HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Avoidance of primary post-tonsillectomy hemorrhage in a teaching program.

AbstractOBJECTIVE:
To determine the incidence of primary post-tonsillectomy hemorrhage in a teaching institution by using a uniform technique, including a 3-minute relaxation of retraction before case termination and the use of bismuth subgallate.
DESIGN:
Case series.
SETTING:
Tertiary care academic pediatric center.
PATIENTS:
A 7-year retrospective study was performed by using the medical records of 1286 children without a bleeding abnormality who underwent tonsillectomy (with or without adenoidectomy). A uniform technique, proposed to reduce hemorrhage, was used for 705 children and was not used for 581 children.
RESULTS:
No episodes of primary hemorrhage (onset < or = 24 hours after surgery) occurred, and the incidence of delayed hemorrhage (onset >24 hours after surgery) was 1.1% in the study group. The primary hemorrhage rate of the study group was significantly lower (P = .007) than the rate for the reference group (0.0% vs 1.0%), as was the total hemorrhage rate (1.1% vs 4.1%) and the delayed hemorrhage rate (1.1% vs 3.1%).
CONCLUSION:
A uniform technique including the use of bismuth subgallate and reassessment of the tonsillar fossae after a 3-minute observation period reduces the incidence of primary tonsillar hemorrhage in a teaching institution setting.
AuthorsS F Conley, M D Ellison
JournalArchives of otolaryngology--head & neck surgery (Arch Otolaryngol Head Neck Surg) Vol. 125 Issue 3 Pg. 330-3 (Mar 1999) ISSN: 0886-4470 [Print] United States
PMID10190807 (Publication Type: Journal Article)
Chemical References
  • Hemostatics
  • Organometallic Compounds
  • Gallic Acid
  • bismuth subgallate
Topics
  • Academic Medical Centers
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Gallic Acid (analogs & derivatives, therapeutic use)
  • Hemostatics (therapeutic use)
  • Humans
  • Infant
  • Male
  • Organometallic Compounds (therapeutic use)
  • Postoperative Hemorrhage (prevention & control)
  • Retrospective Studies
  • Tonsillectomy (adverse effects)
  • Wisconsin

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: