Abstract | OBJECTIVE: 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.
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Authors | S F Conley, M D Ellison |
Journal | Archives 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 |
PMID | 10190807
(Publication Type: Journal Article)
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Chemical References |
- Hemostatics
- Organometallic Compounds
- Gallic Acid
- bismuth subgallate
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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
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