my friend has gone back into hospital because of a post tonsillectomy haemorrhage. Is this really bad? has anyone had this before. Are there complications
2006-10-27 02:09:21 · 8 answers · asked by nicnac 3 in Health ➔ Diseases & Conditions ➔ Respiratory Diseases
Post-op hemorrhage is the most feared complication of tonsillectomy. There is primary and secondary hemorrhage. Primary hemorrhage is thought to be due to inadequate hemostasis at that time of operation.
What causes secondary hemorrhage is poorly understood. Is it infection? Is it technique? Is it demographics? It‘s hard to say.
2006-10-27 02:55:24 · answer #1 · answered by Cat ( " , ) 3 · 0⤊ 0⤋
Tonsillectomy remains one of the most common surgical procedures performed in the world. Various techniques have evolved over the years. One of the most significant complications is postoperative hemorrhage. There is a general perception of increased frequency of PTH with the electro-cautery technique. A prospective study was designed to determine the frequency of post-tonsillectomy haemorrhage (PTH) following tonsillectomy with bipolar diathermy at ENT department, Ayub Medical College & Teaching Hospital, Abbottabad. Method:246 patients of varying ages and both sexes were operated by the same consultant using bipolar diathermy, during the period of April’2001 to March’2003. All the patients had antibiotic prophylaxis and analgesia on regular basis. Patients were hospitalized for 24-48 hours and were reviewed after one week. Results: 9 (3.6%) patients presented with PTH. These presented between day 3 and 11. Four (1.6%) presented with active bleeding, 3 (1.2%) presented with clot in the tonsillar fossa and 2 (0.8%) had a history of bleeding per-orally at home but did not have evidence of bleeding on arrival. All the patients were hospitalized and treated with a broad spectrum intravenous antibiotic, parenteral analgesia and intravenous fluids. None of the patients needed surgical intervention. Conclusion: Tonsillectomy with bipolar diathermy doesn’t carry risk of PTH different from other standard techniques. It has the added benefit of minimal per-operative bleeding which bears significance in pediatric population. However adequate training in its use is mandatory to avoid thermal damage to the tissues.
2006-10-27 09:13:15 · answer #2 · answered by =] -- * 3 · 1⤊ 0⤋
Post operative haemorrhage is always dangerous, and in cases of tonsillectomy, the site of operation is much difficult to manage. One of my friends was had such an episode and was managed by rigorous efforts. but it is a matter of some thirty years back and now the science had huge development! Don't loose heart, but keep conscious!!
2006-10-27 09:17:07 · answer #3 · answered by Dr urok 2 · 1⤊ 0⤋
hemmorage IS a complication of a tonsillectomy. Having the tonsils removed is harder on adults than kids. I still have my tonsils, so it hasn't happened to me. The hardest thing is controlling the bleeding. Ur friend should be ok, though.
2006-10-27 09:16:14 · answer #4 · answered by dragonkisses 5 · 1⤊ 0⤋
It means that they have had their tonsils out and they are bleeding. That in itself is the complication and lends a lie to the theory that one should eat toast after such an operation.
2006-10-27 09:18:17 · answer #5 · answered by Minxy 2 · 0⤊ 0⤋
the bleeding is the complication. it's not that bad, in fact, it is preventable. he should be eating cold food to lessen the chances of bleeding, after knowing that he is able to swallow after the operation.
2006-10-29 22:10:57 · answer #6 · answered by justine b 2 · 0⤊ 0⤋
i haemorraged but didnt go back to hospital wanted to go pub same night so not bad im still here
2006-10-27 09:12:08 · answer #7 · answered by terri_anne_middletom 1 · 0⤊ 0⤋
Tonsils.....I don't think its life threatening but am not 100% !!!!
2006-10-27 09:11:59 · answer #8 · answered by IloveMarmite 6 · 1⤊ 0⤋