gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Postoperativ bleeding after tonsillectomie investigated by different kind of operating procedure, either coagulation or suture

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno069

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2007/07hno069.shtml

Veröffentlicht: 8. August 2007

© 2007 Heinze et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Postoperative bleeding after tonsillectomie is severe risk. Different methods of haemostasis should have influence on frequency or time or danger of bleeding.

Material and methods: All patients of our clinic treated with tonsillectomie, were asked to remember every bleeding episode and its treatment. This was completed by telephone call 4 weeks after dimission.

Results: 227 patient occurred 33 bleeding episodes. 10 had to operated second time and 21 were only examined by a doctor without any therapy. 5,1% of patient treated with coagulation by the first time occurred severe bleeding, but 2,86% of patients treated with suture. All together we registered bleeding episodes in 13,38% of the first group but 17,14 in the second group.

Conclusions: Haemostasis by coagulation after tonsillectomie shows less bleeding episodes but most of them had to be treated with operation. For this reason we propose the suture of identified bleeding vessels and coagulation in carefully manner to avoid tissue carbonization and perturbation in healing.


References

1.
Windfuhr JP, Sesterhenn K. Hemorrhage after tonsillectomy. Analysis of 229 cases. HNO. 2001;49(9):706-12. German.
2.
Günzel Th, Zenev E, Heinze N, Schwager K. Tonsillektomienachblutungen im Zeitraum von 1985 bis 2001 und Erfahrungen bei der Anwendung der Lasertonsillotomie bei Kleinkindern. Laryngo-Rhino-Otol. 2004; 83:579-84.