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Post tonsillectomy haemorrhage: "is day care surgery safe"?
Mohammad Zafar Rabbani1, Zafar Iqbal, Muhammad Jawad Zafar
1Department of ENT, Head and Neck Surgery, Shifa International Hospital, Shifa College of Medicine, Islamabad.
JPMA. the Journal of the Pakistan Medical Association
|October 10, 2009
Summary
Tonsillectomy can be safely performed as a daycare procedure. This study found no significant difference in post-tonsillectomy hemorrhage rates between daycare and one-day admission patients.
Area of Science:
- Otolaryngology
- Surgical Procedures
- Patient Outcomes
Background:
- Tonsillectomy is a common surgical procedure.
- The length of hospital stay post-tonsillectomy can impact patient care and resource utilization.
Purpose of the Study:
- To compare the incidence of post-tonsillectomy hemorrhage in patients undergoing the procedure as a daycare versus a one-day inpatient stay.
Main Methods:
- A comparative study included 400 patients, divided into a daycare group (8-hour stay) and a one-day group (23-hour stay).
- Exclusion criteria included nasal pathology, bleeding diathesis, and age less than 4 years.
- Patients were followed up on postoperative days 7 and 14 to record any bleeding episodes.
Main Results:
- A total of 10 patients (2.5%) experienced post-tonsillectomy hemorrhage, with 4 (2%) in the daycare group and 6 (3%) in the one-day group.
- All hemorrhages were secondary.
- Statistical analysis (Chi-square test) revealed no significant difference in hemorrhage rates between the two groups.
Conclusions:
- Tonsillectomy can be safely performed as a daycare procedure.
- There is no statistically significant increase in the risk of post-operative hemorrhage with daycare tonsillectomy compared to one-day admission.
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