Transeptal suturing - a cost-efficient alternative for nasal packing in septal surgery

ABSTRACT INTRODUCTION: Nasal packing is routinely used in septal surgery to prevent postoperative bleeding. OBJECTIVE: To demonstrate the possibility of transeptal suture as a safe and effective way to avoid nasal packing and to improve efficiency. METHODS: This is a prospective, descriptive, inferential cost study comprising 92 patients. Two randomized groups of patients were analyzed, one with nasal packing and the other with transeptal suture. RESULTS: In the group of transeptal suture no patient experienced postoperative bleeding, and a statistically significant reduction of pain and headache was demonstrated. At the same time, we improved efficiency by saving on material costs. CONCLUSIONS: Transeptal suture is an effective and safe alternative to classic nasal packing in septal surgery. Moreover, it improves the efficiency of the intervention by saving costs.

摘要：鼻腔填塞（nasal packing）是鼻中隔手术（septal surgery）中常规用于预防术后出血的临床操作。研究目的：论证鼻中隔贯穿缝合术（transeptal suture）作为安全有效的替代方案，可规避鼻腔填塞并提升手术效率的可行性。研究方法：本研究为纳入92例患者的前瞻性、描述性-推断性成本研究。将患者随机分为两组，一组采用鼻腔填塞方案，另一组实施鼻中隔贯穿缝合术。研究结果：鼻中隔贯穿缝合术组无一例患者出现术后出血，且疼痛与头痛症状获得统计学意义上的显著缓解；同时该术式可节省材料成本，提升手术效率。研究结论：鼻中隔贯穿缝合术是鼻中隔手术中传统鼻腔填塞的安全有效替代方案，且可通过节约成本提升手术干预的整体效率。