Analysis of timing of Post-adenotonsillectomy Bleeding in Imam Khomeini and Apadana Hospitals (Khuzestan, Iran)
Nader Saki1, Soheila Nikakhlagh1*, Lila Sistani Karampur2, Hamed Poostchi21Associated professor of otolaryngology, Head and neck surgery, Hearing Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 2Hearing Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: Tonsillectomy with or without adenoidectomy is still the most common surgery performed in the field of otorhinolaryngology (ENT) all over the world. Bleeding is the most frequent and the most urgent complication during and after surgery. The present study aims at discussing bleeding time and comparing the findings with the data available in literature. This was a retrospective cross-sectional study conducted on 764 patients hospitalized in Imam Khomeini and Apadana Hospitals in Ahvaz (Khuzestan, Iran). They were referred to the hospitals for tonsillectomy surgery with or without adenoidectomy during March 21, 1998 to June 20. 2008. The information including age, gender, type of surgery performed, indication for surgery, bleeding time, bleeding area, taken measured, and rate of blood transfusion were collected. All the patients were examined every week during one month after surgery. The patients ranged 14 months to 74 years old. The mean age of the patients was 11 years (±5.37) and the most frequency was related to the age group of 7 to 9 years old. The surgery indications were often included recurrent infections of tonsils and their obstructive hypertrophy that form 755 cases (96.3%) of the indications. Bleeding was only seen in 16 (2.04%) out of 784 patients. Eleven cases (68.75%) had bleeding within the first 24 hours as early bleeding. Comparing with other studies, frequency of early bleedings in our study is high. It points out the necessity of improving accuracy in creating hemostasis during surgery, removing tonsils and adenoid tissue completely, and further skill of surgeons in adenotonsillectomy surgery. In our study, which is similar to the other studies, early bleeding was seen in most cases. Therefore, patient care and bleeding control are important.
Keywords: Complications; Bleeding; Adenoidectomy; Ahvaz Back to TOC