Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital
Introduction: Tonsillectomy is a common surgical procedure in which post tonsillectomy heamorrhage remains the most serious complication. The cold steel dissection method is the oldest and safest method used to perform tonsillectomies. Aims & Objectives: This study was done to see the frequen...
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| Format: | Article |
| Language: | English |
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Shaikh Zayed Medical Complex, Lahore
2021-01-01
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| Series: | Proceedings |
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| Online Access: | https://proceedings-szmc.org.pk/index.php/szmc/article/view/12 |
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| author | Arshadullah Afridi Sana Tariq Muhammad Dawood Sarwat Iqbal Usna Athar Aisha Hanif |
| author_facet | Arshadullah Afridi Sana Tariq Muhammad Dawood Sarwat Iqbal Usna Athar Aisha Hanif |
| author_sort | Arshadullah Afridi |
| collection | DOAJ |
| description | Introduction: Tonsillectomy is a common surgical procedure in which post tonsillectomy heamorrhage remains the most serious complication. The cold steel dissection method is the oldest and safest method used to perform tonsillectomies.
Aims & Objectives: This study was done to see the frequency of post-tonsillectomy heamorrhage with cold steel dissection method. It was a clinical audit performed retrospectively to compare our results with International standards.
Place and duration of study: Our clinical audit was conducted at Otolaryngology department in Shalamar Hospital, Lahore, Pakistan. This study was conducted in a period of 6 months.
Material & Methods: The charts of patients (n=344) that underwent tonsillectomy at Shalamar Hospital from January 2016 till December 2019 were retrospectively viewed, in a cross-sectional, pilot study, using convenience sampling technique. All the tonsillectomy procedures were performed using the cold steel dissection method. Frequencies were recorded and chi-square test was applied.
Results: The complication of secondary heamorrhage occurred in 7 patients and the frequency was calculated as 2%. A significant difference (P=0.01) of age was found in patients suffering from secondary heamorrhage. The incidence was lower in patients below 18 years of age (0.7%) as compared to patients above 18 years of age (7.14%). The rate of heamorrhage was found to be slightly higher in males than in females (2.6% and 1.31% respectively).
Conclusion: We conclude that the rate of secondary heamorrhage in our institution is up to the rate reported in literature. Different hot techniques for tonsillectomy should also be performed in clinical settings and compared with the standard cold steel dissection tonsillectomy. |
| first_indexed | 2024-04-11T16:47:43Z |
| format | Article |
| id | doaj.art-e072401d658847759fcac741a48a64e9 |
| institution | Directory Open Access Journal |
| issn | 1815-4905 2518-203X |
| language | English |
| last_indexed | 2024-04-11T16:47:43Z |
| publishDate | 2021-01-01 |
| publisher | Shaikh Zayed Medical Complex, Lahore |
| record_format | Article |
| series | Proceedings |
| spelling | doaj.art-e072401d658847759fcac741a48a64e92022-12-22T04:13:32ZengShaikh Zayed Medical Complex, LahoreProceedings1815-49052518-203X2021-01-01344646910.47489/p000s344z773mc12Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar HospitalArshadullah Afridi0Sana Tariq1Muhammad Dawood2Sarwat Iqbal3Usna Athar4Aisha Hanif5Department of ENT, Shalamar Hospital, Lahore Department of Bioethics, Shalamar Medical & Dental College, Lahore Department of Forensic Medicine, Shalamar Hospital, LahoreDepartment of Medicine, Shalamar Hospital, Lahore Department of Community Medicine, Shalamar Hospital, Lahore Department of ENT, Shalamar Hospital, LahoreIntroduction: Tonsillectomy is a common surgical procedure in which post tonsillectomy heamorrhage remains the most serious complication. The cold steel dissection method is the oldest and safest method used to perform tonsillectomies. Aims & Objectives: This study was done to see the frequency of post-tonsillectomy heamorrhage with cold steel dissection method. It was a clinical audit performed retrospectively to compare our results with International standards. Place and duration of study: Our clinical audit was conducted at Otolaryngology department in Shalamar Hospital, Lahore, Pakistan. This study was conducted in a period of 6 months. Material & Methods: The charts of patients (n=344) that underwent tonsillectomy at Shalamar Hospital from January 2016 till December 2019 were retrospectively viewed, in a cross-sectional, pilot study, using convenience sampling technique. All the tonsillectomy procedures were performed using the cold steel dissection method. Frequencies were recorded and chi-square test was applied. Results: The complication of secondary heamorrhage occurred in 7 patients and the frequency was calculated as 2%. A significant difference (P=0.01) of age was found in patients suffering from secondary heamorrhage. The incidence was lower in patients below 18 years of age (0.7%) as compared to patients above 18 years of age (7.14%). The rate of heamorrhage was found to be slightly higher in males than in females (2.6% and 1.31% respectively). Conclusion: We conclude that the rate of secondary heamorrhage in our institution is up to the rate reported in literature. Different hot techniques for tonsillectomy should also be performed in clinical settings and compared with the standard cold steel dissection tonsillectomy.https://proceedings-szmc.org.pk/index.php/szmc/article/view/12tonsillectomy, adeno-tonsillectomy, secondary heamorrhage, cold steel method |
| spellingShingle | Arshadullah Afridi Sana Tariq Muhammad Dawood Sarwat Iqbal Usna Athar Aisha Hanif Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital Proceedings tonsillectomy, adeno-tonsillectomy, secondary heamorrhage, cold steel method |
| title | Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital |
| title_full | Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital |
| title_fullStr | Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital |
| title_full_unstemmed | Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital |
| title_short | Secondary Heamorrhage After Cold Steel Tonsillectomy: An Audit Performed in Shalamar Hospital |
| title_sort | secondary heamorrhage after cold steel tonsillectomy an audit performed in shalamar hospital |
| topic | tonsillectomy, adeno-tonsillectomy, secondary heamorrhage, cold steel method |
| url | https://proceedings-szmc.org.pk/index.php/szmc/article/view/12 |
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