A mean red blood cell volume loss in tonsillectomy, adenoidectomy and adenotonsillectomy.
OBJECTIVE
To calculate a mean red blood cell volume (RBCV) loss per kilogram (kg) in adenoidectomy, tonsillectomy, and adeno-tonsillectomy.


METHODS
Pre- and post-operative complete blood cell count, and pre-operative clotting studies of 144 patients were measured. Total blood volume (75 or 70 ml/kg), pre- and post-operative RBCV (hematocritxtotal blood volume), RBCV loss, per kg RBCV loss and per cent RBCV loss were calculated.


RESULTS
There was significant differences between pre- and post-operative RBCV, Hb, and Htc values for tonsillectomy, adenoidectomy and A&T groups, respectively (p<0.001 for all groups). We found a mean RBCV loss of 33 ml (5.56% of total RBCV) for adenoidectomy, 128 ml (10.63% of RBCV) for tonsillectomy and 60 ml (10.71% of RBCV) for A&T. RBCV loss per kg was 1.57+/-1.29 for adenoidectomy, 2.96+/-1.91 for adeno-tonsillectomy, and 3.02+/-1.66 for tonsillectomy.


CONCLUSIONS
According to us, for management of the patients, knowledge of a mean nature loss of RBCV per kg is important because bleeding seems to be unavoidable in the intra-operative or maybe post-operative period in these operations.
Alatas
Necat
N
Harran University Medical Faculty, Department of Otolaryngology, TR-63100, Sanliurfa, Turkey. necat66@yahoo.com
San
Imran
I
Cengiz
Mustafa
M
Iynen
Ismail
I
Yetkin
Ahmet
A
Korkmaz
Baki
B
Kar
Murat
M
D000233:Adenoidectomy; D000293:Adolescent; D000367:Age Factors; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data*; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D004911:Erythrocyte Volume; D005260:Female; D006400:Hematocrit / Q000706:statistics & numerical data; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D008297:Male; D009929:Organ Size; D014066:Palatine Tonsil / Q000473:pathology; D011446:Prospective Studies; D014068:Tonsillectomy; D014069:Tonsillitis / Q000097:blood
D006454:Hemoglobins