AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery
Objective: After Endoscopic Sinus Surgery (ESS), packing plays an important role in wound healing and hemostasis. However, the effect of the packing removal procedure on physician stress has not been evaluated. The purpose of this study was to evaluate physician stress during packing removal for pat...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
|
| Series: | Brazilian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869423000605 |
| _version_ | 1797683103385255936 |
|---|---|
| author | Kei Hosoya Yohei Maeda Taro Komachi Kazuki Sato Kimihiro Okubo |
| author_facet | Kei Hosoya Yohei Maeda Taro Komachi Kazuki Sato Kimihiro Okubo |
| author_sort | Kei Hosoya |
| collection | DOAJ |
| description | Objective: After Endoscopic Sinus Surgery (ESS), packing plays an important role in wound healing and hemostasis. However, the effect of the packing removal procedure on physician stress has not been evaluated. The purpose of this study was to evaluate physician stress during packing removal for patients treated with AQUACEL® Ag Advantage versus KALTOSTAT®. Methods: This retrospective study included 15 patients who underwent packing with ESS for chronic rhinosinusitis performed at two centers; 9 were treated with AQUACEL® Ag Advantage and 6 were treated with KALTOSTAT®. Physician stress during packing removal was evaluated with the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). The time required to remove the packing and the number of instruments used in the procedure were recorded. Postoperative bleeding (Boezaart bleeding score) and wound healing were graded. Patient symptoms on the day after surgery and pain during packing removal were assessed using a visual analog scale. Results: Computed tomography scores, asthma complications, and blood eosinophil counts were significantly higher in the AQUACEL® Ag Advantage group. Patient symptoms on the day after surgery were not significantly different between the two groups. Physician stress during the task of packing removal was significantly lower in the AQUACEL® Ag Advantage group than in the KALTOSTAT® group (35.5 vs. 81.0, p = 0.016) according to the NASA-TLX scores. The number of instruments used in the procedure was significantly lower in the AQUACEL® Ag Advantage group than in the KALTOSTAT® group (3.0 vs. 6.0, p = 0.015). There were no significant differences in procedure time for packing removal, postoperative bleeding, wound healing, or patient pain at the time of packing removal between the groups. Conclusion: Physicians feel stressed about packing removal. In addition, AQUACEL® Ag Advantage is useful for packing after ESS, requiring fewer instruments for the procedure than KALTOSTAT® and reducing physician stress about the procedure. Level of evidence: Level 3. |
| first_indexed | 2024-03-12T00:09:38Z |
| format | Article |
| id | doaj.art-e8300c168f6f4952a810afbb18fbf2ae |
| institution | Directory Open Access Journal |
| issn | 1808-8694 |
| language | English |
| last_indexed | 2024-03-12T00:09:38Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj.art-e8300c168f6f4952a810afbb18fbf2ae2023-09-16T05:30:26ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942023-09-01895101292AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgeryKei Hosoya0Yohei Maeda1Taro Komachi2Kazuki Sato3Kimihiro Okubo4Musashi Kosugi Hospital, Nippon Medical School, Department of Otolaryngology, Nakahara-Ku, Kawasaki, Japan; Tama Nagayama Hospital, Nippon Medical School, Department of Otolaryngology, Tama, Tokyo, JapanJapan Community Health Care Organization Osaka Hospital, Department of Otorhinolaryngology, Fukushima, Osaka, Japan; Osaka University, Department of Otorhinolaryngology-Head and Neck Surgery, Suita, Japan; Corresponding author.Chiba Hokusoh Hospital, Nippon Medical School, Department of Otolaryngology, Inzai, JapanTama Nagayama Hospital, Nippon Medical School, Department of Otolaryngology, Tama, Tokyo, JapanNippon Medical School Hospital, Department of Otolaryngology, Head and Neck Surgery, Bunkyo-Ku, Tokyo, JapanObjective: After Endoscopic Sinus Surgery (ESS), packing plays an important role in wound healing and hemostasis. However, the effect of the packing removal procedure on physician stress has not been evaluated. The purpose of this study was to evaluate physician stress during packing removal for patients treated with AQUACEL® Ag Advantage versus KALTOSTAT®. Methods: This retrospective study included 15 patients who underwent packing with ESS for chronic rhinosinusitis performed at two centers; 9 were treated with AQUACEL® Ag Advantage and 6 were treated with KALTOSTAT®. Physician stress during packing removal was evaluated with the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). The time required to remove the packing and the number of instruments used in the procedure were recorded. Postoperative bleeding (Boezaart bleeding score) and wound healing were graded. Patient symptoms on the day after surgery and pain during packing removal were assessed using a visual analog scale. Results: Computed tomography scores, asthma complications, and blood eosinophil counts were significantly higher in the AQUACEL® Ag Advantage group. Patient symptoms on the day after surgery were not significantly different between the two groups. Physician stress during the task of packing removal was significantly lower in the AQUACEL® Ag Advantage group than in the KALTOSTAT® group (35.5 vs. 81.0, p = 0.016) according to the NASA-TLX scores. The number of instruments used in the procedure was significantly lower in the AQUACEL® Ag Advantage group than in the KALTOSTAT® group (3.0 vs. 6.0, p = 0.015). There were no significant differences in procedure time for packing removal, postoperative bleeding, wound healing, or patient pain at the time of packing removal between the groups. Conclusion: Physicians feel stressed about packing removal. In addition, AQUACEL® Ag Advantage is useful for packing after ESS, requiring fewer instruments for the procedure than KALTOSTAT® and reducing physician stress about the procedure. Level of evidence: Level 3.http://www.sciencedirect.com/science/article/pii/S1808869423000605Endoscopic sinus surgeryNasal packingAQUACEL® Ag advantageStress |
| spellingShingle | Kei Hosoya Yohei Maeda Taro Komachi Kazuki Sato Kimihiro Okubo AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery Brazilian Journal of Otorhinolaryngology Endoscopic sinus surgery Nasal packing AQUACEL® Ag advantage Stress |
| title | AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery |
| title_full | AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery |
| title_fullStr | AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery |
| title_full_unstemmed | AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery |
| title_short | AQUACEL® Ag Advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery |
| title_sort | aquacel r ag advantage reduces the stress of postoperative packing removal after endoscopic sinus surgery |
| topic | Endoscopic sinus surgery Nasal packing AQUACEL® Ag advantage Stress |
| url | http://www.sciencedirect.com/science/article/pii/S1808869423000605 |
| work_keys_str_mv | AT keihosoya aquacelagadvantagereducesthestressofpostoperativepackingremovalafterendoscopicsinussurgery AT yoheimaeda aquacelagadvantagereducesthestressofpostoperativepackingremovalafterendoscopicsinussurgery AT tarokomachi aquacelagadvantagereducesthestressofpostoperativepackingremovalafterendoscopicsinussurgery AT kazukisato aquacelagadvantagereducesthestressofpostoperativepackingremovalafterendoscopicsinussurgery AT kimihirookubo aquacelagadvantagereducesthestressofpostoperativepackingremovalafterendoscopicsinussurgery |