Adult tonsillectomy and day care surgery

Abstract

Objective To evaluate the safety of adult tonsillectomy as a day care surgery Methods Records of 664 patients above the age of 12 years, who underwent tonsillectomy were analysed. These patients were operated in our department within January 1999 and September 2002. Only 13 patients (1.95%) had post operative bleeding and were readmitted after discharge. The data of these patients were collected from medical records as well from the morbidity meeting proceedings and was reviewed retrospectively. Statistical analysis was done by using 'one sample t-test'.Results Overall incidence of post operative bleeding was 1.95%. None of our pateients bled with 12 hours of Surgery, 0.3 % had bleeding between 12 to 24 hours after tonsillectomy and 1.65% encountered bleeding between 24 hours to the 6th post operative day. Bleeding was not major in majority of patients as only 0.45% of the patients required second anesthesia to control the bleeding and only 0.35% of patients required blood transfusion to replace the lost blood volume. In addition, higher incidence of bleeding was seen in males, in the older age group of 31-40 years, patients with obstructive sleep aponea and in patients where tonsillectomy was done by electrocautry dissection. ConclusionBased on these observations, we conclude that Adult tonsillectomy can be safely preformed in our setup. Keyword Post operative bleedings One sample ttest Blood transfusion Tonsillectomy

Tonsillectomy for adult obstructive sleep apnea: A systematic review and meta-analysis

“…References revealed two additional potentially relevant studies. 67,68 Studies were excluded for the following reasons: only posttonsillectomy data was available, 24 no polysomnography or quantitative sleepiness data, 20,29,34,38,44,48,56,57,[60][61][62]64,65 the patient(s) underwent a tonsillectomy alone; however, the studies only reported data for the entire group which included additional surgeries, 28,41,[50][51][52][53] the patient(s) underwent another procedure simultaneously, 10,22,27,42,45,46,55,58,67,69 or the articles were review articles with no new data. 23,30 Seventeen studies 21,25,26,[31][32][33][35][36][37]39,40,42,49,54,<...>…”

“…The searches yielded 2,318 studies: 47 were potentially relevant and were downloaded. References revealed two additional potentially relevant studies .…”