ArticleWiener klinische Wochenschrift2008
Surgical revision of hemorrhage in 8388 patients after cold-steel adenotonsillectomies.
Article in Wiener klinische Wochenschrift, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Postoperative Bleeding and Associated Utilization following Tonsillectomy in Children.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2017Pooled it
- Time to Functional Recovery After Laser Tonsillotomy Performed Under Local Anesthesia vs Conventional Tonsillectomy With General Anesthesia Among Adults: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Temporal fluctuations of post-tonsillectomy haemorrhage.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022Article
- Risk Factors for Postoperative Bleeding after Adenoidectomy.Children (Basel, Switzerland) · 2021Article
- Successful treatment of recurrent immunoglobulin a nephropathy using steroid pulse therapy plus tonsillectomy 10 years after kidney transplantation: a case presentation.BMC nephrology · 2018Article
- Effect of Body Mass Index on Posttonsillectomy Hemorrhage.BioMed research international · 2017Article
- Gender-specific risk factors in post-tonsillectomy hemorrhage.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2016Article
- Article
- Post-tonsillectomy hemorrhage--some facts will never change.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2015Article
- Postadenoidectomy hemorrhage: how we do it?International journal of clinical and experimental medicine · 2015Article
- Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology.GMS current topics in otorhinolaryngology, head and neck surgery · 2013Review
- Occurrence of coagulation factor deficiency in post-tonsillectomy hemorrhage.Wiener klinische Wochenschrift · 2011Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of the investigationTonsillectomy and adenoidectomy are the most common surgical procedures in otorhinolaryngology. The most serious complication is postoperative hemorrhage, with a 2-4% risk of substantial bleeding. The aim of this study was to evaluate the incidence of and possible predictive factors for postoperative hemorrhage requiring surgical revision in patients undergoing cold dissection tonsillectomy/adenoidectomy. BASIC PROCEDURES: We performed a single-institution retrospective study of 8388 patients who underwent tonsillectomy and/or adenoidectomy between 1994 and 2006. Tonsillectomy was performed using only cold-steel dissection with bipolar diathermy for hemostasis. MAIN
findingsHemorrhage occurred in 114 patients (1.78%) after tonsillectomy and in seven patients (0.35%) after adenoidectomy. After tonsillectomy 85.09% of the hemorrhages were secondary, occurring between the postoperative days 1 and 15, whereas in the adenoidectomy group 85.71% of the bleeding episodes were primary. Two patients (0.03%) required blood transfusions, none of the patients required an external carotid artery ligation, and there were no cases of death in our series. On the basis of logistic regression analysis, patient age was found to be a statistically significant risk factor (P = 0.007): the highest incidence was found in patients over 16 years of age (2.19%). At warmer times of year the incidence was higher (1.98%) than at colder times (1.63%). The resident surgeons caused a hemorrhage incidence of 1.75% and the consultant surgeons one of 1.84%. The incidence was significantly higher in male patients (2.2%) than in female patients (1.4%; P = 0.016). PRINCIPAL
conclusionsOur data show that whereas adenoidectomy can be safely performed as a one-day procedure, tonsillectomy complications due to postoperative hemorrhages might be avoided only if patients were to stay in hospital until postoperative day 15, which would clearly be impractical for economic, organizational and social reasons. A crucial factor for increasing the safety of this procedure is the provision of meticulous education and information for the patient and/or parents.
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