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Published on: January 17, 2018
Postoperative hemorrhage following adenoidectomy
Alun Tomkinson1, Wendy Harrison, David Owens
1Department of Otolaryngology-Head and Neck Surgery, University Hospital Wales, Cardiff, United Kingdom. tomkinsona@cardiff.ac.uk
The Laryngoscope
|April 24, 2012
Summary
Postoperative hemorrhage following adenoidectomy is rare, with primary bleeding (R1) occurring in 0.5% of cases. Secondary bleeding (R2) from the adenoid bed is extremely uncommon in children.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Surgical Safety
Background:
- Postoperative hemorrhage is a known complication of adenoidectomy.
- Understanding the incidence and risk factors for hemorrhage is crucial for patient safety.
Purpose of the Study:
- To investigate the incidence of primary (R1) and secondary (R2) postoperative hemorrhage after adenoidectomy.
- To identify potential risk factors associated with adenoid bed bleeding requiring reoperation.
Main Methods:
- A prospective, multicenter observational study was conducted in Wales.
- Data from the Surgical Instrument Surveillance Programme (SISP) between 2003 and 2008 were analyzed.
- 5,588 adenoidectomy procedures were reviewed for hemorrhage requiring return to the operating room.
Main Results:
- A total of 22 patients (0.4%) experienced hemorrhage from the adenoid bed, all classified as R1.
- No instances of secondary hemorrhage (R2) from the adenoid bed were recorded.
- Hemorrhage rates following adenotonsillectomy were similar to those for tonsillectomy alone.
Conclusions:
- Adenoidectomy is predominantly a pediatric procedure with a low rate of R1 hemorrhage (0.5%).
- Secondary hemorrhage (R2) following adenoidectomy is exceptionally rare.
- Combined adenotonsillectomy carries a higher risk of serious primary hemorrhage compared to individual procedures.
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