Publication: Prevalence of Post Tonsillectomy Haemorrhage at a Tertiary Care Centre in Nepal
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Introduction: Tonsillectomy is one of the common ENT surgical procedures. Post-tonsillectomy haemorrhage remains a frequent complication which can be potentially life-threatening. The objective of the present study was to calculate the prevalence of haemorrhage following a tonsillectomy at a tertiary care centre.
Methods: It was a descriptive cross-sectional study performed by medical chart review of the patients who underwent tonsillectomy from January 2018 to December 2019 at the department of ENT- Head and Neck Surgery of Tribhuvan University Teaching Hospital. Ethical approval was obtained from the institutional review committee (Ref:-282(6-11) E2 076/077). Convenient sampling method was used. All patients of any age who had tonsillectomy for recurrent tonsillitis or tonsillar hypertrophy with or without obstructive sleep apnoea and no missing information on chart review were included in the study. Data were entered in MS-Excel 2007 and analyzed in rate and percentage.
Results: Ten (5.18%) out of a total of 193 patients who underwent tonsillectomy had a post tonsillectomy haemorrhage. All 10 (100%) were adults patients, operated for recurrent tonsillitis, and used electrocautery. It was common in male patients 7 (70%). All of the haemorrhages was between a third and sixth postoperative day and were mild in severity.
Conclusions: The prevalence of post-tonsillectomy haemorrhage was high at our centre during the study period of two years. It was common in adults, males and surgery done for recurrent tonsillitis using electrocauterization.
Description
Prashant Tripathi
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
https://orcid.org/0000-0002-9578-157X
Rohita Bajracharya
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Kunjan Acharya
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Bijaya Kharel
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
https://orcid.org/0000-0002-7805-221X
Yogesh Neupane
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Heempali Dutta
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
Kripa Dongol
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
https://orcid.org/0000-0001-5108-6770
Urmila Gurung
Department of ENT and Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal
https://orcid.org/0000-0001-7640-0199
Keywords
adenoidectomy, haemorrhage, tonsillectomy, tonsilitis