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  1. Avoidance of primary post-tonsillectomy hemorrhage in a teaching program.

    Article - En anglais

    Objective 

    To determine the incidence of primary post-tonsillectomy hemorrhage in a teaching institution by using a uniform technique, including a 3-minute relaxation of retraction before case termination and the use of bismuth subgallate.

    Design 

    Case series.

    Setting 

    Tertiary care academic pediatric center.

    Patients 

    A 7-year retrospective study was performed by using the medical records of 1286 children without a bleeding abnormality who underwent tonsillectomy (with or without adenoidectomy).

    A uniform technique, proposed to reduce hemorrhage, was used for 705 children and was not used for 581 children.

    Results 

    No episodes of primary hemorrhage (onset<24 hours after surgery) occurred, and the incidence of delayed hemorrhage (onset>24 hours after surgery) was 1.1% in the study group.

    The primary hemorrhage rate of the study group was significantly lower (P=007) than the rate for the reference group (0.0% vs 1.0%), as was the total hemorrhage rate (1.1% vs 4.1%) and the delayed hemorrhage rate (1.1% vs 3.1%). Conclusion : A uniform technique including the use of bismuth subgallate and reassessment of the tonsillar fossae after a 3-minute observation period reduces the incidence of primary tonsillar hemorrhage in a teaching institution setting.

    Mots-clés Pascal : Amygdalectomie, Prévention, Technique, Hémorragie, Pharynx, Postopératoire, Primaire, Incidence, Complication, Programme, Enseignement, Rétrospective, Traitement, Enfant, Homme, Chirurgie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, ORL pathologie, Pharynx pathologie

    Mots-clés Pascal anglais : Tonsillectomy, Prevention, Technique, Hemorrhage, Pharynx, Postoperative, Primary, Incidence, Complication, Program, Teaching, Retrospective, Treatment, Child, Human, Surgery, Cardiovascular disease, Vascular disease, ENT disease, Pharynx disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0203281

    Code Inist : 002B25C01. Création : 16/11/1999.