephrine paste was easier than ligation and suture which is a
very importatnt advantage for the beginner surgeon
• The application ofBSG and epinephrine paste resulted in
reduction of operative time by ( 37 .2 % ) . This is important in
high - risk patient and very small children in whom anaethesia
time are of primary concern .
• The application ofBSG and epinephrine paste resulted in
reduction of operative blood loss by (23.1 %) • Decreasing
operative blood loss is useful for the beginner ~ obtain relatively
bloodless field and easy fine dissection .
• The application of BSGand epinephrine paste resulted in
decreasing of postoperative pain by (43.7 % ) . Decreasing post
_ operative pain encourged the patients to begin eating of soft
food immediately after recorery from anaethesia and made pain
to be tolerable even without analgesic .
• The effects of acute bismuth metal intoxication which
include gastro-intestinal disturbances skin reaction and
characteristic blue line on the gums did not appear in our
group.
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summary and Conclusion
• BSG and epinephrine paste for haemostasis proved to be
better than ligation and suture in reducing operative time
operative blood loss and postoperative pain .
• We conclude from the previous findings that BSG and
epinephrine paste for haemostasis has several benefits for the
patient and surgeon so we advice its wide use .