Secondary tonsillar hemorrhage requiring surgical intervention: Analysis of 1429 tonsillectomy cases on single surgeon experience

Year 2017, , 51 - 57, 30.06.2017

Mehmet Ceylan , Erdal Uysal , İlyas Disikırık

https://doi.org/10.17546/msd.320121

Abstract

Objective: Determination of risk factors affecting secondary
tonsillar hemorrhage of the requiring surgical intervention.

Material and Method: 1429 tonsillectomy cases performed with three
different dissection techniques (dissection and snare, bipolar and monopolar
dissection) by a single surgeon were examined retrospectively.  Age, sex, surgical knowledge, indications and
postoperative tonsillar hemorrhage day of the patients were recorded. Patients
who were operated on for hemorrhage were evaluated statistically in terms of
technique used, age, sex and indications.

Findings: A total of 25 cases of a secondary hemorrhage cases
requiring surgical intervention were detected. The relationship between age and
bleeding was statistically significant (p=0.003). Hemorrhage frequency
requiring surgical intervention was significantly higher in patients with
recurrent tonsillitis than in patients with tonsillar hypertrophy (p = 0.001).
19 of the 25 patients who were operated on for hemorrhage were in the group of
tonsillectomy patients due to recurrent tonsillitis. There was no meaningful
relationship in terms of sex. The hemorrhage rate in the dissection and snare
technique was 1.74% (12 patients), the hemorrhage rate in bipolar dissection
was 2.78% (9 patients), and the monopolar dissection- hemorrhage rate was 0.96%
(4 patients). There was no statistically significant difference between the
results (p = 0.170). It was determined that the hemorrhage required surgery at
most was between 6th and 10th days.

Conclusion: While there was no significant relationship between
the incidence of secondary tonsillar hemorrhage requiring surgery and gender
and dissection techniques, it has been observed that the risk was increased in
patients operated due to recurrent tonsillitis and older age group.

Keywords

Tonsillectomy, hemorrhage, risk, factors

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