Post-tonsillectomy bleeding: a regional hospital experience

    loading  Checking for direct PDF access through Ovid

Abstract

Introduction

Post-tonsillectomy bleeding (PTB) is still one of the most common complications of tonsillectomy. The rate of PTB varies with different methods.

Methods

We retrospectively reviewed all charts of patients who underwent tonsillectomy in a regional hospital.

Results

Post-tonsillectomy bleeding occurred in 33 patients (6.68%); 3 experienced primary haemorrhage and 30 had secondary haemorrhage. The rate of PTB was higher in males and in the over 15-year group (9.41%). The commonest surgical techniques used were cold steel dissection with bipolar diathermy for haemostasis (55.87%). The lowest PTB was observed with ‘cold steel and ties technique' (3.14%). Operations which used bipolar diathermy throughout had the highest level of haemorrhage (8.47%).

Conclusion

In conclusion, the overall risk of bleeding is related to surgical technique. A ‘hot' technique had a higher risk of bleeding than ‘cold' technique.

Related Topics

    loading  Loading Related Articles