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