69 Hot Saline Irrigation for Haemostasis in Functional Endoscopic Sinus Surgery: A Systematic Review and Meta-Analysis

Abstract Aim The aim of this study was to perform a systematic review and meta-analysis existing evidence on the role hot saline irrigation (HSI) in patients undergoing functional endoscopic sinus surgery (FESS) its impact visibility surgical field (VSF). Method A search PubMed, Cochrane, Ovid (including Embase, Medline Allied Complementary Medicine Database) databases as well Google Scholar performed. Results Three randomised control trials (RCT) were included. All three pooled into which demonstrated statistically significant better VSF (MD -0.51; 95% CI -0.84, -0.18; P = 0.003), reduction total blood loss (TBL) -56.40ml; -57.30. -55.51; <0.0001) operating time (OT) -7.01mins; 9.02mins; -11.76, -6.28; during FESS HSI group compared with room temperature group. Further subgroup analysis studies that did not use topical vasoconstrictors showed TBL OT. There no reported adverse events related HSI. Conclusions This is first addresses for haemostasis FESS. results suggest chronic rhinosinusitis may significantly improve VSF, reduce by 20% decrease OT 9 minutes. cheap readily available intervention low risk morbidity events. However, there are limitations due heterogeneity methods, quality, size studies.