Secondary tonsillar hemorrhage requiring surgical intervention: Analysis of 1429 tonsillectomy cases on single surgeon experience
Journal Title: Medical Science and Discovery - Year 2017, Vol 4, Issue 6
Abstract
Objective: Determination of risk factors affecting secondary tonsillar hemorrhage of the requiring surgical intervention.Material and Method: 1429 tonsillectomy cases performed with three different dissection techniques (dissection and snare, bipolar and monopolar dissection) by a single surgeon were examined retrospectively. Age, sex, surgical knowledge, indications and postoperative tonsillar hemorrhage day of the patients were recorded. Patients who were operated on for hemorrhage were evaluated statistically in terms of technique used, age, sex and indications.Findings: A total of 25 cases of a secondary hemorrhage cases requiring surgical intervention were detected. The relationship between age and bleeding was statistically significant (p=0.003). Hemorrhage frequency requiring surgical intervention was significantly higher in patients with recurrent tonsillitis than in patients with tonsillar hypertrophy (p = 0.001). 19 of the 25 patients who were operated on for hemorrhage were in the group of tonsillectomy patients due to recurrent tonsillitis. There was no meaningful relationship in terms of sex. The hemorrhage rate in the dissection and snare technique was 1.74% (12 patients), the hemorrhage rate in bipolar dissection was 2.78% (9 patients), and the monopolar dissection- hemorrhage rate was 0.96% (4 patients). There was no statistically significant difference between the results (p = 0.170). It was determined that the hemorrhage required surgery at most was between 6th and 10th days. Conclusion: While there was no significant relationship between the incidence of secondary tonsillar hemorrhage requiring surgery and gender and dissection techniques, it has been observed that the risk was increased in patients operated due to recurrent tonsillitis and older age group.
Authors and Affiliations
Mehmet Ceylan, Erdal Uysal, Ilyas Disikırık
Keywords
Related Articles
- EP ID EP520740
- DOI 10.17546/msd.320121
- Views 46
- Downloads 0
Evaluation of oxidant status in both systolic and diastolic heart failure
Objective: Oxidative stress status in subgroup of heart failure (HF) syndrome still remains unknown. We aimed to study Total Antioxidant Status (TAS), Total Oxidant Status (TOS) and Oxidative Stress Index (OS...
A case of complex suicide: Self-electrocution
A 57-year-old man was found at his home by his neighbor. The body of the victim was lying on the right side of the door. A copper wire, whose plastic parts were untied, and surrounded the left and right hand palmar and d...
Seasonal effects of the monoamine oxidase inhibitor deprenyl but not the tricyclic antidepressant imipramine in rats bred for helplessness
Objective: Seasonal variations in monoaminergic function may underlie seasonal affective disorder, a subtype of major depression. Here, we examined whether antidepressant drugs which regulate monoaminergic function exh...
Relationship Between Premature ventricular complexes and Neutrophil–Lymphocyte Ratio in asymptomatic healty young men
Background: Premature ventricular complexes (PVC) are a relatively common electrocardiographic abnormality presenting in individuals without overt cardiovascular disease. There is no clear mortality benefit from VPB supp...
Expert system in medicine and its application on pulmonary diseases
Objective: Our aim is to develop a medical expert system for pulmonary diseases providing practitioners and medical students with the advantages of improving their ability, minimizing the error and cost in dia...