Haemorrhage Rates After Two Commonly Used Tonsillectomy Methods: a Multicenter Study.

Autor:	Brkic F; Medical University of Vienna, Austria., Mujic M; ENT clinic Tuzla, University Clinical Center Tuzla, Bosnia and Herzegovina., Umihanic S; ENT clinic Tuzla, University Clinical Center Tuzla, Bosnia and Herzegovina., Hrncic N; ENT department, Cantonal Hospital Zenica, Bosnia and Herzegovina., Goga A; ENT department, Cantonal Hospital Zenica, Bosnia and Herzegovina., Goretic E; ENT department, Cantonal Hospital Bihać, Bosnia and Herzegovina.
Jazyk:	angličtina
Zdroj:	Medical archives (Sarajevo, Bosnia and Herzegovina) [Med Arch] 2017 Apr; Vol. 71 (2), pp. 119-121.
DOI:	10.5455/medarh.2017.71.119-121
Abstrakt:	Introduction: Tonsillectomy is a frequently used, low-risk surgical procedure. The post-tonsillectomy haemorrhage occurs rarely, but is a life-threatening complication. Some studies show that the surgical technique affects the haemorrhage rate. Aims: To analyse the post-tonsillectomy haemorrhage rate, and to determine whether the effect of the surgical technique on the haemorrhage rate exists. Methods: We retrospectively reviewed data of all patients who underwent a tonsillectomy in three regional ENT departments in Bosnia and Herzegovina (Tuzla, Zenica and Bihac) between January 1 st 2015 and October 31 st 2016. Disorders which could affect the post-tonsillectomy haemorrhage rate were excluded. Tonsillectomy techniques used in these three centers were the hot technique (monopolar/bipolar forceps dissection and haemostasis) and the combined technique (cold steel dissection with monopolar/bipolar forceps haemostasis). Results: 1087 patients that underwent a tonsillectomy were analysed in this study. 864 (79.48%) of those were children. 922 (84.82%) patients were operated using the combined technique, 165 (15.17%) underwent a tonsillectomy using the hot technique. Post-tonsillectomy haemorrhage occured in 46 (4.23%) patients. 45 (4.88%) patients had a postoperative haemorrhage after tonsillectomy using the combined technique, whereas haemorrhage occured in 1 patient (0.6%) after using the hot technique. The haemorrhage rate was about eight times lower after tonsillectomy using the hot technique (p=0.012). Conclusion: We conclude that the surgical technique used for tonsillectomy and adenotonsillectomy with the lowest post-tonsillectomy haemorrhage rate is the hot technique; these results are statistically significant. This technique should be used whenever possible, in order to lower the risk of post-tonsillectomy haemorrhage. Competing Interests: • Conflict of interest: none declared.
Databáze:	MEDLINE
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