Randomized Assessment of Devices Used to Prevent Post-operative Hemorrhagic Risk in Endonasal Surgery

Randomized Medico-economic Assessment of Preventive Devices Used for Post-operative Hemorrhagic Risk in Endonasal Surgery

This study evaluates the efficiency and the cost of three medical devices and the abstention of the use of specific product for the post-operative haemostasis in endonasal surgery .

Surgiflo® is a matrix of haemostatic frost of porcine protein origin is the coverage of the post-operative bleeding of which one of the indications is in endonasal surgery.

Floseal® is a haemostatic frost(gel) containing of the thrombin.

Algosteril® is a lint tent of arginate of calcium.

Inclusion Criteria:

• endonasal surgery schedule
• Surgical indications:

hypertrophic rhinitis, repeated or chronic infections, extraction of foreign body, polyposes naso-sinusal, benign tumors limited to the nasal pit and in sine,

Exclusion Criteria:

• Pregnant Woman
• Disorder of the haemostasis known or disrupted preoperative biological balance assessment
• Use of treatment disrupting the blood coagulation (anti platelet, anti vitamin K, AINS)
• Unchecked HTA by the treatment and/or preoperative > mmHg 160/90
• Surgical Act including a septoplasty
• malignant tumoral surgical Indication, or mild overtaking the naso-sinusial system
• Dacryocystorhinostomy