Untersuchungen an 105 Fällen von Nachblutungen nach Tonsillektomie

Abstract

We saw severe blood-loss even two weeks after surgery, whereas the events of hemorrhage around the time of debridement of fibrinlayers showed no accumulation of severe outcomes.

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

“…This statement is in line with findings of Deitmer [30] who registered more critical situations in patients that were privately transported to the hospital instead of calling for professional medical help. This finding is emphasized by the fact, that secondary bleeding might occur as late as two weeks after TE [30], [132], which has to be explained to the patients or parents in full detail prior to surgery. The patients or parents must receive clear instructions for behavioral measures in case of a bleeding event along the postoperative course.…”

“…2)). Only few clinics analyze possible causes and rates of PTH, effects of newer surgical instruments or make suggestions for an adequate complication management protocol [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41]. For the first time, the Prospective Multicenter Tonsillectomy Study in Austria stratified bleeding events by a sophisticated classification system [42], [43], [44].…”

“…Electrosurgical means for tonsil dissection and/or hemostasis is obviously associated with a greater risk of PTH in general [177], [178], [179], a higher rate of secondary bleeding and greater chronological variety [29], [30], [31]. Bleeding complications are therefore likely to occur outside the hospital, which is considered not to be life-threatening [31], but may be so [21].…”

Retrospektive Analyse von Risikofaktoren bei Adeno-Tonsillektomie im Kindesalter

“…In Deutschland wurden von der Bundesgeschäftsstelle für Qualitätssicherung jährlich über 100 000 Tonsillektomien mit einer Inzidenz für Nachblutungen von 5 % (ca. 5000 Fälle pro Jahr), bezogen auf die Zahl der operierten Patienten und gemessen an den beobachteten Fällen in Studien, berechnet [5]. Daher wird die Indikation zur Tonsillektomie bei Kindern streng gestellt und in den letzten Jahren weniger komplikationsreiche operative Verfahren wie die Tonsillotomie empfohlen [6].…”

“…Tag postoperativ auftreten, bezeichnet. In diesem Zeitraum erfolgt die Abstoßung der Fibrinbeläge [5]. Spätblutungen stellen ein besonderes Problem dar, da sie lebensgefähr-Results Included in the examination were 171 male and 137 female patients.…”