[Ambulatory tonsillectomy. Is postoperative hemorrhage a risk factor?].
Out-patient surgery is being used increasingly to improve health care efficiency. In Norway, tonsillectomy is performed on an in-patient basis because of concern for the safety regarding primary haemorrhage. This study aims at investigating the safety of out-patient tonsillectomy by defining the incidence and timing of primary haemorrhage, thereby establishing a safe time period span for a possible discharge on the same day. Retrospectively recorded data on 1,632 tonsillectomies were reviewed. Serious primary post-tonsillectomy haemorrhage arose in 24 patients (1.5%). In view of the fact that one fifth of these tonsillectomy patients experience a serious primary post-tonsillectomy haemorrhage more than eight hours after the operation, tonsillectomy cannot be recommended as a safe routine out-patient procedure.
Kristensen
S
S
Ore-nese-halsavdelingen, Harstad sykehus.
D000556:Ambulatory Surgical Procedures / Q000009:adverse effects*; D016063:Blood Loss, Surgical; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors; D014068:Tonsillectomy / Q000009:adverse effects* / Q000379:methods
Dagkirurgisk tonsillektomi. Er efterblødning en risiko?