Related Experiment Video

Updated: Sep 6, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

24.8K

Hemorrhage after adenotonsillectomy in children: tertiary center experiences

Alma Jahić Čampara1,2, Selmira Brkić2, Anis Cerovac3,4

  • 1Clinic for Anesthesiology and Reanimatology, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.

Wiener Medizinische Wochenschrift (1946)
|June 27, 2022
PubMed

Insights

Postoperative hemorrhage occurred in 9.5% of children after adenotonsillectomy, with secondary bleeding being more common. Female children experienced significantly more bleeding events following this common pediatric surgery.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Surgical Complications

Background:

  • Adenotonsillectomy is a frequent pediatric surgical procedure.
  • Postoperative hemorrhage is a significant, albeit uncommon, complication.
  • Understanding hemorrhage patterns is crucial for patient safety.

Purpose of the Study:

  • To ascertain the incidence of hemorrhage post-adenotonsillectomy in children.
  • To analyze hemorrhage rates in relation to patient age and sex.
  • To identify common sites of bleeding.

Main Methods:

  • A longitudinal, cross-sectional study design was employed.
  • Data were collected from 201 children aged 3-15 years undergoing adenotonsillectomy.
  • Patient demographics and hemorrhage events were recorded over a 1.5-year period.

Main Results:

  • The overall postoperative hemorrhage rate was 9.5% (19/201 children).
  • Secondary hemorrhage (53%) was more frequent than primary hemorrhage (47%).
  • Female children exhibited a significantly higher incidence of postoperative bleeding.

Conclusions:

  • The study provides data on pediatric adenotonsillectomy hemorrhage incidence and characteristics.
  • Findings suggest a higher risk of bleeding in female pediatric patients.
  • Hemorrhage from tonsillar lodges is a notable observation.
Abstract

Keywords:
AnesthesiologyPalatine tonsilPediatricsPostoperative complicationsSurgery

More Related Videos

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects09:00

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects

Published on: October 2, 2014

13.8K
Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device04:40

Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device

Published on: November 4, 2022

1.2K

Related Concept Videos

Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
169
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
253
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
482
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
23
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
535
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
130