Title:
Pitfalls of operative management of secondary post-tonsillectomy haemorrhage a case report
Authors:
T. Jacques, R. Nash, B. Kenway and P. Vlastarakos
Institutions:
Lister Hospital, Stevenage
Keywords:
Tonsillectomy; haemorrhage; bleed; emergency
Pages:
335 - 337
Abstract:
Pitfalls of operative management of secondary post-tonsillectomy haemorrhage a case report.Introduction: The authors present a potential complication associated with the surgical management of post-tonsillectomy haemor- rhage­using­absorbable­cellulose­haemostatic­dressings.­The­article­discusses­the­deficiencies­of­our­current­understand- ing of how best to manage this common and potentially life-threatening ENT emergency. Case report: A 40-year-old man presented to Accident-and-Emergency with a post-tonsillectomy haemorrhage on the 7th postoperative day. The bleeding was managed surgically, with suturing of the faucial pillars incorporating a piece of Surgicel® into the closure. Two days later the patient experienced an episode of partial airway obstruction, due to a piece of dislodged haemostatic material, owing to failure of the closure. Conclusion: The techniques used in the operative management of post-tonsillectomy bleeding are notformally evaluated or discussed in the current literature, and in some cases are unreliable or even potentially hazardous. Further discussion, research,­and­formulation­of­a­more­stepwise­approach­would­be­of­considerable­benefit.
Issue:
Vol. 9, 2013, 4th trimester


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Pitfalls of operative management of secondary post-tonsillectomy haemorrhage a case report