CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S60
DOI: 10.1055/s-0038-1639920
Poster
Hals: Neck

Retrospective study on the occurrence of post-operative haemorrhage after adenectomy and tonsillectomy

M Thranitz
1   Städtisches Klinikum Dessau, Dessau-Roßlau
,
F Michaelis
2   ÖNH-Kliniken Universitetssjukhuset, Linköping, Schweden
,
S Knipping
1   Städtisches Klinikum Dessau, Dessau-Roßlau
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    Introduction:

    Due to the possible serious complications of bleeding after adenotonsillectomy, a preoperative minimization of risks by identifying coagulation disorders as well as the detection of congenital blood-clotting anomalies are essential.

    Methods:

    A retrospective analysis of pseudonymised data of 308 children and adolescents of the University ENT Clinic Halle (Saale) was made. In particular, the preoperative diagnostics on the basis of a specific anamnesis sheet for the parents and, depending on their abnormalities, the serological coagulation diagnostics of the patients who underwent tonsillectomy or adenotonsillectomy were examined regarding the bleeding complications.

    Results:

    A correlation could not be demonstrated between bleeding complications and abnormalities in the preoperative parental anamnesis sheets, preoperative medication, duration of surgery, intraoperative hemostasis, intraoperative complications and anesthetic particularity.

    A positive correlation could be found between the personal history of bleeding incidents and the presence of pathological lab results.

    Also a seasonal accumulation was noticed. There were more bleeding incidents detected in spring and autumn. Children whose parents were affected by the von-Willebrand syndrome (vWS) showed more frequent bleeding incidents. In these cases boys showed a higher number of post-operative haemorrhage than girls did. The amount of incidences of vWS in this investigated group was higher than in the average of population.

    Conclusion:

    This study showed that the combination of a detailed standardized personal anamnesis with specific coagulation lab parameters is significant in terms of the presence of a vWS with expected bleeding complications. In these cases, further lab diagnostics are essential.


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    No conflict of interest has been declared by the author(s).

    Mike Thranitz
    Städtisches Klinikum Dessau,
    Auenweg 38, 06847,
    Dessau-Roßlau

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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