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[Risk factors for postoperative bleeding after tonsillectomy. Systematic review].

A V Fetyukov1,2, D S Pshennikov1,2

  • 1Pavlov Ryazan State Medical University, Ryazan, Russia.

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|November 10, 2025
PubMed
Summary

Bilateral tonsillectomy effectively treats chronic tonsillitis but carries risks. This review details postoperative bleeding and prevention strategies, aiming to improve patient safety following this common surgical intervention.

Keywords:
bleedingchronic tonsillitiscomplicationspreventiontonsillectomy

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Area of Science:

  • Otolaryngology
  • Surgical Oncology

Background:

  • Chronic tonsillitis is a prevalent condition requiring treatment.
  • Surgical intervention, specifically bilateral tonsillectomy, offers symptom resolution and improved quality of life.
  • Postoperative complications, particularly bleeding, pose significant risks after tonsillectomy.

Purpose of the Study:

  • To systematically review the literature on postoperative bleeding following bilateral tonsillectomy.
  • To identify and summarize effective measures for preventing bleeding after this procedure.

Main Methods:

  • Systematic review methodology.
  • Inclusion of original articles, case reports, and literature reviews.
  • Analysis focused on bleeding complications and their management.

Main Results:

  • Postoperative bleeding is a recognized complication of bilateral tonsillectomy.
  • Various preventative strategies exist and have been documented in the reviewed literature.
  • Understanding these strategies is crucial for mitigating surgical risks.

Conclusions:

  • Bilateral tonsillectomy is a key treatment for chronic tonsillitis.
  • Effective prevention and management of postoperative bleeding are essential for patient safety.
  • Further research may refine current best practices for minimizing bleeding risks.