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s / International Journal of Surgery 8 (2010) 501–578 576 PROFILE OF POST-TONSILLECTOMY BLEEDING REQUIRING RETURN TO THEATRE I. Amir, S. Broomfield, M. Timms, P. Morar, A. Belloso. Royal Blackburn Hospital Since the introduction of coblation in our department in 2002, we have been perceived to have high rate of return-to-theatre for control of tonsillectomy haemorrhage. Therefore, we perform this audit to investigate this aspect of bleeding following the procedure. All tonsillar haemorrhages cases that required return-to-theatre in 48months period were evaluated retrospectively. 2557 tonsillectomies were performed in the study period, 2,069 (81 %) by coblation and 488 (19 %) by other techniques. The overall haemorrhage rate requiring return-to-theatre was 1.7 % (45 cases). Primary haemorrhage occurred in 16 patients (0.6 %). Secondary haemorrhage occurred between 2 and 15 days post-operation, peaking at the 7th and 11th days. Of these, 20 cases occurred within the first week post-operation. 11 cases occurred in the second week and were all performed by coblation. All cases are more common in adult and occur predominantly females except for primary haemorrhage that has equal gender distribution. Three of four cases that required blood transfusion occurred in the second week of operation. Our return-to-theatre rate is higher than published studies. Late secondary haemorrhage (after first week post-operation) occurs in cases involving coblation. We have possibly identified a new tertiary form of haemorrhage associated with coblation tonsillectomy. IMAGING IN DIAGNOSIS OF ACUTE APPENDICITIS DELAYS SURGERY AND INCREASES MORBIDITY Maziar Navidi, Thomas Hamilton, Hazim Sadideen, Radu Mihai. Oxford Radcliffe Hospitals NHS Trust Aims: This study explored whether obtaining radiological information (USS/CT) delays surgery in patients with acute appendicitis and its possible impact on morbidity. Methods: A retrospective analysis of consecutive patients who underwent emergency appendicectomy during a 6 months period. Results: Of the 90 patients presenting with possible appendicitis 16 underwent USS and 13 had CT scans. Only 6/16 USS were diagnostic. All CT scans were diagnostic. The use of USS and CT scans delayed surgery by a mean of 21hrs (STD 15.1 hrs, p |
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