Is weekend surgery a risk factor for post-tonsillectomy haemorrhage?
BACKGROUND
Tonsillectomy is a common, low-risk procedure. Post-tonsillectomy haemorrhage remains the most serious complication. Recent nationwide studies in the UK have identified an increased morbidity and mortality for both high-risk and low-risk elective general surgery performed at the weekend.


METHODS
Data for tonsillectomies performed at a district general hospital over a three-year period were retrospectively reviewed. The same group of surgeons performed elective tonsillectomies on both weekends and weekdays. All patients who developed a post-tonsillectomy haemorrhage were identified and the day of original operation was noted.


RESULTS
Between 2010 and 2013, 2208 (94.00 per cent) elective tonsillectomies were performed on a weekday and 141 (6.00 per cent) were performed on the weekend. Post-tonsillectomy haemorrhages occurred in 104 patients (4.71 per cent) who underwent their procedure on a weekday and in 10 patients (7.09 per cent) who had their surgery at the weekend (p = 0.20).


CONCLUSIONS
There is no difference in the rate of post-tonsillectomy haemorrhage for procedures performed on a weekday or weekend.
ENT Department,University Hospital Lewisham,UK.
A
A
Patel
ENT Department,University Hospital Lewisham,UK.
N
N
Foden
ENT Department,University Hospital Lewisham,UK.
A
A
Rachmanidou
D000293:Adolescent; D002648:Child; D017558:Elective Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D019106:Postoperative Hemorrhage / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D012307:Risk Factors; D014068:Tonsillectomy / Q000009:adverse effects*; D014069:Tonsillitis / Q000601:surgery*; D016896:Treatment Outcome
Elective Surgical Procedures; Postoperative Hemorrhage; Tonsillectomy