Hemostasis in Tonsillectomy.
Tonsillectomy is a commonly performed procedure with an accepted risk of posttonsillectomy hemorrhage (PTH) approaching 5%, but catastrophic effects of hemorrhage are exceedingly rare. A variety of surgical techniques and hemostatic agents have been used to reduce the rate of hemorrhage, although none eliminate the risk. Numerous patient, surgical, and postoperative care factors have been studied for an association with PTH. The most consistent risk factors for PTH seem to be patient age and coagulopathies. Surgeon skill and surgical technique are most consistently associated with primary PTH.
Department of Otolaryngology-Head and Neck Surgery, University of Washington, 1959 NE Pacific St, Box 256515, Seattle, WA 98195, USA.
Ryan M
RM
Mitchell
Department of Otolaryngology-Head and Neck Surgery, University of Washington, 1959 NE Pacific St, Box 256515, Seattle, WA 98195, USA; Division of Pediatric Otolaryngology-Head and Neck Surgery, Seattle Children's Hospital, 4800 Sand Point Way Northeast, OA.9.329, Seattle, WA 98105, USA. Electronic address: sanjay.parikh@seattlechildrens.org.
Sanjay R
SR
Parikh
D001778:Blood Coagulation Disorders / Q000453:epidemiology; D002983:Clinical Competence; D006488:Hemostasis, Surgical / Q000379:methods*; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000494:pharmacology*; D006801:Humans; D011182:Postoperative Care / Q000379:methods*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D014068:Tonsillectomy / Q000009:adverse effects* / Q000379:methods
D006490:Hemostatics
Complication; Hemorrhage; Hemostasis; Tonsillectomy; Tonsillotomy; Transfusion