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Post-tonsillectomy hemorrhage in children with hematological abnormalities.
Naren N Venkatesan1, Regina E Rodman, Shraddha S Mukerji
1University of Texas - Medical Branch at Galveston, United States. narennv@gmail.com
International Journal of Pediatric Otorhinolaryngology
|April 16, 2013
Summary
Children with hematologic disorders undergoing tonsillectomy may not face a higher risk of post-operative hemorrhage. Proper pre-operative evaluation and treatment appear to mitigate bleeding risks in these pediatric patients.
Area of Science:
- Pediatric Surgery
- Hematology
- Otolaryngology
Background:
- Tonsillectomy is a common pediatric surgical procedure.
- Post-operative hemorrhage is a significant complication.
- The risk of hemorrhage in children with hematologic abnormalities is not well-established.
Purpose of the Study:
- To investigate the risk of post-operative hemorrhage in children with hematologic disorders undergoing tonsillectomy.
- To determine if hematologic abnormalities increase the likelihood of bleeding after tonsillectomy.
Main Methods:
- Retrospective chart review at a tertiary referral hospital.
- Inclusion of all pediatric patients undergoing tonsillectomy with or without adenoidectomy over two years.
- Comparison of hemorrhage rates between children with and without hematologic disorders.
Main Results:
- A total of 462 patients underwent tonsillectomy.
- Fourteen patients had identified hematologic abnormalities.
- Only one patient (1/14) with a hematologic abnormality experienced post-tonsillectomy hemorrhage; this patient received pre-operative medical treatment.
- Patients with abnormal lab values treated pre-operatively did not experience hemorrhage.
Conclusions:
- Children with hematologic abnormalities may not have an increased risk of post-tonsillectomy hemorrhage.
- Appropriate pre-operative evaluation and medical correction of coagulation disorders are crucial.
- These findings suggest that optimized management can reduce bleeding complications in this patient group.
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