PREVALENCE OF POST TONSILLECTOMY BLEEDING

Abstract

Objective:

The aim of this study was to find the incidence of post tonsillectomy hemorrhage by cold dissection method at Shree Birendra Hospital.

Material and Methods:

This was a prospective study conducted between May 2012 to December 2012 in tertiary referral center, Shree Birendra Hospital. Hundred patients were included. Detail history and examination was done for patients undergoing tonsillectomy. Patients were counseled about post tonsillectomy pain and the advantage of early oral intake. Special emphasis was given about the post surgery hemorrhage and it’s treatment.

Results:

Hundred patients were enrolled. Six had hemorrhage between third to seventh post operative day (POD). Four had hemorrhage during their hospital stay and 2 were readmitted. All the patients were started with intravenous antibiotics. One was taken to operation theater (OT) to remove clot in the tonsillar fossa but no active intervention was needed.

Conclusion:

Our study had 6% secondary hemorrhage and none were significant to take active intervention.

Keywords: Cold dissection method, Hemorrhage, Tonsillectomy