Adenotonsillectomy in patients with inherited bleeding disorders.
We describe the management of tonsil or tonsil and adenoid surgery in our hospital in 10 patients with inherited bleeding disorders, over a 10-year-period. The approach to the management of the haemostatic defect is outlined in detail. All underwent successful surgery, two patients had limited secondary haemorrhage. This report demonstrates that patients with inherited bleeding disorders can safely undergo adenotonsillectomy, providing there is close liaison between surgeons and haematologists throughout the peri-operative period.
Prinsley
P
P
Department of ENT Surgery, Royal Free Hospital, School of Medicine, London, UK.
Wood
M
M
Lee
C A
CA
D000233:Adenoidectomy; D001778:Blood Coagulation Disorders / Q000150:complications* / Q000188:drug therapy; D002648:Child; D002675:Child, Preschool; D003894:Deamino Arginine Vasopressin / Q000008:administration & dosage / Q000627:therapeutic use; D005168:Factor VII Deficiency / Q000150:complications; D005260:Female; D006467:Hemophilia A / Q000150:complications* / Q000188:drug therapy; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D014068:Tonsillectomy; D014148:Tranexamic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D014842:von Willebrand Diseases / Q000150:complications / Q000188:drug therapy
D014148:Tranexamic Acid; D003894:Deamino Arginine Vasopressin