title: [Tonsillectomy in patients with bleeding disorders].
abstract: When injury of a major vessel can be ruled out as the cause of bleeding after tonsillectomy, a discrete disturbance of hemostasis must be considered. These are mainly slight thrombopathies or a pathologically increased fibrinolysis, which were not detected by routine tests and the past history. In former times severe bleeding disorders were a strict contra-indication for tonsillectomy. Under the supposition of an exact coagulogram and the substitution of highly purified factor concentrates the risk of severe post-tonsillectomy hemorrhages in such patients today is nearly the same as in patients with a normal hemostase.
mesh_terms: D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D001791:Blood Platelet Disorders / Q000150:complications; D005337:Fibrin; D006470:Hemorrhage / Q000209:etiology*; D006474:Hemorrhagic Disorders / Q000150:complications*; D006801:Humans; D011183:Postoperative Complications; D014014:Tissue Adhesives; D014068:Tonsillectomy / Q000009:adverse effects*
chemical_list: D000933:Antifibrinolytic Agents; D001779:Blood Coagulation Factors; D014014:Tissue Adhesives; D005337:Fibrin
vernacular_title: Tonsillektomie bei blutungsgefährdeten Patienten